NANCY SERBELLON


Address: 5141 Broadway, New York, NY 10034-1159
Phone: 2123050114

NANCY SERBELLON (NPI# 1225469216) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1225469216
Entity Type Individual
Full Name NANCY SERBELLON
Credential MSN, CDE, ANP-BC
Practice Address 5141 Broadway
New York
NY 10034-1159
Mailing Address 161 Fort Washington Ave
11th Floor
New York
NY 10032-3729
Practice Telephone 2123050114
Mailing Telephone 2123050114
Enumeration Date 2013-12-02
Last Update Date 2017-02-16
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LA2200X Nurse Practitioner
Specialization: Adult Health
306741 NY Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
NY PENDING 05

Office Location

Street Address 5141 BROADWAY
City NEW YORK
State NY
Zip Code 10034-1159

Providers in the same location

NPI Name Taxonomy Address Enumeration
1780677427 Donald Matthew Kim Internal Medicine 5141 Broadway, Rm 2-095, New York, NY 10034-1159 2005-08-29
1063011534 Rabiah Arooj Toppa Physician Assistant 5141 Broadway, New York, NY 10034-1159 2020-10-25
1952900599 Renee Elizabeth Alexander Physician Assistant 5141 Broadway, New York, NY 10034-1159 2020-10-24
1548870967 Julie Abraham Occupational Therapist 5141 Broadway, New York, NY 10034-1159 2020-08-01
1215551312 Alana Ruth Ribowsky Registered Nurse 5141 Broadway, New York, NY 10034-1159 2020-06-04
1508492588 Joshua Silberbush Registered Nurse 5141 Broadway, New York, NY 10034-1159 2020-03-21
1760015275 Susan Marie Konish Nurse Practitioner 5141 Broadway, New York, NY 10034-1159 2020-02-13
1508497884 Darya Korshukova Physician Assistant 5141 Broadway, New York, NY 10034-1159 2020-01-27
1447896196 Diana Kim Pharmacist 5141 Broadway, New York, NY 10034-1159 2019-11-18
1386289007 Elizabeth Catherine Medina Registered Nurse 5141 Broadway, New York, NY 10034-1159 2019-11-18
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1649812512 Vilma Lantigua Physician Assistant 90 Vermilyea Ave #139, New York, NY 10034 2019-10-11
1477037125 Alexa Paige Ruffino Physician Assistant 5105 Broadway, New York, NY 10034 2018-09-19
1821514456 Chinara M Tate Dietitian, Registered 520 W 218th Street, Apt 3a, New York, NY 10034 2017-08-15
1770006165 Brittany Palmer Speech-Language Pathologist 10 Park Ter E Apt 4l, New York, NY 10034 2017-07-18
1457891947 Easy Choice Agency Home Health 3863 10th Avenue, Ny, NY 10034 2017-03-02
1598114738 Kent Haina Jr. Nurse Anesthetist, Certified Registered 133 Seaman Ave Apt 5a, New York, NY 10034 2016-06-08
1902274756 Rosa Ma Caram Early Intervention Provider Agency 601 Kappock St., Apt. 4e, Bronx, NY 10034 2015-09-10
1104232040 Michael Kwakye General Practice 5030 Broadway Ste 816, New York, NY 10034 2014-07-10
1619389624 Jay Steven Reidler Orthopaedic Surgery Columbia Orthopedics, 5141 Broadway, 3 Field West, New York, NY 10034 2014-05-25
1467718247 Sherman Medical Care, PC Internal Medicine 231 Sherman Ave, 1f, New York, NY 10034 2012-04-06
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Taxonomy Information

Taxonomy Code 363LA2200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Adult Health

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
1780284927 Hannah Catan Nurse Practitioner 473 W 158th St Apt 10, New York, NY 10032-5361 2020-10-27
1932708229 Minkyung Lee Nurse Practitioner 560 Main St Apt 412, New York, NY 10044-0012 2020-10-19
1184231797 Tingting Chen Nurse Practitioner 5618 7th Ave Brooklyn, New York, NY 11220 2020-09-28
1407462260 Dukenson Bigot Nurse Practitioner 173 East 102nd Street, Apt 3e, New York, NY 10029-5723 2020-09-17
1972118206 Trisha Aloquina Nurse Practitioner 106 East 32nd St, 102, New York, NY 10016 2020-09-14
1437760196 Chelsea Florence Curione Nurse Practitioner 31 Washington Sq W Fl 4, New York, NY 10011-9172 2020-08-14
1538779343 Molly Smith Nurse Practitioner 161 Fort Washington, Herbert Irving Pavilion, New York, NY 10032-1003 2020-08-06
1871101360 Elke Kraus Nurse Practitioner 105 E 122nd St Apt 4e, New York, NY 10035-2821 2020-07-21
1942825138 Barbara Cohen Np LLC Nurse Practitioner 16 W 16th St Apt 7ps, New York, NY 10011-6335 2020-06-12
1619590692 Shaun Sorley Nurse Practitioner 12 Stuyvesant Oval Apt 9g, New York, NY 10009-2219 2020-05-25
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Competitor

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City NEW YORK
Zip Code 10034

Improve Information

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Dataset Information

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.

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