SHAYNA L BERRETTA (NPI# 1396220646) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396220646 |
| Entity Type | Individual |
| Full Name | SHAYNA L BERRETTA |
| Practice Address |
200 E Main St Patchogue NY 11772-3159 |
| Practice Telephone | 6316549400 |
| Practice Fax Number | 6316548616 |
| Mailing Telephone | 6316549400 |
| Mailing Fax Number | 6316548616 |
| Enumeration Date | 2018-10-02 |
| Last Update Date | 2018-10-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
022614 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
200 E MAIN ST |
| City | PATCHOGUE |
| State | NY |
| Zip Code | 11772-3159 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679108716 | Lina Cabrera | Physical Therapist | 200 E Main St, Patchogue, NY 11772-3159 | 2020-03-09 |
| 1659912608 | Lucille Lore | Nurse Practitioner | 200 E Main St, Patchogue, NY 11772-3159 | 2019-10-01 |
| 1063955474 | Gianna Flora | Physician Assistant | 200 E Main St, Patchogue, NY 11772-3159 | 2016-12-02 |
| 1275813420 | Jeanette Tadena Aranda | Physical Therapist | 200 E Main St, Patchogue, NY 11772-3159 | 2011-08-19 |
| 1376865360 | Eat Well Live Well Inc | Dietitian, Registered | 200 E Main St, Patchogue, NY 11772-3159 | 2010-02-18 |
| 1972701886 | Sharon Fay Solina | Social Worker | 200 E Main St, Patchogue, NY 11772-3159 | 2007-07-03 |
| 1811199151 | Medihealth Medical PC | Internal Medicine | 200 E Main St, Patchogue, NY 11772-3159 | 2007-05-31 |
| 1568551075 | Ahmed Elfiky | Psychiatry & Neurology | 200 E Main St, Patchogue, NY 11772-3159 | 2006-10-12 |
| 1417987538 | Alicia Camacho | Family Medicine | 200 E Main St, Patchogue, NY 11772-3159 | 2006-07-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205447224 | Amita Vipul Patel | Nurse Practitioner | Longlsland Community Hospital, 101 Hospital Rd, Patchogue, NY 11772 | 2020-08-13 |
| 1609491968 | Sanjib Dey | Family Medicine | Brookhaven Nephrology Associates, 260 E. Patchogue-yaphank Rd., Patchogue, NY 11772 | 2020-06-12 |
| 1992297204 | Camila Bueno-sanchez | Student in an Organized Health Care Education/Training Program | 676 S Country Rd, East Patchogue, NY 11772 | 2018-06-01 |
| 1184115859 | Premier Endodontics of Patchogue | Dentist | 44 Medford Avenue, Patchogue, NY 11772 | 2018-05-29 |
| 1801386453 | Franklin Ikechukwu Ugbode | Student in an Organized Health Care Education/Training Program | 100 Hospital Road Suite 201, Patchogue, NY 11772 | 2018-05-18 |
| 1508372335 | Stephanie Vanschaick | Counselor | 450 Waverly Ave Ste 11, Patchogue, NY 11772 | 2017-12-15 |
| 1578074498 | Chrystal Lee Curran | Specialist | 1116 Main Road, Aquebogue, NY 11772 | 2017-10-18 |
| 1013457712 | Candyce Fahner | Registered Nurse | 22 Haig Ave, E Patchogue, NY 11772 | 2017-02-28 |
| 1992251631 | Vanessa Lynn Petoello | Nurse Practitioner | 107 N/ Ocean Ave, Suite G, Patchogue, NY 11772 | 2016-09-01 |
| 1811343809 | Andrew Vanderlofske | Nurse Practitioner | 144 North Ocean Avenue, Patchogue, NY 11772 | 2016-05-09 |
| Find all providers in zip 11772 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740833557 | Naomi Lange | Physician Assistant | 117 Jayne Ave, Patchogue, NY 11772-2834 | 2019-07-20 |
| 1124291083 | Joann T Spinnato | Physician Assistant | 101 Gillette Ave, Patchogue, NY 11772-2514 | 2008-04-10 |
| 1366937526 | Bryant M Williams | Physician Assistant | 101 Hospital Rd, Patchogue, NY 11772-4897 | 2018-06-28 |
| 1063955474 | Gianna Flora | Physician Assistant | 200 E Main St, Patchogue, NY 11772-3159 | 2016-12-02 |
| 1205255080 | Kamini Mohan | Physician Assistant | 155 E Woodside Ave, Patchogue, NY 11772-1423 | 2014-04-09 |
| 1285988642 | Allison P Boyle | Physician Assistant | 107 N Ocean Ave, Patchogue, NY 11772-2012 | 2012-11-06 |
| 1821387937 | Elizabeth Anne Westendorf | Physician Assistant | 130 Medford Ave, Patchogue, NY 11772-1206 | 2011-03-30 |
| 1558670463 | Sam M Fassnacht | Physician Assistant | 130 Medford Ave, Patchogue, NY 11772-1206 | 2010-09-27 |
| 1003127622 | Joanna Tutrone | Physician Assistant | 155 E Woodside Ave, Patchogue, NY 11772-1423 | 2010-06-29 |
| 1801041835 | Laura Elizabeth Gil | Physician Assistant | 130 Medford Ave, Patchogue, NY 11772-1206 | 2008-11-18 |
| Find all providers in PATCHOGUE | ||||
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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.