ILANA ITENBERG (NPI# 1356336614) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356336614 |
| Entity Type | Individual |
| Full Name | ILANA ITENBERG |
| Credential | DPM |
| Practice Address |
17 Prospect St Nashua NH 03060-3956 |
| Mailing Address |
Po Box 3677 Nashua NH 03061-3677 |
| Practice Telephone | 6035773230 |
| Practice Fax Number | 6035773234 |
| Mailing Telephone | 6035777900 |
| Mailing Fax Number | 6035777972 |
| Enumeration Date | 2005-09-13 |
| Last Update Date | 2015-12-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0131X |
Podiatrist Specialization: Foot Surgery |
0317 | NH | Podiatric Medicine & Surgery Service Providers |
| N | 213ES0131X |
Podiatrist Specialization: Foot Surgery |
25MD00283300 | NJ | Podiatric Medicine & Surgery Service Providers |
| N | 213ES0131X |
Podiatrist Specialization: Foot Surgery |
000800 | CT | Podiatric Medicine & Surgery Service Providers |
| N | 213ES0131X |
Podiatrist Specialization: Foot Surgery |
N005742 | NY | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | OXFORD | P3060948 | 01 |
| NY | UNITED HEALTH CARE | 2701877 | 01 |
| NY | 02459745 | 05 | |
| NY | BCBS | PJ4082 | 01 |
| NY | CIGNA | 9533745 | 01 |
| NY | 1199 | 06 | 01 |
| NY | HIP | 161658P | 01 |
| NY | GHI | 6298914 | 01 |
| Street Address |
17 PROSPECT ST |
| City | NASHUA |
| State | NH |
| Zip Code | 03060-3956 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295377992 | Catalina Keeffe | Physician Assistant | 17 Prospect St, Nashua, NH 03060-3956 | 2019-10-14 |
| 1528430261 | Kyle Vanoostendorp | Physician Assistant | 17 Prospect St, Nashua, NH 03060-3956 | 2015-10-21 |
| 1649683129 | Tricia Renee Jette-gonthier | Nurse Practitioner | 17 Prospect St, Suite N 203, Nashua, NH 03060-3956 | 2014-06-03 |
| 1396089827 | Foundation Medical Partners Inc. | Durable Medical Equipment & Medical Supplies | 17 Prospect St, Nashua, NH 03060-3923 | 2012-11-21 |
| 1629333182 | David Posnick | Dermatology | 17 Prospect St, Nashua, NH 03060-3956 | 2012-07-11 |
| 1861683468 | Lyudmila Kirillova | Internal Medicine | 17 Prospect St, Nashua, NH 03060-3956 | 2007-08-07 |
| 1508056383 | Amanda Lynn Ponti | Nurse Practitioner | 17 Prospect St, Nashua, NH 03060-3956 | 2007-07-27 |
| 1568673010 | Kristie A Frank | Physician Assistant | 17 Prospect St, Nashua, NH 03060-3956 | 2007-05-25 |
| 1134243827 | Brenda J. Lawrence | Internal Medicine | 17 Prospect St, Suite N-103, Nashua, NH 03060-3923 | 2007-03-19 |
| 1538295928 | Eric C. Chang | Neurological Surgery | 17 Prospect St, Nashua, NH 03060-3956 | 2007-02-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427693563 | Cascades of Nh, LLC | Clinic/Center | 9 East Pearl Street, Nashua, NH 03060 | 2019-11-13 |
| 1548757016 | Janine N Savage | Occupational Therapist | Courville At Nashua, 22 Hunt Street, Courville, NH 03060 | 2018-04-19 |
| 1942705124 | Decoteau Orthodontics, Pllc | Dentist | 169 Kinsley St., Nashua, NH 03060 | 2018-03-28 |
| 1053774109 | Global Adult Daycare Health Center Inc | Nursing Care | 295 S. Daniel Webster Highway, #7, Nashua, NH 03060 | 2016-04-05 |
| 1851760300 | Alyssa Reault | Specialist/Technologist | 37 Paul Ave, Nashua, NH 03060 | 2015-09-15 |
| 1255725529 | Christopher J. Mancuso | Dermatology | 17 Prospect St Ste N-301, Nashua, NH 03060 | 2015-03-25 |
| 1437579323 | Jason T. Koch | Family Medicine | 280 Main St Ste 210, Nashua, NH 03060 | 2014-04-18 |
| 1295088540 | Mary C Bendel | Registered Nurse | 45 High Street, Nashua, NH 03060 | 2012-10-24 |
| 1720362650 | Fatima Sanders | Pharmacist | 217 Daniel Webster Highway, Nashua, NH 03060 | 2011-10-11 |
| 1922394337 | Kelley Purselley | Counselor | 440 Amhurst St, Nashua, NH 03060 | 2011-06-23 |
| Find all providers in zip 03060 | ||||
| Taxonomy Code | 213ES0131X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407895329 | Brian A. Nagy | Podiatrist | 325-1 Lafayette Road, Seabrook, NH 03874-4539 | 2006-06-06 |
| 1558323303 | Rosalie A Lopresto | Podiatrist | 330 Borthwick Ave Ste 211, Portsmouth, NH 03801-7112 | 2006-04-05 |
| 1851304828 | Karen Kost-rios | Podiatrist | 100 Hitchcock Way, Manchester, NH 03104-4125 | 2006-08-14 |
| 1063438554 | Edward Patrick Newcott | Podiatrist | 102 Pleasant St, Concord, NH 03301-3831 | 2006-07-15 |
| 1730110610 | Dr. Rosalie A Lopresto,llc | Podiatrist | 1 Park Ave, Suite 2g, Hampton, NH 03842-2113 | 2006-07-06 |
Please comment or provide details below to improve the information on ILANA ITENBERG.
| 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.