ANGELA V GUERRAZZI (NPI# 1396803540) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396803540 |
| Entity Type | Individual |
| Full Name | ANGELA V GUERRAZZI |
| Credential | PSYCHIATRIC NURSE PR |
| Practice Address |
1000 Main St Suite 1 Port Jefferson NY 11777-2250 |
| Practice Telephone | 6318071726 |
| Practice Fax Number | 6318464478 |
| Mailing Telephone | 6318071726 |
| Mailing Fax Number | 6318464478 |
| Enumeration Date | 2006-12-04 |
| Last Update Date | 2014-02-13 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | F4004341 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
F400434 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 02585528 | 05 |
| Street Address |
1000 MAIN ST SUITE 1 |
| City | PORT JEFFERSON |
| State | NY |
| Zip Code | 11777-2250 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821082959 | Salvatore Pennetti | Social Worker | 1000 Main St, Port Jefferson, NY 11777-2250 | 2005-09-05 |
| 1487269312 | Kaitlyn Fusari | Counselor | 1000 Main St, Port Jefferson, NY 11777-2250 | 2020-09-08 |
| 1598202640 | Michelle Louise Parisano | Marriage & Family Therapist | 1000 Main St, Main Floor Suite, Port Jefferson, NY 11777-2250 | 2017-01-27 |
| 1447669569 | Meredith R Rickenbacker | Social Worker | 1000 Main St, Suite 3, Port Jefferson, NY 11777-2250 | 2014-08-04 |
| 1154653616 | People Talk, Inc | Social Worker | 1000 Main St, Suite D, Port Jefferson, NY 11777-2250 | 2010-02-09 |
| 1144462920 | Fredric M Levine | Psychologist | 1000 Main St, Port Jefferson, NY 11777-2250 | 2009-03-25 |
| 1851500417 | Frank Archie Lindner | Counselor | 1000 Main St, Suite D, Port Jefferson, NY 11777-2250 | 2007-05-21 |
| 1417013723 | Ann M Rudolph | Social Worker | 1000 Main St, Port Jefferson, NY 11777-2250 | 2006-12-29 |
| 1366512873 | Deborah M. Derosa | Social Worker | 1000 Main St, Port Jefferson, NY 11777-2250 | 2006-11-09 |
| 1447350525 | Doreen Dibiase | Counselor | 1000 Main St, Port Jefferson, NY 11777-2250 | 2006-09-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568088615 | Aqsa Ashraf | Student in an Organized Health Care Education/Training Program | 75 N Country Road Mather Hospital Internal Medicine Res, Port Jefferson, NY 11777 | 2020-06-24 |
| 1366068975 | Manal Ahmad | Student in an Organized Health Care Education/Training Program | 75 N County Rd, Level 2 Cmo Suite, Internal Medicine Re, Mather Hospital, Port Jefferson, NY 11777 | 2020-06-19 |
| 1639794555 | Umair Ahmad Ansari | Student in an Organized Health Care Education/Training Program | 75 N Country Road Mother Hospital, Internal Medicine Re, Level 2 - Cmd Suite, Port Jefferson, NY 11777 | 2020-06-16 |
| 1578188132 | Manasi Sule | Student in an Organized Health Care Education/Training Program | 75 N Country Rd, Mather Hospital, Internal Medicine Res, Port Jefferson, NY 11777 | 2020-06-10 |
| 1508480716 | Imona Subedi | Student in an Organized Health Care Education/Training Program | 75 N Country Road, Level 2 - Cmo Suite, Mather Hospital Internal Medicine Residency Program, Port Jefferson, NY 11777 | 2020-06-03 |
| 1184252108 | Romana Imtiaz Syed | Student in an Organized Health Care Education/Training Program | Liza M Dominioni,mather Hospital,internal Medicine, Residency Program,level 2-cmo Suite,75 N Country Rd, Port Jefferson, NY 11777 | 2020-03-27 |
| 1649807348 | Mustafa Mohammed Abdulsada | Student in an Organized Health Care Education/Training Program | 75 N Country Rd, Ny, Level 2 - Cmo Suite, Port Jefferson, NY 11777 | 2020-03-24 |
| 1184264764 | Girma Moges Gamme | Surgery | 625 Belle Terre Rd, Suite 203 Mather Hospital, Port Jefferson, NY 11777 | 2020-01-10 |
| 1811554637 | Kausar Ali | Nurse Practitioner | 408 Thompson Street, Port Jefferson, NY 11777 | 2019-05-28 |
| 1073097531 | Ministry for Hope, Inc. Montfort Therapeutic Residence | Residential Treatment Facility, Physical Disabilities | 100 Stonyhill Road, Port Jefferson, NY 11777 | 2018-09-20 |
| Find all providers in zip 11777 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538367560 | Claire Smith | Nurse Practitioner | 7 Village Woods Rd, Port Jefferson, NY 11777-1428 | 2007-07-11 |
| 1538379201 | Florence Mary Wissert | Nurse Practitioner | I High St, Port Jefferson, NY 11777 | 2007-05-23 |
| 1376193722 | Kurt Pinto | Nurse Practitioner | 75 N Country Rd, Port Jefferson, NY 11777-2190 | 2019-09-18 |
| 1366836652 | Maureen Cataldo | Nurse Practitioner | 100 Highlands Blvd, Suite 201, Port Jefferson, NY 11777-2320 | 2015-03-24 |
| 1659669208 | Laura Chan, Nurse Practitioner-psychiatry, P.C. | Nurse Practitioner | 646 Main St, Suite 201, Port Jefferson, NY 11777-2235 | 2011-07-18 |
| 1285771188 | Susan Morin | Nurse Practitioner | 75 N Country Rd, Port Jefferson, NY 11777-2119 | 2007-01-31 |
| 1285770339 | Deborah Rose-adams | Nurse Practitioner | 75 N Country Rd, Port Jefferson, NY 11777-2119 | 2007-01-29 |
| 1952447005 | Gloria Mccann Fortune | Nurse Practitioner | 75 N Country Rd, Port Jefferson, NY 11777-2119 | 2007-01-29 |
| 1164575080 | Denise Driscoll | Nurse Practitioner | 75 N Country Rd, Port Jefferson, NY 11777-2119 | 2007-01-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013518794 | Johnson Oppong | Nurse Practitioner | 160 Theodore Fremd Ave Apt C2, Rye, NY 10580-2842 | 2020-11-08 |
| 1619578366 | Jecinter L Otieno | Nurse Practitioner | 195 Hillside Dr, Oneonta, NY 13820-3611 | 2020-11-07 |
| 1073113833 | Natalie Grant-villegas | Nurse Practitioner | 1210 Fulton St Apt 1, Brooklyn, NY 11216-2003 | 2020-10-29 |
| 1780284869 | Mary Gwynne Tillotson | Nurse Practitioner | 82 Oxford Ave, Buffalo, NY 14209-1406 | 2020-10-28 |
| 1780284273 | Angela Abramov | Nurse Practitioner | 141-30 Pershing Creacsent Apt 3c, Jamaica, NY 11435 | 2020-10-26 |
| 1407455967 | Marie J. Schwarz, Npp-bc PC | Nurse Practitioner | 133 E Main St Ste 3h, Babylon, NY 11702-3517 | 2020-10-25 |
| 1720687015 | Ashley Winn | Nurse Practitioner | 367 E Chester St, Long Beach, NY 11561-2324 | 2020-10-19 |
| 1114525961 | Tanya Monique Sydnor Holmes | Nurse Practitioner | 1601 Baldwin Blvd, Bay Shore, NY 11706-2145 | 2020-10-14 |
| 1669079976 | Mary Lynn Good | Nurse Practitioner | 3344 Chambers Rd # 200, Horseheads, NY 14845-1403 | 2020-10-08 |
| 1376140277 | Megan Elizabeth Bhatti | Nurse Practitioner | 2104 Delaware Ave Apt 1, Buffalo, NY 14216-3216 | 2020-10-04 |
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| City | PORT JEFFERSON |
| Zip Code | 11777 |
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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.