MS. LORRAINE M WALLA (NPI# 1376743807) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376743807 |
| Entity Type | Individual |
| Full Name | MS. LORRAINE M WALLA |
| Credential | R.P.A.-C. |
| Practice Address |
500 8th Ave 3rd Floor New York NY 10018-6504 |
| Mailing Address |
141 W 74th St #4a New York NY 10023-2227 |
| Practice Telephone | 2129041500 |
| Mailing Telephone | 2125801153 |
| Enumeration Date | 2007-07-23 |
| Last Update Date | 2007-07-23 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 005264 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
500 8TH AVE 3RD FLOOR |
| City | NEW YORK |
| State | NY |
| Zip Code | 10018-6504 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063960912 | Nirmala Brodman | Counselor | 500 8th Ave, 9th Floor, New York, NY 10018-6504 | 2016-09-20 |
| 1699223958 | Michael Cangro | Counselor | 500 8th Ave, New York, NY 10018-6504 | 2016-09-15 |
| 1730637000 | Adam Jason Coccaro | Counselor | 500 8th Ave, New York, NY 10018-6504 | 2016-09-15 |
| 1467811059 | Bridge Back To Life Center.inc | Community/Behavioral Health | 500 8th Ave, Suite 906, New York, NY 10018-6504 | 2016-02-11 |
| 1346626850 | Ginamarie Guarino | Counselor | 500 8th Ave, New York, NY 10018-6504 | 2015-08-06 |
| 1639555659 | Brian Kaveh | Counselor | 500 8th Ave, Suite 906, New York, NY 10018-6504 | 2015-07-31 |
| 1710360789 | Julio Lopez | Social Worker | 500 8th Ave, Suite 906, New York, NY 10018-6504 | 2015-07-08 |
| 1427438647 | Nicole Ogrady | Registered Nurse | 500 8th Ave, New York, NY 10018-6504 | 2015-06-03 |
| 1619374329 | Aynisa Leonardo | Clinical Ethicist | 500 8th Ave, New York, NY 10018-6504 | 2014-11-24 |
| 1992101034 | Kristina Cugini | Clinical Ethicist | 500 8th Ave, New York, NY 10018-6504 | 2014-11-18 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205451325 | Nishi Sanjay Patel | Physical Therapist | 12 West 37th Street, Suite 1202, New York, NY 10018 | 2020-06-15 |
| 1962023168 | Brand Therapy Psychological Services PC | Psychologist | 50 West 39th St, Suite 305, New York, NY 10018 | 2020-04-29 |
| 1215587985 | Nicole Kosanke | Psychologist | 519 8th Avenue, 9th Floor, New York, NY 10018 | 2019-09-16 |
| 1487216073 | Roselaure Luca | Nurse Practitioner | 5 Bryant Park, 5th Floor, New York, NY 10018 | 2019-07-03 |
| 1609439942 | Kamiyama Physical Therapy Pllc | Physical Therapist | 1410 Broadway Concourse Level, New York, NY 10018 | 2019-04-22 |
| 1609339126 | Bryan I. Proano | Social Worker | 550 10th Ave., New York, NY 10018 | 2019-04-11 |
| 1053876318 | Nitzia Mariana Dacosta | Registered Nurse | 505 8th Ave Suite 200, New York, NY 10018 | 2019-01-31 |
| 1871060640 | Jose Jean Paul Miliano | Case Manager/Care Coordinator | 535 Eighth Avenue. 2nd Floor, New York, NY 10018 | 2018-10-30 |
| 1902372220 | Stephanie Lai | Social Worker | 550 Tenth Avenue, New York, NY 10018 | 2018-10-15 |
| 1528554912 | Positive Health Project, Inc. | Counselor | 301 W 37th St Fl 3, New York, NY 10018 | 2018-07-09 |
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| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205442852 | Connor King | Physician Assistant | 25 W 16th St, New York, NY 10011-6364 | 2020-09-18 |
| 1043826084 | Stephen Roa | Physician Assistant | 1345 Avenue of The Americas Fl 8, New York, NY 10105-0018 | 2020-09-16 |
| 1710592951 | Krishna Patel | Physician Assistant | 425 W 59th St Ste 4f, New York, NY 10019-8022 | 2020-09-14 |
| 1235744764 | Jennifer Thien Trang Vu | Physician Assistant | 550 W 45th St Apt 233, New York, NY 10036-3771 | 2020-09-11 |
| 1609480987 | Kimberly Ann Oppenheim | Physician Assistant | 525 E. 68th Street. Box# 325, Inpatient Oncology Pa Service, New York, NY 10065 | 2020-09-03 |
| 1043829252 | Bridget Maginity | Physician Assistant | 1283 York Ave 14th Floor, New York, NY 10065 | 2020-07-24 |
| 1952928459 | Judy Phung | Physician Assistant | 1 Pace Plz, New York, NY 10038-1502 | 2020-06-30 |
| 1417579871 | Mary Elizabeth Walsh | Physician Assistant | 1790 Broadway Fl 8, New York, NY 10019-1412 | 2020-05-08 |
| 1134748874 | Andrew Nitz | Physician Assistant | 50 W 34th St Apt 20b6, New York, NY 10001-3092 | 2020-04-13 |
| 1134758691 | Morgan Ammori | Physician Assistant | 570 Lexington Ave Fl 9, New York, NY 10022-6710 | 2020-04-06 |
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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.