JEFFREY ROSA (NPI# 1366849911) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1366849911 |
Entity Type | Individual |
Full Name | JEFFREY ROSA |
Credential | LMHC |
Practice Address |
500 Bi-country Blvd Suite 114 Farmingdale NY 11735 |
Mailing Address |
342 E 119th St Apt 2a New York NY 10035-4278 |
Practice Telephone | 7182641640 |
Practice Fax Number | 7184840530 |
Mailing Telephone | 6462953268 |
Enumeration Date | 2014-11-25 |
Last Update Date | 2015-10-02 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YM0800X |
Counselor Specialization: Mental Health |
003712-1 | NY | Behavioral Health & Social Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801048566 | Jeffrey Jason Rosa | Dentist | 3960 El Camino Ave, 5, Sacramento, CA 95821-6534 | 2008-10-14 |
Street Address |
500 BI-COUNTRY BLVD SUITE 114 |
City | FARMINGDALE |
State | NY |
Zip Code | 11735 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1265969877 | Jenny Garcia | Specialist | 500 Bi-country Blvd, Suite 450, Farmingdale, NY 11735 | 2017-05-12 |
1255879201 | Ny Therapy | Day Training, Developmentally Disabled Services | 500 Bi-country Blvd, Farmingdale, NY 11735 | 2017-02-09 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1073151197 | Center Island Massage PC | Massage Therapist | 34 Hempstead Turnpike, Suite E, Farmingdale, NY 11735 | 2019-12-19 |
1447736434 | Melanie Clampitt | Occupational Therapy Assistant | 158 Sunset Ave, Farmingdale, NY 11735 | 2018-07-13 |
1841789120 | I-ting Lin | Acupuncturist | 376 Fulton St. The Phoenix Eastern Medicine Center, Farmingdale, NY 11735 | 2018-05-02 |
1447767371 | Nashon Clark | Social Worker | 565 Broadhollow Rd Ste 6e, Farmingdale, NY 11735 | 2017-12-31 |
1336669639 | Robby Harris | Psychologist | 31 Lincoln Street, Farmingdale, NY 11735 | 2017-06-27 |
1265961544 | Stacey Gouzos | Behavior Technician | 29 Bernard Street, Farmingdale, NY 11735 | 2017-06-08 |
1962856450 | Integrated Medical Interventional Diagnostics PC | Registered Nurse | 1111 Broad Hollow Rd 110 Suite 114, Farmingdale, NY 11735 | 2016-04-20 |
1528433604 | Robert Gerard Jr. | Peer Specialist | 142-02 20th Aveune, Rosedale, NY 11735 | 2015-12-01 |
1750750329 | Glenda Lopez | Case Manager/Care Coordinator | 539 Broad Hollow Rd, Suite 202, Farmingdale, NY 11735 | 2015-09-24 |
1871908749 | Pamela Scutellaro | Nurse Practitioner | 9 Elsie Lane, Farmingdale, NY 11735 | 2014-06-30 |
Find all providers in zip 11735 |
Taxonomy Code | 101YM0800X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Mental Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235542143 | Richard Remauro | Counselor | 226 Sullivan Ave, Farmingdale, NY 11735-5046 | 2014-06-09 |
1275854689 | Marykate Janet Kontio | Counselor | 23 Almar St, Farmingdale, ME 04344-1638 | 2010-06-21 |
1437473410 | Jennifer Kathleen Episcopo | Counselor | 10 Juniper St, Farmingdale, NY 11735-5345 | 2010-03-20 |
1346473261 | Chris Danzi | Counselor | 128 Sullivan Ave, Farmingdale, NY 11735-5020 | 2009-08-26 |
1861608325 | Theresa Ann Pellegrino | Counselor | 77 Lockwood Ave, Farmingdale, NY 11735-4510 | 2007-05-14 |
1962526541 | Karen D Breitinger | Counselor | 11 Sean Michael Ct, Farmingdale, NY 11735-2124 | 2007-03-19 |
1245261148 | Cheryl Marla Levy | Counselor | 37 Beverly Rd, Farmingdale, NY 11735-3302 | 2006-07-06 |
1548870033 | Veronica Hayes | Counselor | 500 Bi County Blvd Ste 450, Farmingdale, NY 11735-3995 | 2020-08-09 |
1427668508 | Richard David Llanton | Counselor | 500 Bi County Blvd Ste 450, Farmingdale, NY 11735-3995 | 2020-08-04 |
1164912085 | Daniel Papandrea | Counselor | 500 Bi County Blvd Ste 450, Farmingdale, NY 11735-3995 | 2018-05-16 |
Find all providers in FARMINGDALE |
City | FARMINGDALE |
Zip Code | 11735 |
Please comment or provide details below to improve the information on JEFFREY ROSA.
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.