MRS. STACEY LYNN HILDEBRAND (NPI# 1407010655) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407010655 |
| Entity Type | Individual |
| Full Name | MRS. STACEY LYNN HILDEBRAND |
| Credential | NURSE PRACTITIONER |
| Practice Address |
283 Commack Rd Commack NY 11725-6021 |
| Practice Telephone | 6314405441 |
| Practice Fax Number | 6314405441 |
| Mailing Telephone | 6314405441 |
| Mailing Fax Number | 6314405441 |
| Enumeration Date | 2008-07-17 |
| Last Update Date | 2020-02-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
304059 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
283 COMMACK RD |
| City | COMMACK |
| State | NY |
| Zip Code | 11725-6021 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821095993 | Irene C Yarusso | Nurse Practitioner | 283 Commack Rd, Commack, NY 11725-6021 | 2005-07-05 |
| 1861033763 | Christine Marren | Nurse Practitioner | 283 Commack Rd, Commack, NY 11725-6021 | 2019-10-01 |
| 1568903193 | Long Island Cognitive Behavioral Psychology | Psychologist | 283 Commack Rd, Suite Ll1, Commack, NY 11725-6021 | 2017-03-15 |
| 1336501097 | Irene Milonas | Psychologist | 283 Commack Rd, Suite Ll1, Commack, NY 11725-6021 | 2016-03-22 |
| 1700279239 | Commack Dental Design Pllc | Dentist | 283 Commack Rd, Suite 120, Commack, NY 11725-6021 | 2015-03-09 |
| 1578991550 | Lauren Miceli | Social Worker | 283 Commack Rd, Lower Level 1, Commack, NY 11725-6021 | 2013-10-29 |
| 1144667528 | Melissa Macko | Social Worker | 283 Commack Rd, Suite 100, Commack, NY 11725-6021 | 2013-05-26 |
| 1386980043 | Cristina Monaco | Physician Assistant | 283 Commack Rd, Suite 115, Commack, NY 11725-6021 | 2012-12-27 |
| 1689918146 | Brian Goldberg | Psychologist | 283 Commack Rd, Suite 205, Commack, NY 11725-6021 | 2012-11-21 |
| 1265787139 | Robert Goldman | Psychologist | 283 Commack Rd, Commack, NY 11725-6021 | 2012-07-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699322131 | Amanda Grace Acebedo | Student in an Organized Health Care Education/Training Program | 785 Larkfield Rd, Commack, NY 11725 | 2019-08-20 |
| 1922667716 | Diana Mcnamara | Social Worker | 13 Audrey Lane, Commack, NY 11725 | 2019-06-06 |
| 1821504333 | Amy Koenig | Specialist | 787 Larkfield Rd, Commack, NY 11725 | 2017-12-19 |
| 1437661501 | Commack Chemist Inc | Pharmacy | 6216 Jericho Turnpike, Commack, NY 11725 | 2017-10-30 |
| 1285168880 | Stephanie Arico | Counselor | 14 Silver Pond Cir, Commack, NY 11725 | 2017-04-20 |
| 1235684432 | Ams Primary Medical Care House Calls,pc | Home Health | 6277 Jericho Tpk, Commack, NY 11725 | 2016-08-18 |
| 1376927459 | Min Sun Park | Dentist | All About Smiles Pediatric Dentistry, 5036 Jericho Turnpike Suite #307, Commack, NY 11725 | 2015-07-17 |
| 1467843748 | Joanna Keegan | Pharmacy Technician | 98 Veterans Memorial Highway, Commack, NY 11725 | 2015-02-09 |
| 1275936841 | Jennie Bernstein | Social Worker | 368 Veterans Hwy Ste 2, Commack, NY 11725 | 2014-09-26 |
| 1417362021 | Diana Matira Yildirim | Pediatrics | 646 Commack Road, Commack, NY 11725 | 2014-06-23 |
| Find all providers in zip 11725 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487262887 | Arielle Ashley Schwimmer | Nurse Practitioner | 47 Wesleyan Rd, Commack, NY 11725-2531 | 2020-07-21 |
| 1659852374 | Irene Raphael | Nurse Practitioner | 66 Commack Rd Ste 20018, Commack, NY 11725-3405 | 2018-08-22 |
| 1942755830 | Maryam Abubakar | Nurse Practitioner | 6080 Jericho Tpke Ste 314, Commack, NY 11725-2808 | 2016-08-20 |
| 1710328760 | Bethany H Kennedy | Nurse Practitioner | 2171 Jericho Tpke Ste 135, Commack, NY 11725-2947 | 2013-07-07 |
| 1033462312 | Sandra M Roth | Nurse Practitioner | 52 Radburn Dr, Commack, NY 11725-1129 | 2012-10-23 |
| 1669768255 | Tanima Yaibuathes | Nurse Practitioner | 149 Commack Rd Ste A, Commack, NY 11725-3459 | 2011-06-22 |
| 1285756957 | Denyse Marie Hilsby | Nurse Practitioner | 81 Mall Dr, Commack, NY 11725-5703 | 2007-04-04 |
| 1902431422 | Laura Anne Fox | Nurse Practitioner | 6080 Jericho Tpke Ste 314, Commack, NY 11725-2808 | 2020-03-04 |
| 1053887562 | Ann Marie Perrino | Nurse Practitioner | 68 Hauppauge Rd, Commack, NY 11725-4431 | 2018-10-23 |
| 1255819249 | Nicholas Paul Lattanzio | Nurse Practitioner | 650 Commack Rd, Commack, NY 11725-5404 | 2018-08-01 |
| Find all providers in COMMACK | ||||
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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.