SOUTH NASSAU PEDIATRICS,LLP (NPI# 1356439145) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356439145 |
| Entity Type | Organization |
| Organization Name | SOUTH NASSAU PEDIATRICS,LLP |
| Practice Address |
55 N Ocean Ave Freeport NY 11520-3035 |
| Practice Telephone | 5163791535 |
| Practice Fax Number | 5162234962 |
| Mailing Telephone | 5163791535 |
| Mailing Fax Number | 5162234962 |
| Enumeration Date | 2006-10-10 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. ANDREW LEWIS AGELOFF (ADMINISTRATOR) |
| Authorized Official Telephone | 5163791535 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 087868 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 00351395 | 05 |
| Street Address |
55 N OCEAN AVE |
| City | FREEPORT |
| State | NY |
| Zip Code | 11520-3035 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225660533 | Jennifer Recenello | Counselor | 55 N Ocean Ave, Freeport, NY 11520-3074 | 2020-02-05 |
| 1154838464 | Nicole Beverly Gernhardt | Counselor | 55 N Ocean Ave, Freeport, NY 11520-3074 | 2018-01-08 |
| 1447778956 | Clayton Conanan | Counselor | 55 N Ocean Ave, Freeport, NY 11520-3074 | 2017-09-05 |
| 1447790134 | Emma Jeanette Guzman | Dentist | 55 N Ocean Ave, Freeport, NY 11520 | 2017-03-01 |
| 1316287964 | Cosmetic & Laser Dental Studio | Dentist | 55 N Ocean Ave, Freeport, NY 11520-3074 | 2013-02-19 |
| 1932230026 | Residential Experience In Adult Living, Inc | Counselor | 55 N Ocean Ave, 2nd Floor, Freeport, NY 11520 | 2007-03-08 |
| 1972691707 | Kathleen Ann Devarso | Nurse Practitioner | 55 N Ocean Ave, Freeport, NY 11520-3035 | 2006-10-10 |
| 1427146042 | Suanne Kowal-connelly | Pediatrics | 55 N Ocean Ave, Freeport, NY 11520-3035 | 2006-10-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881157154 | Barbara Chillemi | Registered Nurse | 56 Mackay Place, Freeport, NY 11520 | 2019-04-12 |
| 1588171631 | Lisa Frank | Nurse Practitioner | 150 Buffalo Ave, Freeport, NY 11520 | 2018-01-10 |
| 1447775838 | Julner Quettant Jr. | Physical Therapist | 63 St Marks Ave, Freeport, NY 11520 | 2017-08-07 |
| 1679003933 | Candice A R Greene | Speech-Language Pathologist | 12 Summers Place, Freeport, NY 11520 | 2017-06-19 |
| 1700310331 | Samantha Edwards | Psychologist | 6 Delisle Avenue, Freeport, NY 11520 | 2017-04-20 |
| 1275073769 | Dorothea Geiger | Behavior Technician | 90 Hillside Ave, Freeport, NY 11520 | 2017-03-02 |
| 1477092575 | Maryhaven Center of Hope,inc | Substance Abuse Rehabilitation Facility | 150 Buffalo Avenue, Freeport, NY 11520 | 2017-02-22 |
| 1861849135 | Daniel Lora | Acupuncturist | 140 Parsons Ave, Freeport, NY 11520 | 2016-05-17 |
| 1326413790 | Beatrice Jeanty | Registered Nurse | 619 South Long Beach Ave., Freeport, NY 11520 | 2015-12-10 |
| 1134505548 | Maria A. Meek | Nurse Practitioner | 334, West Merrick Rd., Freeport., NY 11520 | 2015-08-07 |
| Find all providers in zip 11520 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144478173 | Adam T Angelilli | Pediatrics | 1010 W Fairway Dr, 2nd Floor (pediatrics), Freeport, IL 61032-6600 | 2008-09-03 |
| 1568662443 | Mollie Kristine Winter | Pediatrics | 271 State Highway 20 E Ste A, Freeport, FL 32439-3901 | 2007-07-19 |
| 1134293624 | Francisco Antonio Martinez | Pediatrics | 27 West Merrick Road, Freeport, NY 11520 | 2006-11-17 |
| 1336167907 | Denise Georgette Robinson | Pediatrics | 127 W Seaman Ave, Freeport, NY 11520-1545 | 2006-07-18 |
| 1053351445 | Perline Ramalanjaona | Pediatrics | 27 W Merrick Rd, Freeport, NY 11520-3826 | 2006-06-07 |
| 1437140761 | Luis Oscar Herrera-acevedo | Pediatrics | 43 Church St, Freeport, NY 11520-3830 | 2005-11-04 |
| 1326380767 | Mohamed Awni Zebda | Pediatrics | 905 N Gulf Blvd, Freeport, TX 77541 | 2013-03-25 |
| 1558639179 | Jesus Manuel Zambrano | Pediatrics | 43 Church St, Freeport, NY 11520-3830 | 2011-12-09 |
| 1164757738 | Pauline Karen Mills | Pediatrics | 23 Durham Rd, Freeport, ME 04032-6795 | 2009-10-15 |
| 1902078868 | Francisco A Martinez Pediatrics PC | Pediatrics | 27 W Merrick Rd, Freeport, NY 11520-3826 | 2008-03-31 |
| Find all providers in FREEPORT | ||||
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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.