JOHNNY SLADE (NPI# 1295392553) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295392553 |
| Entity Type | Individual |
| Full Name | JOHNNY SLADE |
| Credential | MD |
| Practice Address |
11 Bridge Rd East Setauket NY 11733 |
| Practice Telephone | 6314764000 |
| Practice Fax Number | 6314764003 |
| Mailing Telephone | 6314764000 |
| Mailing Fax Number | 6314764003 |
| Enumeration Date | 2019-05-22 |
| Last Update Date | 2019-05-22 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 176120 | NY | Allopathic & Osteopathic Physicians |
| Street Address |
11 BRIDGE RD |
| City | EAST SETAUKET |
| State | NY |
| Zip Code | 11733 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063033991 | Olivia Carlino | Registered Nurse | 28 Buckingham Meadow Road, Setauket, NY 11733 | 2020-05-01 |
| 1275060345 | Donna M Sweeney | Specialist | 14 Research Way East, East Setauket, NY 11733 | 2017-05-18 |
| 1659806388 | Erin Kunz | Podiatrist | Stony Brook Surgical Associates, 37 Research Way, Setauket- East Setauket, NY 11733 | 2017-05-01 |
| 1285180521 | Allison M Pinard | Specialist/Technologist | 149 Old Field Road, Setauket, NY 11733 | 2016-08-28 |
| 1578915096 | Kristyn Matovich | Behavioral Analyst | 5 Kenwood Street, East Setauket, NY 11733 | 2016-07-08 |
| 1306258900 | Patricia M. Ferrara | Licensed Practical Nurse | 181 N Bellemeade Rd, Setauket, NY 11733 | 2014-05-30 |
| 1871922898 | Island Concierge Medical Services Pllc | Internal Medicine | 3400 Nesconset Hwy. Suite 103, East Setauket, NY 11733 | 2013-11-12 |
| 1669718219 | Sheila Marie Vergith | Physician Assistant | 17 Coraway Road, Setauket, NY 11733 | 2012-12-28 |
| 1285980474 | Jennifer L Monastero | Physical Therapist | 12 Technology Dr., Unit 2, E. Setauket, NY 11733 | 2012-07-25 |
| 1497018816 | Dawn Manchester | Specialist | 22 Game Lane, East Setauket, NY 11733 | 2012-06-20 |
| Find all providers in zip 11733 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174599815 | Matthew P Vetrano | Emergency Medicine | 6 Technology Dr Ste 100, East Setauket, NY 11733-4079 | 2006-02-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295333466 | Rita Mello | Emergency Medicine | 10 Maplemoor Ln, White Plains, NY 10605-4704 | 2020-10-11 |
| 1891318754 | Mat Medical Associates, P.C. | Emergency Medicine | 565 Route 25a Ste 4, Miller Place, NY 11764-2663 | 2020-05-26 |
| 1508488040 | Madhok Medical Corporation | Emergency Medicine | 555 Madison Ave Fl 20, New York, NY 10022-3301 | 2020-05-07 |
| 1134749658 | Kenneth Yaboh | Emergency Medicine | 1000 Cherrywood Dr, Baldwin, NY 11510-5009 | 2020-04-24 |
| 1487273777 | Rosheen Teresa Mcelroy | Emergency Medicine | 70 Remsen St # 2ab, Brooklyn, NY 11201-3432 | 2020-04-16 |
| 1477180479 | Taj Medical Pllc | Emergency Medicine | 10925 111th St, South Ozone Park, NY 11420-1015 | 2020-03-27 |
| 1013552181 | Health Quest Medical Practice, PC | Emergency Medicine | 1240 Ulster Avenue, Kingston, NY 12401 | 2019-11-13 |
| 1346892155 | Jonathan Pezhmannia | Emergency Medicine | 2a Cortlandt St, New York, NY 10007-3104 | 2019-07-11 |
| 1659939700 | Richard Edward Smith Medicine PC | Emergency Medicine | 81 Miller Rd Ste 600, S Schodack, NY 12033-4042 | 2019-06-04 |
| 1225501448 | Friendly Urgent Care of Ny Pllc | Emergency Medicine | 1675 59th St, Brooklyn, NY 11204-2130 | 2019-01-10 |
| Find all providers with the same taxonomy | ||||
| City | EAST SETAUKET |
| Zip Code | 11733 |
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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.