MR. SHADY ZEIDAN (NPI# 1245707082) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245707082 |
| Entity Type | Individual |
| Full Name | MR. SHADY ZEIDAN |
| Credential | NP |
| Practice Address |
259 1st St Mineola NY 11501-3957 |
| Mailing Address |
138 Ormonde Blvd Valley Stream NY 11580-3041 |
| Practice Telephone | 5166632186 |
| Mailing Telephone | 5167175543 |
| Enumeration Date | 2018-10-30 |
| Last Update Date | 2018-10-31 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
F308774-1 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
259 1ST ST |
| City | MINEOLA |
| State | NY |
| Zip Code | 11501-3957 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801892641 | Frederick James | Nurse Anesthetist, Certified Registered | 259 1st St, Mineola, NY 11501-3957 | 2005-06-27 |
| 1164039855 | James Jacob | Nurse Anesthetist, Certified Registered | 259 1st St, Mineola, NY 11501-3957 | 2020-09-26 |
| 1649887530 | Michael D'alto | Emergency Medicine | 259 1st St, Mineola, NY 11501-3957 | 2020-09-25 |
| 1174136121 | Anatoliy Mirkin | Nurse Practitioner | 259 1st St, Mineola, NY 11501-3957 | 2020-08-28 |
| 1497368823 | Sajumon K Joseph | Nurse Practitioner | 259 1st St, Mineola, NY 11501-3957 | 2020-08-25 |
| 1730707134 | Nathan Augustus Starkman | Student in an Organized Health Care Education/Training Program | 259 1st St, Mineola, NY 11501-3957 | 2020-07-12 |
| 1164040143 | Melissa Dale Kersch | Nurse Practitioner | 259 1st St, Mineola, NY 11501-3957 | 2020-07-07 |
| 1518582964 | Jennifer Behbodikhah | Student in an Organized Health Care Education/Training Program | 259 1st St, Mineola, NY 11501-3957 | 2020-06-11 |
| 1912521386 | Samuel Baskharoun | Student in an Organized Health Care Education/Training Program | 259 1st St, Mineola, NY 11501-3957 | 2020-06-02 |
| 1346863404 | James Anthony Priftakis | Student in an Organized Health Care Education/Training Program | 259 1st St, Mineola, NY 11501-3957 | 2020-05-24 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710500350 | Steve Abraham Simon | Student in an Organized Health Care Education/Training Program | 222 Station Plaza, Suite 509, Mineola, NY 11501 | 2020-05-18 |
| 1407478167 | Frederick Milton Bosoy | Student in an Organized Health Care Education/Training Program | 259 1st St, Mineola, Ny 11501, Mineola, NY 11501 | 2020-05-15 |
| 1982226130 | Katelyn Anne Fowler | Counselor | [email protected], 410 East Jericho Tpke, Mineola, NY 11501 | 2020-05-11 |
| 1225667819 | New York Dialysis Services, Inc | Clinic/Center | 1 East Jericho Turnpike, Mineola, NY 11501 | 2020-04-06 |
| 1518500032 | Irina Victoria Kushnareva | Social Worker | 126 Saville Rd, Mineola, NY 11501 | 2019-10-28 |
| 1861046336 | Milagros M Matias | Case Manager/Care Coordinator | 39 E. Jericho Turnpike, Mineola, NY 11501 | 2019-08-01 |
| 1154974244 | Bahram Dabiri | Student in an Organized Health Care Education/Training Program | 222 Station Plaza N., Suite 620 Mineola, Mineola, NY 11501 | 2019-07-18 |
| 1972168748 | Nabeel A. Arain | Physician Assistant | 251 1st St., Mineola, NY 11501 | 2019-05-07 |
| 1598328940 | Ramsha Jabbar | Student in an Organized Health Care Education/Training Program | 222 Station Plaza North, Suite 305, Mineola, NY 11501 | 2019-04-20 |
| 1235628850 | Valentyna Erstenyuk | Student in an Organized Health Care Education/Training Program | 222 Station Plaza N, Suite 611, Mineola, NY 11501 | 2018-05-09 |
| Find all providers in zip 11501 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407457088 | Sanjana Kumari | Nurse Practitioner | 62 Albertson Pl, Mineola, NY 11501-4601 | 2020-11-02 |
| 1043751654 | Emily Lynn Kobus | Nurse Practitioner | 101 Mineola Blvd Fl 2, Mineola, NY 11501-4007 | 2017-03-15 |
| 1942661574 | Shaiba Anil | Nurse Practitioner | 127 Raff Ave, Mineola, NY 11501 | 2016-03-09 |
| 1053669614 | Nurse Practitioners In Adult Health Services, Pllc | Nurse Practitioner | 184 Old Country Road, First Floor, Mineola, NY 11501 | 2012-08-29 |
| 1033359799 | Theresa M Del Vecchio | Nurse Practitioner | 222 Station Plz N Ste 400, Winthrop Pulmonary, Mineola, NY 11501-3893 | 2009-02-20 |
| 1457359341 | Joan Aiello | Nurse Practitioner | 200 Old Country Rd, Mineola, NY 11501-4235 | 2005-07-13 |
| 1659905800 | Jennifer Valencia | Nurse Practitioner | 259 1st St, Mineola, NY 11501-3957 | 2020-02-26 |
| 1700422102 | Rachael Shapiro | Nurse Practitioner | 259 1st St, Mineola, NY 11501-3957 | 2019-11-20 |
| 1124599642 | Susmita Mondal | Nurse Practitioner | 259 1st St, Mineola, NY 11501-3957 | 2018-12-10 |
| 1043795362 | Maria Priscila C. Arafiles | Nurse Practitioner | 125 Arlington St, Mineola, NY 11501-2004 | 2018-10-02 |
| Find all providers in MINEOLA | ||||
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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.