MRS. LUCILLE PATRICIA TAVERNA (NPI# 1235131764) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235131764 |
| Entity Type | Individual |
| Full Name | MRS. LUCILLE PATRICIA TAVERNA |
| Credential | MD |
| Practice Address |
185 Merrick Rd Radiological Associates of Long Island PC Oceanside NY 11572-1431 |
| Mailing Address |
185 Merrick Rd Oceanside NY 11572-1431 |
| Practice Telephone | 5167666550 |
| Practice Fax Number | 5166782822 |
| Mailing Telephone | 5167666550 |
| Mailing Fax Number | 5166782822 |
| Enumeration Date | 2005-08-15 |
| Last Update Date | 2010-03-25 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
1124741 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 00380218 | 05 |
| Street Address |
185 MERRICK RD RADIOLOGICAL ASSOCIATES OF LONG ISLAND PC |
| City | OCEANSIDE |
| State | NY |
| Zip Code | 11572-1431 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811511702 | Icahn School of Medicine At Mount Sinai | Physiological Laboratory | 185 Merrick Rd, Oceanside, NY 11572-1431 | 2020-06-05 |
| 1477177400 | Icahn School of Medicine At Mount Sinai | Radiology | 185 Merrick Rd, Oceanside, NY 11572-1431 | 2020-06-05 |
| 1720636483 | Mount Sinai School of Medicine | Physiological Laboratory | 185 Merrick Rd, Oceanside, NY 11572-1431 | 2019-08-27 |
| 1548752504 | Icahn School of Medicine At Mount Sinai | Radiology | 185 Merrick Rd, Oceanside, NY 11572-1431 | 2018-06-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376152868 | True North Dialysis Center LLC | Clinic/Center | 3005 Long Beach Rd, Oceanside, NY 11572 | 2020-07-30 |
| 1508493560 | Mercedes Andreina Cardenas Pena | Student in an Organized Health Care Education/Training Program | 196 South Nassau, Oceanside, NY 11572 | 2020-03-26 |
| 1275170219 | Prohealth Dental Pllc | Dentist | 2870 Long Beach Road, Oceanside, NY 11572 | 2019-12-10 |
| 1982252409 | Fe Jaurigue | Nurse Practitioner | 2391 Washington Ave, Oceanside, NY 11572 | 2019-08-28 |
| 1689160749 | Emil A Tocci, Dc, PC | Chiropractor | 3091 Lawson Blvd, Oceanside, NY 11572 | 2018-07-02 |
| 1336652726 | Jennifer L Rodgers | Nurse Practitioner | 435 Kinsley Ct, Oceanside, NY 11572 | 2017-11-08 |
| 1205387859 | Joanne Hudkins | Nurse Practitioner | 3353 5th St, Oceanside, NY 11572 | 2016-10-19 |
| 1346693595 | Michelle Coletta-guadagno | Case Manager/Care Coordinator | 400 Oceanside Pkwy, Oceanside, NY 11572 | 2016-07-22 |
| 1831543271 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 3705 Hampton Rd, Oceanside, NY 11572 | 2016-04-22 |
| 1598170474 | Amy Daleo | Licensed Practical Nurse | 299 Waukena Ave, Oceanside, NY 11572 | 2014-06-30 |
| Find all providers in zip 11572 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376976688 | Arthur John Day | Radiology | 4710 Denia Way, Oceanside, CA 92056-5145 | 2013-08-10 |
| 1760619688 | Brendon G Tillman | Radiology | 200 Mercy Circle, Nhcp, Attn: Radiology Department, Oceanside, CA 92055 | 2009-06-18 |
| 1437131992 | Harry Leo Stein | Radiology | 185 Merrick Road, Radiological Associates of Long Island PC, Oceanside, NY 11572 | 2005-11-18 |
| 1477177400 | Icahn School of Medicine At Mount Sinai | Radiology | 185 Merrick Rd, Oceanside, NY 11572-1431 | 2020-06-05 |
| 1487917621 | Cyrus Shabrang | Radiology | 4002 Vista Way, Oceanside, CA 92056 | 2012-06-22 |
| 1437443413 | Michael Noud | Radiology | 3156 Vista Way, Suite 100, Oceanside, CA 92056-3622 | 2011-06-07 |
| 1275837882 | Sn Radiological Practice PC | Radiology | 1 Healthy Way, Oceanside, NY 11572-1551 | 2010-12-23 |
| 1871759670 | Vinh Q Phan | Radiology | 1 Healthy Way, Oceanside, NY 11572-1551 | 2008-07-31 |
| 1245491208 | Kiran Roshan Patel | Radiology | 3156 Vista Way, Suite 100, Oceanside, CA 92056-3622 | 2008-06-23 |
| 1578789194 | Nathan Bryan Copelan | Radiology | 3156 Vista Way, Suite 100, Oceanside, CA 92056-3622 | 2007-04-18 |
| Find all providers in OCEANSIDE | ||||
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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.