PAULETTA DICKERSON (NPI# 1295248151) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1295248151 |
Entity Type | Individual |
Full Name | PAULETTA DICKERSON |
Credential | LPN, RN |
Practice Address |
18009 Jamaica Ave Jamaica NY 11432-5620 |
Mailing Address |
16004 Crossbay Blvd # 105 Howard Beach NY 11414-3407 |
Practice Telephone | 3479870883 |
Enumeration Date | 2017-11-13 |
Last Update Date | 2017-11-13 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 156F00000X | Technician/Technologist | Eye and Vision Services Providers |
Street Address |
18009 JAMAICA AVE |
City | JAMAICA |
State | NY |
Zip Code | 11432-5620 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053882613 | Active Movement Physical Therapy PC | Physical Therapist | 18009 Jamaica Ave, Jamaica, NY 11432-5620 | 2018-12-07 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396361259 | Banani Road 11 LLC | Pharmacy | 181-04 Hillside Ave, Jamaica, NY 11432 | 2020-06-17 |
1023633450 | Staphanie Anang | Licensed Practical Nurse | 30 Wexford Terrace Apt 3 Jj., Jamaica, NY 11432 | 2020-06-11 |
1205459476 | Jasmine Kaur Sandhu | Student in an Organized Health Care Education/Training Program | 87-68 164th St, N Building, 7th Floor, Rm N733, Jamaica, NY 11432 | 2020-05-22 |
1225650385 | Alli El-ijla | Student in an Organized Health Care Education/Training Program | Queens Hospital Center 82-68 164th Street, Jamaica, NY 11432 | 2020-05-12 |
1346869955 | Liane Zwetzich | Student in an Organized Health Care Education/Training Program | Queens Hospital Center, 82-68 164th Street, Jamaica, NY 11432 | 2020-04-14 |
1528697141 | Bahtiyar Toz | Student in an Organized Health Care Education/Training Program | 82-68 164th Street Queens Hospital Center, Jamaica, NY 11432 | 2020-04-06 |
1366089468 | Alisha Jnobaptiste | Counselor | 87-59 171 St., Jamaica, NY 11432 | 2019-12-08 |
1356995054 | Shawnette Natasha Brown | Counselor | 178-02/04 Jamaica Ave, Jamaica, NY 11432 | 2019-07-31 |
1518527142 | Magdalene Vidal | Case Manager/Care Coordinator | 177 30 Wexford Terrace, Suite A, Jamaica, NY 11432 | 2019-06-17 |
1811550338 | Rong Fan | Student in an Organized Health Care Education/Training Program | 88-68 164th St, Dept of Ob/gyn Rm B265, Jamaica, NY 11432 | 2019-04-19 |
Find all providers in zip 11432 |
Taxonomy Code | 156F00000X |
Grouping | Eye and Vision Services Providers |
Classification | Technician/Technologist |
A broad category grouping different kinds of technologists and technicians. See individual definitions. |
NPI | Name | Taxonomy | Address | Enumeration |
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1720620313 | Retina Labs (usa), Inc. | Technician/Technologist | 165 Broadway - One Liberty Plaza, Suite 2301, New York City, NY 10006 | 2019-10-15 |
1184287823 | Tms Wellness Amherst LLC | Technician/Technologist | 8750 Transit Rd Ste 205, East Amherst, NY 14051-2610 | 2019-04-18 |
1518450030 | Eduard Galper | Technician/Technologist | 2062 E 36th St, Brooklyn, NY 11234 | 2018-06-09 |
1821598517 | Michele Marie Hunt | Technician/Technologist | 13 Seth Sq, Plattsburgh, NY 12901-1777 | 2018-02-19 |
1992204606 | Nicole Nowasell | Technician/Technologist | 83 Yvonne Ave, Cheektowaga, NY 14225-1133 | 2018-02-08 |
1194239897 | Michael Shklyar | Technician/Technologist | 1664 President St Apt 4k, Brooklyn, NY 11213-5579 | 2017-11-17 |
1427465814 | Dara Goldrick | Technician/Technologist | 12 Pvt Lovett Ct, Blauvelt, NY 10913-1247 | 2014-07-17 |
1437410081 | Brooke A. Jensen | Technician/Technologist | 99305 Hickory Dr, Fort Drum, NY 13603-3416 | 2012-05-30 |
1275825481 | Irfan Ahmed | Technician/Technologist | 3857 Kings Hwy Apt 6a, Brooklyn, NY 11234-2920 | 2011-05-05 |
1679863963 | Gerald E Sacks | Technician/Technologist | 1006 Dickens St, Far Rockaway, NY 11691-2407 | 2011-04-08 |
Find all providers with the same taxonomy |
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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.