JENNIFER LYNN KELUSKAR (NPI# 1225269681) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225269681 |
| Entity Type | Individual |
| Full Name | JENNIFER LYNN KELUSKAR |
| Practice Address |
37 Research Way East Setauket NY 11733-3465 |
| Mailing Address |
Po Box 1559 Stony Brook NY 11790-0989 |
| Practice Telephone | 6314444660 |
| Practice Fax Number | 6314444339 |
| Mailing Telephone | 6314444660 |
| Mailing Fax Number | 6314444339 |
| Enumeration Date | 2009-08-04 |
| Last Update Date | 2014-01-16 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
019292 | NY | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | AGENCY MEDICAID PROVIDER # | 00355940 | 01 |
| NY | AGENCY NPI # | 1285628552 | 01 |
| NY | AGENCY MEDICARE # | WVE061 | 01 |
| Street Address |
37 RESEARCH WAY |
| City | EAST SETAUKET |
| State | NY |
| Zip Code | 11733-3465 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376584102 | Joseph Gartner | Psychiatry & Neurology | 37 Research Way, East Setauket, NY 11733-3465 | 2006-06-10 |
| 1144861345 | Kimberly Villafane | Respiratory Therapist, Registered | 37 Research Way, East Setauket, NY 11733-3465 | 2019-09-30 |
| 1457845083 | Charlene Fox | Dietitian, Registered | 37 Research Way, East Setauket, NY 11733-3465 | 2018-06-18 |
| 1629476346 | Amy Canterella | Nutritionist | 37 Research Way, East Setauket, NY 11733-3465 | 2014-12-11 |
| 1487091328 | Keith Alan Chadwick | Otolaryngology | 37 Research Way, East Setauket, NY 11733-3465 | 2013-06-02 |
| 1932445509 | Kathryn Brigitte Fassnacht | Nurse Practitioner | 37 Research Way, East Setauket, NY 11733-3465 | 2012-12-29 |
| 1093069387 | Kathryn Elizabeth Cottell | Dietitian, Registered | 37 Research Way, East Setauket, NY 11733-3465 | 2012-11-08 |
| 1124373576 | Darragh Ann Herlihy | Nurse Practitioner | 37 Research Way, East Setauket, NY 11733-3465 | 2012-07-20 |
| 1588972863 | Farzana Nuruzzaman | Pediatrics | 37 Research Way, East Setauket, NY 11733-9202 | 2010-09-20 |
| 1518270610 | Denise M. Ferraro | Nurse Practitioner | 37 Research Way, Suite 2, East Setauket, NY 11733 | 2010-07-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063033991 | Olivia Carlino | Registered Nurse | 28 Buckingham Meadow Road, Setauket, NY 11733 | 2020-05-01 |
| 1295392553 | Johnny Slade | Emergency Medicine | 11 Bridge Rd, East Setauket, NY 11733 | 2019-05-22 |
| 1275060345 | Donna M Sweeney | Specialist | 14 Research Way East, East Setauket, NY 11733 | 2017-05-18 |
| 1659806388 | Erin Kunz | Podiatrist | Stony Brook Surgical Associates, 37 Research Way, Setauket- East Setauket, NY 11733 | 2017-05-01 |
| 1285180521 | Allison M Pinard | Specialist/Technologist | 149 Old Field Road, Setauket, NY 11733 | 2016-08-28 |
| 1578915096 | Kristyn Matovich | Behavioral Analyst | 5 Kenwood Street, East Setauket, NY 11733 | 2016-07-08 |
| 1306258900 | Patricia M. Ferrara | Licensed Practical Nurse | 181 N Bellemeade Rd, Setauket, NY 11733 | 2014-05-30 |
| 1871922898 | Island Concierge Medical Services Pllc | Internal Medicine | 3400 Nesconset Hwy. Suite 103, East Setauket, NY 11733 | 2013-11-12 |
| 1669718219 | Sheila Marie Vergith | Physician Assistant | 17 Coraway Road, Setauket, NY 11733 | 2012-12-28 |
| 1285980474 | Jennifer L Monastero | Physical Therapist | 12 Technology Dr., Unit 2, E. Setauket, NY 11733 | 2012-07-25 |
| Find all providers in zip 11733 | ||||
| Taxonomy Code | 103TC2200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical Child & Adolescent |
| Definition to come... |
| Notes: [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588964324 | Jessica Audrey Scher Lisa | Psychologist | 100 S Jersey Ave, Suite #1, East Setauket, NY 11733-2034 | 2010-10-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659996718 | Marlee Schwartz | Psychologist | 351 Manville Rd Ste 104&109, Pleasantville, NY 10570-2152 | 2020-06-14 |
| 1063031946 | Gwen Rachel Gordon Rothschild | Psychologist | 250 E Hartsdale Ave Ste 23, Hartsdale, NY 10530-3574 | 2020-04-10 |
| 1922630631 | Juliet Lisa Collingwood | Psychologist | 471 13th St, Brooklyn, NY 11215-5206 | 2020-02-11 |
| 1578102513 | Anne Austin Weissenberger | Psychologist | 144 King St, Chappaqua, NY 10514-3499 | 2019-12-21 |
| 1114560398 | Alison Melville Locker | Psychologist | 375 Greenwich St Ste 812, New York, NY 10013-2376 | 2019-10-21 |
| 1417502543 | Norma Linda Doft | Psychologist | 295 Central Park W Ofc 4a, New York, NY 10024-3021 | 2019-08-06 |
| 1194387456 | Allison Canfield | Psychologist | Developmental & Behavioral Pediatrics 601 Elmwood Ave, Rochester, NY 14642-0001 | 2019-07-07 |
| 1043870728 | Sarah Donovan | Psychologist | 5151 Fieldstone Trl, Canandaigua, NY 14424-8245 | 2019-06-16 |
| 1265099022 | Michelle Gallagher | Psychologist | Upstate Medical University, 750 E. Adams St., Syracuse, NY 13210 | 2019-05-28 |
| 1063983757 | Miriam Shields | Psychologist | 13681 71st Rd, Flushing, NY 11367-1942 | 2018-12-06 |
| Find all providers with the same taxonomy | ||||
| City | EAST SETAUKET |
| Zip Code | 11733 |
Please comment or provide details below to improve the information on JENNIFER LYNN KELUSKAR.
| 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.