JACQUELINE LAGAZO-GUIA (NPI# 1255667077) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255667077 |
| Entity Type | Individual |
| Full Name | JACQUELINE LAGAZO-GUIA |
| Credential | FNP |
| Practice Address |
130 East 77th Street 9 Black Hall New York NY 10075-1851 |
| Practice Telephone | 2124346575 |
| Mailing Telephone | 2124346575 |
| Mailing Fax Number | 2124342595 |
| Enumeration Date | 2009-10-29 |
| Last Update Date | 2019-07-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
F335864-1 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| First Avenue At 16th Street, Div of Cardiology- 5 Baird Hall, New York, NY 10003 | 2124202910 |
| Street Address |
130 EAST 77TH STREET 9 BLACK HALL |
| City | NEW YORK |
| State | NY |
| Zip Code | 10075-1851 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881657542 | Richard S Lazzaro | Specialist | 130 East 77th Street, Lenox Hill Hospital, New York, NY 10075 | 2006-04-11 |
| 1164056123 | Abdulrahman Hatem Aman | Student in an Organized Health Care Education/Training Program | 130 East 77th Street, 8th Floor Room 801, New York, NY 10075 | 2020-02-28 |
| 1629589734 | Maria Dedios | Nurse Practitioner | 130 East 77th Street, 3 Black Hall, New York, NY 10075 | 2017-10-16 |
| 1861839946 | Ob/gyn Services P.c | Obstetrics & Gynecology | 130 East 77th Street, New York, NY 10075 | 2013-05-29 |
| 1053561936 | Nicolas M Van Mieghem | General Acute Care Hospital | 130 East 77th Street, New York, NY 10021 | 2008-09-26 |
| 1629244884 | Jason A. Ellis | Neurological Surgery | 130 East 77th Street, Dept. of Neurosurgery, Black Hall, Third Floor, New York, NY 10075 | 2008-05-07 |
| 1194946772 | Wendy Lynn Bendersky | Physician Assistant | 130 East 77th Street, 8th Floor, New York, NY 10021 | 2007-05-01 |
| 1619051265 | Timothy Evan Radomisli | Orthopaedic Surgery | 130 East 77th Street, 12th Floor, New York, NY 10021 | 2006-10-24 |
| 1669573879 | Michelle Regina Demeo | Physician Assistant | 130 East 77th Street, C/o Manhattan Orthopaedics, 7th Floor, New York, NY 10075-1851 | 2006-09-26 |
| 1558372904 | Peter David Costantino | Specialist | 130 East 77th Street, 10th Floor, New York, NY 10075 | 2006-08-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457961062 | Rosaleen Christine Galvin | Nurse Practitioner | 415 East 80th St, Apt. 1n, New York, NY 10075 | 2020-08-07 |
| 1528602810 | Jane C Karsh | Social Worker | 50 East 78th St. #9a, New York, NY 10075 | 2019-10-30 |
| 1417513052 | Up Up and Away Behavior Analytics PC | Behavioral Analyst | 435 East 79th Street, Apt. 6u, New York, NY 10075 | 2019-05-18 |
| 1730742727 | Liron Bar-el | Student in an Organized Health Care Education/Training Program | 100 E 77th Street, New York, 4 Wollman, Room #453, New York, NY 10075 | 2019-04-16 |
| 1912468380 | Doaa Morrar | Student in an Organized Health Care Education/Training Program | 100 East 77th Street 12 Wollman, Department of Pathology, New York, NY 10075 | 2019-03-28 |
| 1588138382 | Nichola Stimpson | Registered Nurse | Lenoxhill Hospital 100 East, 77 Street, New York, NY 10075 | 2019-01-15 |
| 1316433147 | Lindsay Dudek | Advanced Practice Midwife | 336 E 77th St Apt 19, New York, NY 10075 | 2018-07-04 |
| 1104315480 | Erica Refkin | Speech-Language Pathologist | Lenox Hill Hospital, 100 E. 77th Street, New York, NY 10075 | 2018-05-02 |
| 1275021198 | Yaniv Yosef Brailovschi | Student in an Organized Health Care Education/Training Program | 130 77th Street 2 Black Hall, New York, NY 10075 | 2018-04-26 |
| 1952807687 | James Chris Velasquez IIi | Student in an Organized Health Care Education/Training Program | 520 E 79th, 4b, New York, NY 10075 | 2018-04-02 |
| Find all providers in zip 10075 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134726540 | Alison Anne Avallone | Nurse Practitioner | 425 E 80th St Apt 6d, New York, NY 10075-0613 | 2020-10-08 |
| 1194331199 | Katie Ann Felter | Nurse Practitioner | 144 E 36th St Apt 8b, New York, NY 10016-3517 | 2020-09-16 |
| 1407462492 | Alexandra Moench | Nurse Practitioner | 225 W 23rd St Apt 5s, New York, NY 10011-2300 | 2020-09-16 |
| 1770193237 | Lenka Varekova | Nurse Practitioner | 242 E 5th St Apt 3, New York, NY 10003-8501 | 2020-08-08 |
| 1184234817 | Hyun Gyeong Im | Nurse Practitioner | 435 W 46th St Apt 2re, New York, NY 10036-9085 | 2020-08-06 |
| 1942822507 | Busime Mimy Mudekereza | Nurse Practitioner | 1885 Adam Clayton Powell Jr Blvd Apt 2c, New York, NY 10026-2892 | 2020-05-17 |
| 1366061376 | Christine Go Np In Family Health PC | Nurse Practitioner | 315 Madison Ave Ste 1200, New York, NY 10017-5441 | 2020-04-09 |
| 1427687151 | Ken Chuan Michael Chan | Nurse Practitioner | 110 Madison Ave Apt 10, New York, NY 10016-7486 | 2020-04-04 |
| 1528695004 | Marylee Ann Marre | Nurse Practitioner | 226 E 25th St Apt 3d, New York, NY 10010 | 2020-03-25 |
| 1013541275 | Albina Guzman | Nurse Practitioner | 226 5th Ave Fl 6, New York, NY 10001-7706 | 2020-02-26 |
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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.