MISS MARY ANN PESTRAK (NPI# 1205076411) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205076411 |
| Entity Type | Individual |
| Full Name | MISS MARY ANN PESTRAK |
| Credential | APRN |
| Practice Address |
9027 Sutphin Blvd Jamaica NY 11435-3647 |
| Mailing Address |
3579 Wyanet St Seaford NY 11783-3011 |
| Practice Telephone | 7185268400 |
| Practice Fax Number | 7185233063 |
| Mailing Telephone | 7185268400 |
| Mailing Fax Number | 7185233063 |
| Enumeration Date | 2009-02-27 |
| Last Update Date | 2020-01-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
F401181-1 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
9027 SUTPHIN BLVD |
| City | JAMAICA |
| State | NY |
| Zip Code | 11435-3647 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154489342 | Analinda Lorente IIi | Social Worker | 9027 Sutphin Blvd, Jamaica, NY 11435-3647 | 2006-12-04 |
| 1114581113 | Shakia Freeman | Social Worker | 9027 Sutphin Blvd, Jamaica, NY 11435-3647 | 2019-04-24 |
| 1164914339 | Kenneth Kim | Student in an Organized Health Care Education/Training Program | 9027 Sutphin Blvd, Jamaica, NY 11435-3647 | 2018-06-04 |
| 1790212694 | Kerlande Pierre | Registered Nurse | 9027 Sutphin Blvd, Jamaica, NY 11435-3647 | 2017-05-23 |
| 1962937573 | Diane Rapacioli | Social Worker | 9027 Sutphin Blvd, 5th Floor, Jamaica, NY 11435-3647 | 2017-04-21 |
| 1295271328 | Clara Cabrera | Social Worker | 9027 Sutphin Blvd, Jamaica, NY 11435-3647 | 2017-01-12 |
| 1659825263 | Erin Coyle | Social Worker | 9027 Sutphin Blvd, Jamaica, NY 11435-3647 | 2016-08-11 |
| 1326408212 | Vania Oliveira | Registered Nurse | 9027 Sutphin Blvd, Jamaica, NY 11435-3647 | 2016-03-04 |
| 1114396074 | Chandani Persaud | Student in an Organized Health Care Education/Training Program | 9027 Sutphin Blvd, 5th Fl, Jamaica, NY 11435-3647 | 2015-09-22 |
| 1457757759 | Lori Beth Magliaro I | Social Worker | 9027 Sutphin Blvd, Jamaica, NY 11435-3647 | 2014-11-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780284273 | Angela Abramov | Nurse Practitioner | 141-30 Pershing Creacsent Apt 3c, Jamaica, NY 11435 | 2020-10-26 |
| 1871114892 | Alternative Care Occupational Therapy, PC | Occupational Therapist | 149-16 Jamaica Ave, Jamaica, NY 11435 | 2020-04-30 |
| 1831737311 | Aminat Adams | Registered Nurse | 10753 Remitown Street, Jamaica, NY 11435 | 2019-12-16 |
| 1376180349 | Isabella Herold | Dietitian, Registered | 97-04 Sutphin Boulevard, Jamaica, NY 11435 | 2019-12-09 |
| 1235774654 | Angela Rose Torriero | Occupational Therapist | 90-36 150th Street, Jamaica, Queens, NY 11435 | 2019-11-08 |
| 1396386009 | Alexandra Mikyung Kim | Registered Nurse | 90-27 Sutphin Boulevard, Jamaica, NY 11435 | 2019-10-03 |
| 1043782097 | Louis E Krigger | Counselor | Restfull Nights Corporation, 106-38 150th St, Jamaica, NY 11435 | 2018-12-31 |
| 1407326093 | Syretta Henry | Social Worker | 90-27 Sutphin Blvd 5th Floor, Jamaica, NY 11435 | 2018-11-27 |
| 1972083277 | Debra Witherspoon-benders | Licensed Vocational Nurse | Samaritan Daytop Village 138-02 Queens Boulevard, Briarwood, NY 11435 | 2018-08-16 |
| 1982182895 | Emmanuel Oszwa Odigie | Respite Care | 148-13 Hillside Ave, 2nd Fl Briarwood, Briarwood, NY 11435 | 2018-08-02 |
| Find all providers in zip 11435 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780284273 | Angela Abramov | Nurse Practitioner | 141-30 Pershing Creacsent Apt 3c, Jamaica, NY 11435 | 2020-10-26 |
| 1164690210 | Marcia Joan Campbell | Nurse Practitioner | 9210 147th Pl, Jamaica, NY 11435-4313 | 2008-02-12 |
| 1215999040 | Veronica Ngozi Ogula | Nurse Practitioner | 104-04 Sutphin Blvd, Jamaica, NY 11435 | 2006-04-05 |
| 1528683307 | Olubukola Ayinke Olopade | Nurse Practitioner | 8268 164th St, Jamaica, NY 11432-1104 | 2020-06-08 |
| 1801292149 | Dumo Marcus Opuiyo | Nurse Practitioner | 11515 Sutphin Blvd, Jamaica, NY 11434-1020 | 2014-11-14 |
| 1417364795 | Jin Sun | Nurse Practitioner | 8268 164th St, Jamaica, NY 11432-1121 | 2014-07-17 |
| 1023455995 | Nisha Pradeep | Nurse Practitioner | 8268 164th St, Room# 332, Jamaica, NY 11432-1121 | 2013-05-31 |
| 1841366283 | Keith Thomas Seims | Nurse Practitioner | 8268 164th St, Jamaica, NY 11432-1329 | 2006-11-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013518794 | Johnson Oppong | Nurse Practitioner | 160 Theodore Fremd Ave Apt C2, Rye, NY 10580-2842 | 2020-11-08 |
| 1619578366 | Jecinter L Otieno | Nurse Practitioner | 195 Hillside Dr, Oneonta, NY 13820-3611 | 2020-11-07 |
| 1073113833 | Natalie Grant-villegas | Nurse Practitioner | 1210 Fulton St Apt 1, Brooklyn, NY 11216-2003 | 2020-10-29 |
| 1780284869 | Mary Gwynne Tillotson | Nurse Practitioner | 82 Oxford Ave, Buffalo, NY 14209-1406 | 2020-10-28 |
| 1407455967 | Marie J. Schwarz, Npp-bc PC | Nurse Practitioner | 133 E Main St Ste 3h, Babylon, NY 11702-3517 | 2020-10-25 |
| 1720687015 | Ashley Winn | Nurse Practitioner | 367 E Chester St, Long Beach, NY 11561-2324 | 2020-10-19 |
| 1114525961 | Tanya Monique Sydnor Holmes | Nurse Practitioner | 1601 Baldwin Blvd, Bay Shore, NY 11706-2145 | 2020-10-14 |
| 1669079976 | Mary Lynn Good | Nurse Practitioner | 3344 Chambers Rd # 200, Horseheads, NY 14845-1403 | 2020-10-08 |
| 1376140277 | Megan Elizabeth Bhatti | Nurse Practitioner | 2104 Delaware Ave Apt 1, Buffalo, NY 14216-3216 | 2020-10-04 |
| 1073129649 | Sifat Ara Ameen | Nurse Practitioner | 180 E Hartsdale Ave Apt 6b, Hartsdale, NY 10530-3548 | 2020-09-19 |
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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.