JIHANE REAL (NPI# 1245682616) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245682616 |
| Entity Type | Individual |
| Full Name | JIHANE REAL |
| Credential | FNP |
| Practice Address |
380 Washington Ave Roosevelt NY 11575-1845 |
| Mailing Address |
2789 1st Pl Baldwin NY 11510-4029 |
| Practice Telephone | 5163782000 |
| Mailing Telephone | 6463777418 |
| Enumeration Date | 2016-07-08 |
| Last Update Date | 2016-10-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
F339249 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
F339249-1 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
F339249 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
380 WASHINGTON AVE |
| City | ROOSEVELT |
| State | NY |
| Zip Code | 11575-1845 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093743072 | Catherine Finelli | Counselor | 380 Washington Ave, Roosevelt, NY 11575-1845 | 2006-06-29 |
| 1700437860 | Kerry Mogavero | Physical Therapy Assistant | 380 Washington Ave, Roosevelt, NY 11575-1845 | 2019-09-20 |
| 1093360992 | Jyoti Bariana | Physical Therapy Assistant | 380 Washington Ave, Roosevelt, NY 11575-1845 | 2019-08-07 |
| 1649824756 | Jennifer Therese Martin | Speech-Language Pathologist | 380 Washington Ave, Roosevelt, NY 11575-1845 | 2019-07-26 |
| 1578036125 | Victoria Marie Genova | Speech-Language Pathologist | 380 Washington Ave, Roosevelt, NY 11575-1845 | 2019-01-07 |
| 1770067258 | Alicia Marie Sauerland | Occupational Therapist | 380 Washington Ave, Roosevelt, NY 11575-1845 | 2018-09-20 |
| 1316421787 | Pamela Holly Pollack | Physical Therapist | 380 Washington Ave, Roosevelt, NY 11575-1845 | 2018-09-20 |
| 1962985333 | Patricia Josephine Telford | Specialist | 380 Washington Ave, Roosevelt, NY 11575-1845 | 2018-09-12 |
| 1912411471 | Damion Singh | Occupational Therapist | 380 Washington Ave, Roosevelt, NY 11575-1845 | 2017-11-20 |
| 1952813545 | Elizabeth Zofia Candela-krupp | Dental Hygienist | 380 Washington Ave, Roosevelt, NY 11575-1845 | 2017-11-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235695800 | Joi Emmanuel | Social Worker | 335 East Clinton Avenue, Roosevelt, NY 11575 | 2019-02-19 |
| 1568838654 | Patricia Roots | Licensed Practical Nurse | 76 W Centennial Ave, Roosevelt, NY 11575 | 2015-08-12 |
| 1235413782 | Belle Cleaning Services LLC | Preferred Provider Organization | 64 Elmwood Ave, Roosevelt, NY 11575 | 2011-10-03 |
| 1194970715 | Lisa B. Maniatis-fitting | Physical Therapy Assistant | 360 Washington Ave., Roosevelt, NY 11575 | 2008-11-24 |
| 1629131792 | Naomi Deborah Steinberg | Social Worker | Ucpn-380 Washington Ave, Roosevelt, New York, NY 11575 | 2006-12-19 |
| 1750340212 | Eleanor Babinski | Pediatrics | 150 E. Sunrise Hwy, Suite 105, Lindenhurst, NY 11575 | 2006-03-22 |
| 1558778407 | Eac, Inc. | Day Training, Developmentally Disabled Services | 50 Clinton Street, Hempstead, NY 11575 | 2014-07-11 |
| 1720415342 | Kristen Leigh Gaglio | Specialist | 380 Washington Avenue, Roosevelt, NY 11575 | 2013-09-27 |
| 1083992192 | Stefanie Gofter | Occupational Therapist | 380 Washington Avenue, Roosevelt, NY 11575 | 2011-07-25 |
| 1437304045 | Bobby Nabeyama | Physical Therapist | 360 Washington Ave, Roosevelt, NY 11575 | 2008-11-24 |
| Find all providers in zip 11575 | ||||
| Taxonomy Code | 363LP2300X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154803567 | Kia Monette Pinheiro | Nurse Practitioner | 177 Denton Pl, Roosevelt, NY 11575-1519 | 2018-08-31 |
| 1659785772 | Becky Ann Birch | Nurse Practitioner | 200 West 350 North, Ste 103, Roosevelt, UT 84066 | 2014-06-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528667169 | Noemi Villanueva Sta Ana | Nurse Practitioner | 1738 Newbridge Rd Unit 1, North Bellmore, NY 11710-1657 | 2020-10-24 |
| 1881292050 | Andrew Hirschhorn | Nurse Practitioner | 1435 Weaver St, Scarsdale, NY 10583-7018 | 2020-10-11 |
| 1154932036 | Brian Lorenzen | Nurse Practitioner | 25 Barker St Apt 513, Mount Kisco, NY 10549-1635 | 2020-08-13 |
| 1457961062 | Rosaleen Christine Galvin | Nurse Practitioner | 415 East 80th St, Apt. 1n, New York, NY 10075 | 2020-08-07 |
| 1477171684 | Rejane Duarte | Nurse Practitioner | 2600 Netherland Ave Ste 104, Bronx, NY 10463-4813 | 2020-07-14 |
| 1962029009 | Sharon Wu | Nurse Practitioner | 2426 W 3rd St, Brooklyn, NY 11223-5930 | 2020-07-05 |
| 1598381535 | Xue Qin Gao | Nurse Practitioner | 71-44 160th St. Unit 1, Flushing, NY 11365-3088 | 2020-06-24 |
| 1619590486 | Jan Jeremiah | Nurse Practitioner | 3839 Flatlands Ave Ste 100, Brooklyn, NY 11234-3535 | 2020-05-27 |
| 1205459534 | Shyan Indera Jagdeo | Nurse Practitioner | 645 W Broadway, Long Beach, NY 11561-2956 | 2020-05-21 |
| 1487276002 | Rosemary Elizabeth Carro | Nurse Practitioner | 21 Adams Farm Rd, Katonah, NY 10536-3166 | 2020-05-18 |
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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.