MRS. JENNIFER PETERSON (NPI# 1184232894) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184232894 |
| Entity Type | Individual |
| Full Name | MRS. JENNIFER PETERSON |
| Credential | FNP |
| Practice Address |
255 Lafayette Ave Suffern NY 10901-4812 |
| Mailing Address |
255 Lafayette Ave Suffern NY 10901-4869 |
| Practice Telephone | 8453685000 |
| Mailing Telephone | 8453685000 |
| Enumeration Date | 2020-07-20 |
| Last Update Date | 2020-07-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
346210 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184242570 | Jennifer Jean Peterson | Counselor | 162 S Joliet Cir Apt 303, Aurora, CO 80012-1082 | 2020-07-11 |
| 1801428065 | Jennifer R Peterson | Counselor | 808 E 7th St, Atlantic, IA 50022-1805 | 2020-02-06 |
| 1093229577 | Jennifer Catherine Peterson | Nurse Practitioner | 5561 Nw 49th Way, Coconut Creek, FL 33073-3725 | 2017-11-20 |
| 1851796411 | Jennifer Peterson | Physical Therapist | 4509 Normandy St, Bismarck, ND 58503-5645 | 2014-10-24 |
| 1821339805 | Jennifer Peterson | Licensed Practical Nurse | 68 Howard Ln, Tonawanda, NY 14150-8125 | 2013-03-15 |
| 1740556331 | Jennifer Peterson | Massage Therapist | 14 S Dakota St, Butte, MT 59701-2003 | 2012-03-28 |
| 1013223494 | Jennifer Peterson | Assisted Living Facility | 4160 Clark College Dr., Dallas, TX 75241 | 2010-08-24 |
| 1639481963 | Jennifer May Peterson | Massage Therapist | 3617 Woodland Park Ave N Apt 8, Seattle, WA 98103-7945 | 2010-07-01 |
| 1992937650 | Jennifer Christine Peterson | Occupational Therapist | 3837 Cardinal Oaks Cir, Orange Park, FL 32065-4251 | 2009-08-13 |
| 1891963401 | Jennifer Peterson | Massage Therapist | 6424 158th Street Ct E, Puyallup, WA 98375-7410 | 2008-02-16 |
| Street Address |
255 LAFAYETTE AVE |
| City | SUFFERN |
| State | NY |
| Zip Code | 10901-4812 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184616963 | Martin S Katzenstein | Pediatrics | 255 Lafayette Ave, Suffern, NY 10901-4812 | 2005-08-18 |
| 1396360186 | Tina George | Nurse Practitioner | 255 Lafayette Ave, Suffern, NY 10901-4812 | 2020-06-08 |
| 1053943902 | Michelle Lindsay Mathew | Nurse Practitioner | 255 Lafayette Ave, Suffern, NY 10901-4812 | 2020-02-09 |
| 1174155162 | Rockland Physician Medicine Services, P.C. | Physician Assistant | 255 Lafayette Ave, Suffern, NY 10901-4812 | 2020-02-07 |
| 1659847416 | Teresa Ann Sullivan | Nurse Practitioner | 255 Lafayette Ave, Suffern, NY 10901-4812 | 2018-10-19 |
| 1134694334 | Damar Titsy-ann Mcintyre | Nurse Practitioner | 255 Lafayette Ave, Suffern, NY 10901-4812 | 2018-10-04 |
| 1962988543 | Rena Marie Riccardi | Nutritionist | 255 Lafayette Ave, Suffern, NY 10901-4869 | 2018-07-17 |
| 1730638453 | Patricia Margaret Kivlehan | Nurse Practitioner | 255 Lafayette Ave, Suffern, NY 10901-4812 | 2016-09-22 |
| 1609251370 | Melissa Theodore | Physical Therapist | 255 Lafayette Ave, Suffern, NY 10901-4812 | 2015-07-23 |
| 1013392927 | Holly Durniak | Speech-Language Pathologist | 255 Lafayette Ave, Suffern, NY 10901-4812 | 2015-07-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740895309 | Constance Marie Princiotto | Registered Nurse | J&d Ultracare, 15 Suffern Pl, Suffern, NY 10901 | 2020-09-10 |
| 1376101790 | Tenika Filomena Walters | Licensed Practical Nurse | 15 Suffen Place, Suffen, NY 10901 | 2019-05-31 |
| 1922563261 | Matthew Abel | Dietitian, Registered | 156 Ny-59, A2, Suffern, NY 10901 | 2019-01-31 |
| 1609349422 | Yona Newmark | Behavioral Analyst | 84 Route 59 Suite 102, Suffern, NY 10901 | 2019-01-03 |
| 1235606005 | William M Mazariego | Specialist/Technologist | 5 Tallman Pl, Suffern, NY 10901 | 2018-10-30 |
| 1396237228 | Stephanie N Freer | Registered Nurse | 15 Suffern Pl., Suffern, NY 10901 | 2018-06-06 |
| 1588102669 | Lisa Arcuri | Registered Nurse | 15 Suffern Place Ste A, Suffern, NY 10901 | 2017-02-08 |
| 1801342787 | Maria Castro-cancel | Social Worker | 58 Campbell Avenue, Airmont, NY 10901 | 2016-08-30 |
| 1811341530 | Simone Raven Pringle | Licensed Practical Nurse | 15 Suffern Place, Suite A, Suffern, NY 10901 | 2016-04-19 |
| 1871998666 | Simi Samuel | Specialist | 13 Hillside Ct, Suffern, NY 10901 | 2014-10-23 |
| Find all providers in zip 10901 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568063378 | Valerie Cantave | Nurse Practitioner | 152 Somerset Dr, Suffern, NY 10901-6904 | 2020-11-06 |
| 1699317768 | Jacquelyn Sirgant | Nurse Practitioner | 90 Bon Aire Cir Apt T7, Suffern, NY 10901-7329 | 2019-10-10 |
| 1447671706 | Sandra Choe | Nurse Practitioner | 155 Parkside Dr, Suffern, NY 10901-7854 | 2014-01-03 |
| 1396360186 | Tina George | Nurse Practitioner | 255 Lafayette Ave, Suffern, NY 10901-4812 | 2020-06-08 |
| 1053943902 | Michelle Lindsay Mathew | Nurse Practitioner | 255 Lafayette Ave, Suffern, NY 10901-4812 | 2020-02-09 |
| 1659847416 | Teresa Ann Sullivan | Nurse Practitioner | 255 Lafayette Ave, Suffern, NY 10901-4812 | 2018-10-19 |
| 1134694334 | Damar Titsy-ann Mcintyre | Nurse Practitioner | 255 Lafayette Ave, Suffern, NY 10901-4812 | 2018-10-04 |
| 1932622149 | Skye Mary Guerra | Nurse Practitioner | 233 Lafayette Ave, Suffern, NY 10901-4821 | 2017-07-19 |
| 1730638453 | Patricia Margaret Kivlehan | Nurse Practitioner | 255 Lafayette Ave, Suffern, NY 10901-4812 | 2016-09-22 |
| 1285076695 | Sara Burnbaum | Nurse Practitioner | 99 Washington Ave, Suffern, NY 10901 | 2013-07-26 |
| Find all providers in SUFFERN | ||||
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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.