SHERYLL BALTAZAR (NPI# 1184162620) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184162620 |
| Entity Type | Individual |
| Full Name | SHERYLL BALTAZAR |
| Credential | NP-C |
| Practice Address |
157 E Woodside Ave Patchogue NY 11772-1423 |
| Mailing Address |
106 Berkeley Ave Selden NY 11784-1904 |
| Practice Telephone | 6314751900 |
| Mailing Telephone | 6315123623 |
| Enumeration Date | 2017-02-04 |
| Last Update Date | 2017-02-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
307950 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
157 E WOODSIDE AVE |
| City | PATCHOGUE |
| State | NY |
| Zip Code | 11772-1423 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104889666 | Patricia Doris Cherasard | Physician Assistant | 157 E Woodside Ave, Patchogue, NY 11772-1423 | 2006-04-07 |
| 1699252429 | Deanna Rose Sparaco | Nurse Practitioner | 157 E Woodside Ave, Patchogue, NY 11772 | 2018-07-24 |
| 1356585699 | Barbara M Brathwaite | Registered Nurse | 157 E Woodside Ave, Patchogue, NY 11772-1423 | 2009-04-30 |
| 1831376250 | Michele Paula Lubin | Dietitian, Registered | 157 E Woodside Ave, Patchogue, NY 11772-1423 | 2008-01-28 |
| 1568649135 | Raymond G. Lau | Internal Medicine | 157 E Woodside Ave, Patchogue, NY 11772-1423 | 2008-01-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205447224 | Amita Vipul Patel | Nurse Practitioner | Longlsland Community Hospital, 101 Hospital Rd, Patchogue, NY 11772 | 2020-08-13 |
| 1609491968 | Sanjib Dey | Family Medicine | Brookhaven Nephrology Associates, 260 E. Patchogue-yaphank Rd., Patchogue, NY 11772 | 2020-06-12 |
| 1992297204 | Camila Bueno-sanchez | Student in an Organized Health Care Education/Training Program | 676 S Country Rd, East Patchogue, NY 11772 | 2018-06-01 |
| 1184115859 | Premier Endodontics of Patchogue | Dentist | 44 Medford Avenue, Patchogue, NY 11772 | 2018-05-29 |
| 1801386453 | Franklin Ikechukwu Ugbode | Student in an Organized Health Care Education/Training Program | 100 Hospital Road Suite 201, Patchogue, NY 11772 | 2018-05-18 |
| 1508372335 | Stephanie Vanschaick | Counselor | 450 Waverly Ave Ste 11, Patchogue, NY 11772 | 2017-12-15 |
| 1578074498 | Chrystal Lee Curran | Specialist | 1116 Main Road, Aquebogue, NY 11772 | 2017-10-18 |
| 1013457712 | Candyce Fahner | Registered Nurse | 22 Haig Ave, E Patchogue, NY 11772 | 2017-02-28 |
| 1992251631 | Vanessa Lynn Petoello | Nurse Practitioner | 107 N/ Ocean Ave, Suite G, Patchogue, NY 11772 | 2016-09-01 |
| 1811343809 | Andrew Vanderlofske | Nurse Practitioner | 144 North Ocean Avenue, Patchogue, NY 11772 | 2016-05-09 |
| Find all providers in zip 11772 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992251631 | Vanessa Lynn Petoello | Nurse Practitioner | 107 N/ Ocean Ave, Suite G, Patchogue, NY 11772 | 2016-09-01 |
| 1811343809 | Andrew Vanderlofske | Nurse Practitioner | 144 North Ocean Avenue, Patchogue, NY 11772 | 2016-05-09 |
| 1629491402 | Christina Marie Dalrymple | Nurse Practitioner | 325 E Main St Ste 120, Patchogue, NY 11772-3114 | 2014-01-29 |
| 1942447347 | Natalie S Synnott | Nurse Practitioner | 4 Phyllis Dr Ste C, Patchogue, NY 11772-2900 | 2009-01-07 |
| 1427276914 | Christine M Aiello | Nurse Practitioner | 629 Medford Ave, Suite #1, Patchogue, NY 11772-1335 | 2007-04-23 |
| 1003987637 | Linda Belber | Nurse Practitioner | 68 Washington Ave, Patchogue, NY 11772-2953 | 2006-11-13 |
| 1518512581 | Wendy Doroski | Nurse Practitioner | 77 Medford Ave, Patchogue, NY 11772-1281 | 2019-08-07 |
| 1205489119 | Diane Cesario | Nurse Practitioner | 325 E Main St, Patchogue, NY 11772-3114 | 2019-07-19 |
| 1730604752 | Daniel Thomas Ippolito | Nurse Practitioner | 77 Medford Ave, Patchogue, NY 11772-1281 | 2017-08-10 |
| 1942679469 | Stephanie Ramdeen | Nurse Practitioner | 325 E Main St, Suite 120, Patchogue, NY 11772-3114 | 2015-09-15 |
| Find all providers in PATCHOGUE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.