BRIAN LUCAS KACZMAREK (NPI# 1457958118) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457958118 |
| Entity Type | Individual |
| Full Name | BRIAN LUCAS KACZMAREK |
| Credential | RN |
| Practice Address |
241 North Rd Poughkeepsie NY 12601-1154 |
| Mailing Address |
319 Van Neste Rd Flemington NJ 08822-7064 |
| Practice Telephone | 8454835000 |
| Mailing Telephone | 9177191885 |
| Enumeration Date | 2020-10-06 |
| Last Update Date | 2020-10-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WP0809X |
Registered Nurse Specialization: Psych/Mental Health, Adult |
705571 | NY | Nursing Service Providers |
| Street Address |
241 NORTH RD |
| City | POUGHKEEPSIE |
| State | NY |
| Zip Code | 12601-1154 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922006501 | Lobsang Lhungay | Anesthesiology | 241 North Rd, Poughkeepsie, NY 12601-1154 | 2005-07-08 |
| 1750988796 | Joshua John Foote | Registered Nurse | 241 North Rd, Poughkeepsie, NY 12601-1154 | 2020-10-02 |
| 1467079681 | Kwaku Baidoo | Registered Nurse | 241 North Rd, Poughkeepsie, NY 12601-1154 | 2020-07-03 |
| 1770106874 | Marissa Lyn Campilii | Physician Assistant | 241 North Rd, Poughkeepsie, NY 12601-1154 | 2020-05-22 |
| 1205468642 | Scott Peters | Registered Nurse | 241 North Rd, Poughkeepsie, NY 12601-1154 | 2020-02-04 |
| 1376199463 | William Martinez | Registered Nurse | 241 North Rd, Poughkeepsie, NY 12601-1154 | 2019-08-14 |
| 1710532908 | Annmarie Scalzo | Nurse Practitioner | 241 North Rd, Poughkeepsie, NY 12601-1154 | 2019-08-05 |
| 1568014793 | Lauren Davis | Physician Assistant | 241 North Rd, Poughkeepsie, NY 12601-1154 | 2019-07-09 |
| 1235791138 | Amanda Mae Frankie | Physician Assistant | 241 North Rd, Poughkeepsie, NY 12601-1154 | 2019-07-01 |
| 1780245282 | Catherine Gruszecki | Physician Assistant | 241 North Rd, Poughkeepsie, NY 12601-1154 | 2019-06-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194348425 | Hudson Valley Radiologists, PC | Radiology | 57 Kingwood Park, Poughkeepsie, NY 12601 | 2020-05-21 |
| 1063049088 | Jaquellah Taylor | Student in an Organized Health Care Education/Training Program | Vassar Brother Medical Center 45 Reade Place, Poughkeepsie, NY 12601 | 2020-03-27 |
| 1053957050 | Jasmine Syin-lan Miller | Student in an Organized Health Care Education/Training Program | 3399 North Road, Marist College Msc 12617, Poughkeepsie, NY 12601 | 2019-11-25 |
| 1144864224 | Kim Beverly | Technician | 16 Tamidan Road, Poughkeepsle, NY 12601 | 2019-11-01 |
| 1851852768 | Marwa H Abdalla | Student in an Organized Health Care Education/Training Program | Vassar Brother Medical Center, 45 Reade Place, Poughkeepsie, NY 12601 | 2019-03-26 |
| 1619459047 | Victoria Bozydaj | Occupational Therapy Assistant | 50 Rinaldi Boulevard Apt 7r, Poughkeepsie, NY 12601 | 2018-09-01 |
| 1821589953 | Avo Gregory Serafino | Physician Assistant | 228 Donnelly, Poughkeepsie, NY 12601 | 2018-05-24 |
| 1649771486 | Raewyn Kalisha Clayton | Registered Nurse | 31 Forbus Street Apt C2, Poughkeepsie, NY 12601 | 2018-02-27 |
| 1780108761 | Ronica Dorothy White | Licensed Practical Nurse | 7c Muldowney Circle, Poughkeepsie, NY 12601 | 2017-08-01 |
| 1336662048 | Ashley Elizabeth Travers | Licensed Practical Nurse | 100 Innis Ave, Poughkeepsie, NY 12601 | 2017-07-25 |
| Find all providers in zip 12601 | ||||
| Taxonomy Code | 163WP0809X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Psych/Mental Health, Adult |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821313891 | Veronica Ann Cavalla | Registered Nurse | 4 Jefferson Plz Fl 4, Poughkeepsie, NY 12601-4057 | 2010-04-02 |
| 1972077295 | Rashidat Odeyale | Registered Nurse | 241 North Rd, Poughkeepsie, NY 12601-1154 | 2019-01-21 |
| 1194188979 | Lynn Darr | Registered Nurse | 26 Oakley St, Poughkeepsie, NY 12601-2005 | 2016-03-30 |
| 1366519142 | Pamela Y Dolfinger | Registered Nurse | 230 North Rd, Poughkeepsie, NY 12601-1328 | 2006-11-29 |
| 1356393862 | Hudson Valley Mental Health, Inc. | Registered Nurse | 230 North Rd, Poughkeepsie, NY 12601-1328 | 2006-05-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548879109 | Linda Ann Paradiso | Registered Nurse | 300 Jay St # A611m, Brooklyn, NY 11201-1909 | 2020-07-29 |
| 1629606215 | Joan Amodeo | Registered Nurse | 140 W Orangeburg Rd, Orangeburg, NY 10962-2006 | 2020-03-30 |
| 1336788157 | Pamela Sandoval | Registered Nurse | 349 Central Ave Apt 3c, Lawrence, NY 11559-1616 | 2019-12-26 |
| 1649819616 | Medardo Ocasiones Ebol Jr. | Registered Nurse | Kirby Forensic Psychiatric Center, Wards Island Complex, Manhattan, NY 10035-6095 | 2019-12-23 |
| 1346884376 | Diane Aleksandrowicz | Registered Nurse | 2186 Bear Creek Dr, Ontario, NY 14519-9766 | 2019-11-02 |
| 1104468347 | King Xia | Registered Nurse | 1653 Hubbell St, Bronx, NY 10461-2905 | 2019-10-09 |
| 1699316497 | Zoey Luan | Registered Nurse | 89 Metropolitan Oval Apt 1e, Bronx, NY 10462-6411 | 2019-10-02 |
| 1699325993 | Michelle Yvonne Cerutti | Registered Nurse | 33 Mitchell Ave Ste G-80, Binghamton, NY 13903-1642 | 2019-09-18 |
| 1235792672 | Ann Marie Pignatti | Registered Nurse | 8093 Ashery Ln, Cicero, NY 13039-8353 | 2019-04-22 |
| 1619438785 | Debra Rieben | Registered Nurse | 711a Old Lane Rd, Vestal, NY 13850-3570 | 2019-03-29 |
| Find all providers with the same taxonomy | ||||
| City | POUGHKEEPSIE |
| Zip Code | 12601 |
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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.