MRS. JENNIFER MARIE MANFREDONIA (NPI# 1356770481) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356770481 |
| Entity Type | Individual |
| Full Name | MRS. JENNIFER MARIE MANFREDONIA |
| Credential | FNP |
| Practice Address |
200 N. Middletown Road Pearl River NY 10965 |
| Practice Telephone | 8457354814 |
| Practice Fax Number | 8457354815 |
| Mailing Telephone | 8457354814 |
| Mailing Fax Number | 8457354815 |
| Enumeration Date | 2013-11-08 |
| Last Update Date | 2016-12-16 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
338374 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
200 N. MIDDLETOWN ROAD |
| City | PEARL RIVER |
| State | NY |
| Zip Code | 10965 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467967331 | Alenka Ravnik List Rdn Pllc | Dietitian, Registered | 9 Violet Dr, Pearl River, NY 10965 | 2017-12-13 |
| 1427577212 | Jacqueline Dubil Craig | Behavioral Analyst | 14 Elmendorf Lane, Pearl River, NY 10965 | 2017-09-13 |
| 1760822852 | Elizabeth Eanniello | Social Worker | 49 Meadows Street, Pearl River, NY 10965 | 2013-07-03 |
| 1679874002 | Winifred Ann Convery | Physical Therapy Assistant | 644 Orangeburg Ave, A Starting Place, Pearl River, NY 10965 | 2010-11-17 |
| 1548413511 | R Troy Q Noval | Physical Therapist | 195 Townline Rd, Pearl River, NY 10965 | 2008-11-03 |
| 1306068671 | Helen Perakis | Otolaryngology | 150 S. Pearl Street, Pearl River, NY 10965 | 2007-05-03 |
| 1609906700 | Robert Daniel Jablonski Jr. | Otolaryngology | 26 Franklin Avenue, Pearl River, NY 10965 | 2007-03-07 |
| 1265599187 | Bruce L. Rothschild Dds & Associates Pllc | Dentist | 300 N Middletown Rd., Suite 9, Pearl River, NY 10965 | 2007-01-02 |
| 1619038221 | Stefan P Kurucz | Internal Medicine | 300 North Middletown Road, Suite 11, Pearl River, NY 10965 | 2006-12-13 |
| 1225199540 | Eric Howard Leder | Dentist | 190 North Middletown Road, Pearl River, NY 10965 | 2006-12-12 |
| Find all providers in zip 10965 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992254858 | Lisa Marie Janelli-morano | Nurse Practitioner | 2 Blue Hill Plz, Pearl River, NY 10965-3113 | 2016-10-03 |
| 1235376401 | Yves Edeline Casimir | Nurse Practitioner | 282 N Middletown Rd, Pearl River, NY 10965-1216 | 2009-01-09 |
| 1275717639 | Dorien Spatz | Nurse Practitioner | 401 N Middletown Rd, Pearl River, NY 10965-1298 | 2007-12-20 |
| 1467541516 | Cheryl E Hurlburt | Nurse Practitioner | 507 Hermitage Ct, Pearl River, LA 70452-3903 | 2006-10-12 |
| 1649573932 | Ruthie Anita Long | Nurse Practitioner | 64629 Highway 41, Pearl River, LA 70452-3611 | 2010-12-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184225880 | Aleksandr Gurgov | Nurse Practitioner | 740 E 9th St, Brooklyn, NY 11230-2202 | 2020-11-08 |
| 1437750171 | Dana Alberico Lonis | Nurse Practitioner | 246 Waldorf Pkwy, Syracuse, NY 13224-2118 | 2020-11-07 |
| 1396346136 | Amarachukwu U Egbujor | Nurse Practitioner | 565 Pine St, Brooklyn, NY 11208-3901 | 2020-11-06 |
| 1568063378 | Valerie Cantave | Nurse Practitioner | 152 Somerset Dr, Suffern, NY 10901-6904 | 2020-11-06 |
| 1366043259 | Lora Hong | Nurse Practitioner | 55 Underhill Rd, Scarsdale, NY 10583-1040 | 2020-11-05 |
| 1235730102 | Lane Marie Knight | Nurse Practitioner | 8145 Rapallo Way, Clay, NY 13041-8893 | 2020-11-05 |
| 1073114112 | Karen Liu | Nurse Practitioner | 154 Bay 35th St, Brooklyn, NY 11214-5308 | 2020-11-04 |
| 1871194027 | Wai Ying Chan | Nurse Practitioner | 659 Britton Ave, Staten Island, NY 10304-4463 | 2020-11-04 |
| 1063013258 | Iris Massiel Garcia | Nurse Practitioner | 2206 Dr Martin L King Jr Blvd, Bronx, NY 10453-1307 | 2020-11-04 |
| 1104427525 | Jeanine R Williams | Nurse Practitioner | 4213 Foster Ave, Brooklyn, NY 11203-5711 | 2020-11-03 |
| Find all providers with the same taxonomy | ||||
| City | PEARL RIVER |
| Zip Code | 10965 |
Please comment or provide details below to improve the information on MRS. JENNIFER MARIE MANFREDONIA.
| 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.