KELLY DUESLER (NPI# 1407498504) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407498504 |
| Entity Type | Individual |
| Full Name | KELLY DUESLER |
| Practice Address |
15 Suffern Pl Ste B Suffern NY 10901-5566 |
| Practice Telephone | 8453694058 |
| Mailing Telephone | 8453694058 |
| Enumeration Date | 2019-10-10 |
| Last Update Date | 2019-10-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | AGENCY NPI | 1922257872 | 01 |
| Street Address |
15 SUFFERN PL STE B |
| City | SUFFERN |
| State | NY |
| Zip Code | 10901-5566 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497397418 | Melissa Riccio | Case Manager/Care Coordinator | 15 Suffern Pl Ste B, Suffern, NY 10901-5566 | 2019-10-10 |
| 1811539802 | Kimberly Narcavage | Case Manager/Care Coordinator | 15 Suffern Pl Ste B, Suffern, NY 10901-5566 | 2019-10-11 |
| 1891337887 | Ashley Forgea | Case Manager/Care Coordinator | 15 Suffern Pl Ste B, Suffern, NY 10901-5566 | 2019-10-11 |
| 1730721705 | Heather Hughes | Case Manager/Care Coordinator | 15 Suffern Pl Ste B, Suffern, NY 10901-5566 | 2019-10-11 |
| 1285276261 | Nicole Lewis | Case Manager/Care Coordinator | 15 Suffern Pl Ste B, Suffern, NY 10901-5566 | 2019-10-11 |
| 1093357071 | Paige Juriga | Case Manager/Care Coordinator | 15 Suffern Pl Ste B, Suffern, NY 10901-5566 | 2019-10-11 |
| 1669014635 | Lorraine Beer | Case Manager/Care Coordinator | 15 Suffern Pl Ste B, Suffern, NY 10901-5566 | 2019-10-11 |
| 1114569183 | Gwen Rossi | Case Manager/Care Coordinator | 15 Suffern Pl Ste B, Suffern, NY 10901-5566 | 2019-10-11 |
| 1134761141 | Lisa Newman | Case Manager/Care Coordinator | 15 Suffern Pl Ste B, Suffern, NY 10901-5566 | 2019-10-10 |
| 1245872258 | Linda Molina | Case Manager/Care Coordinator | 15 Suffern Pl Ste B, Suffern, NY 10901-5566 | 2019-10-10 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740895309 | Constance Marie Princiotto | Registered Nurse | J&d Ultracare, 15 Suffern Pl, Suffern, NY 10901 | 2020-09-10 |
| 1376101790 | Tenika Filomena Walters | Licensed Practical Nurse | 15 Suffen Place, Suffen, NY 10901 | 2019-05-31 |
| 1922563261 | Matthew Abel | Dietitian, Registered | 156 Ny-59, A2, Suffern, NY 10901 | 2019-01-31 |
| 1609349422 | Yona Newmark | Behavioral Analyst | 84 Route 59 Suite 102, Suffern, NY 10901 | 2019-01-03 |
| 1235606005 | William M Mazariego | Specialist/Technologist | 5 Tallman Pl, Suffern, NY 10901 | 2018-10-30 |
| 1396237228 | Stephanie N Freer | Registered Nurse | 15 Suffern Pl., Suffern, NY 10901 | 2018-06-06 |
| 1588102669 | Lisa Arcuri | Registered Nurse | 15 Suffern Place Ste A, Suffern, NY 10901 | 2017-02-08 |
| 1801342787 | Maria Castro-cancel | Social Worker | 58 Campbell Avenue, Airmont, NY 10901 | 2016-08-30 |
| 1811341530 | Simone Raven Pringle | Licensed Practical Nurse | 15 Suffern Place, Suite A, Suffern, NY 10901 | 2016-04-19 |
| 1871998666 | Simi Samuel | Specialist | 13 Hillside Ct, Suffern, NY 10901 | 2014-10-23 |
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| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497397418 | Melissa Riccio | Case Manager/Care Coordinator | 15 Suffern Pl Ste B, Suffern, NY 10901-5566 | 2019-10-10 |
| 1104376441 | Angelica Contreras | Case Manager/Care Coordinator | 7 Divot Pl, Suffern, NY 10901-3942 | 2016-10-11 |
| 1811539802 | Kimberly Narcavage | Case Manager/Care Coordinator | 15 Suffern Pl Ste B, Suffern, NY 10901-5566 | 2019-10-11 |
| 1891337887 | Ashley Forgea | Case Manager/Care Coordinator | 15 Suffern Pl Ste B, Suffern, NY 10901-5566 | 2019-10-11 |
| 1730721705 | Heather Hughes | Case Manager/Care Coordinator | 15 Suffern Pl Ste B, Suffern, NY 10901-5566 | 2019-10-11 |
| 1285276261 | Nicole Lewis | Case Manager/Care Coordinator | 15 Suffern Pl Ste B, Suffern, NY 10901-5566 | 2019-10-11 |
| 1093357071 | Paige Juriga | Case Manager/Care Coordinator | 15 Suffern Pl Ste B, Suffern, NY 10901-5566 | 2019-10-11 |
| 1669014635 | Lorraine Beer | Case Manager/Care Coordinator | 15 Suffern Pl Ste B, Suffern, NY 10901-5566 | 2019-10-11 |
| 1114569183 | Gwen Rossi | Case Manager/Care Coordinator | 15 Suffern Pl Ste B, Suffern, NY 10901-5566 | 2019-10-11 |
| 1134761141 | Lisa Newman | Case Manager/Care Coordinator | 15 Suffern Pl Ste B, Suffern, NY 10901-5566 | 2019-10-10 |
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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.