SUSAN GERNON (NPI# 1376070078) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376070078 |
| Entity Type | Individual |
| Full Name | SUSAN GERNON |
| Practice Address |
305 North St Middletown NY 10940-4704 |
| Practice Telephone | 8453437675 |
| Mailing Telephone | 8453437675 |
| Enumeration Date | 2017-05-12 |
| Last Update Date | 2017-05-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WA0400X |
Registered Nurse Specialization: Addiction (Substance Use Disorder) |
318077 | NY | Nursing Service Providers |
| Street Address |
305 NORTH ST |
| City | MIDDLETOWN |
| State | NY |
| Zip Code | 10940-4704 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043856529 | Karlin Dhariana Walcott | Counselor | 305 North St, Middletown, NY 10940-4704 | 2019-11-20 |
| 1942786231 | Jill E Regan | Counselor | 305 North St, Middletown, NY 10940-4704 | 2018-07-19 |
| 1811480247 | Keesha Alexandra Barthelemy | Counselor | 305 North St, Middletown, NY 10940-4704 | 2018-06-11 |
| 1679018840 | Aaron Atkinson | Counselor | 305 North St, Middletown, NY 10940-4704 | 2016-12-27 |
| 1770025769 | Venus Herrera | Student in an Organized Health Care Education/Training Program | 305 North St, Middletown, NY 10940-4704 | 2016-11-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366043135 | Sherell Rebecca Hassell-robinson | Social Worker | 1 Echo Hills Road, Middletown, NY 10940 | 2020-11-06 |
| 1144821927 | Fred Allen Mccormack | Social Worker | 210 East Main St Suite 105, Middletown, NY 10940 | 2020-11-06 |
| 1609484567 | Gen Med Inc | Anesthesiology | 253 Route 211 East, 2nd Floor, Middletown, NY 10940 | 2020-07-16 |
| 1366067092 | Kalyn Ruscher | Counselor | 303 5th Ave 14 Fl, Suite 1410, New York, NY 10940 | 2020-06-09 |
| 1780238220 | Angela Mayo | Social Worker | 24 Union Street, Middletown, NY 10940 | 2019-08-01 |
| 1215593611 | Northern Medical Center, Inc | Family Medicine | 14 Jason Place, Suite 201, Middletown, NY 10940 | 2019-05-13 |
| 1811468267 | Diana Katzenberger | Licensed Practical Nurse | 774 Kurbytuwn Rd, Middletown, NY 10940 | 2018-12-11 |
| 1881165330 | Chereen Madden-grant | Registered Nurse | 1028 Route 211 W, Middletown, NY 10940 | 2018-12-10 |
| 1184106361 | Clarise Denise Williams | Social Worker | 210 E Main St Suite 105, Middletown, NY 10940 | 2018-09-04 |
| 1194210963 | Damon Tremayne Swinea | Social Worker | 16-24 Union St., Middletown, NY 10940 | 2018-06-25 |
| Find all providers in zip 10940 | ||||
| Taxonomy Code | 163WA0400X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851867030 | Jean Elizabeth Kellner | Registered Nurse | 7 Railroad Ave, Middletown, NY 10940-4907 | 2018-10-16 |
| 1144772351 | Scott Miller | Registered Nurse | 4464 S Dixie Hwy, Middletown, OH 45005-5464 | 2016-11-04 |
| 1962841551 | Danielle M Gootkin | Registered Nurse | 1250 Silver St, Middletown, CT 06457-3946 | 2013-06-18 |
| 1851653349 | Darci Carin Ferry | Registered Nurse | 21 Center St, Middletown, NY 10940-5704 | 2012-06-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013528363 | Ophelia Medical Group Ny, P.C. | Registered Nurse | 755 Park Ave Apt 4a, New York, NY 10021-4282 | 2020-08-11 |
| 1982220919 | Christine Marie Fitzsimmons | Registered Nurse | 104-106 E 126th Street, 1a, New York, NY 10035 | 2020-06-25 |
| 1811533151 | Kay Lobo Cordes | Registered Nurse | 6501 E Inducon Drive, Sanborn, NY 14132 | 2019-11-21 |
| 1396393633 | Emmanuelle Sheridan | Registered Nurse | 102 Fountain Ave, Selden, NY 11784-1908 | 2019-08-29 |
| 1750846267 | Shaedele Renise Desamours | Registered Nurse | 1825 Park Ave Fl 8, New York, NY 10035-1641 | 2019-02-08 |
| 1417459546 | Kristie Matos | Registered Nurse | 2778 3rd Ave, Bronx, NY 10455-4029 | 2018-03-05 |
| 1982116166 | Angela Douglas | Registered Nurse | 1001 E 55th St, Brooklyn, NY 11234-1701 | 2017-10-28 |
| 1669994497 | Sheila Lenora Eastmond-chapman | Registered Nurse | 547 Pine St, Brooklyn, NY 11208-3901 | 2017-07-13 |
| 1184160814 | Christopher Cox | Registered Nurse | 46 5th Ave S, Huntington Station, NY 11746-2343 | 2017-01-19 |
| 1518401629 | Fawn Erin Medina | Registered Nurse | 2920 Wilson Avenue, Bronx, NY 10469 | 2016-12-08 |
| Find all providers with the same taxonomy | ||||
| City | MIDDLETOWN |
| Zip Code | 10940 |
Please comment or provide details below to improve the information on SUSAN GERNON.
| 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.