MICHAEL MEDINA (NPI# 1467879429) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467879429 |
| Entity Type | Individual |
| Full Name | MICHAEL MEDINA |
| Practice Address |
1510 Waters Pl Bronx NY 10461-2700 |
| Practice Telephone | 7188293440 |
| Enumeration Date | 2014-03-27 |
| Last Update Date | 2014-03-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | 311292 | NY | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528679933 | Michael Medina | Registered Nurse | 1224 Leonard Hunt, San Antonio, TX 78251 | 2020-08-11 |
| 1548815731 | Michael Medina | Physician Assistant | 5546 Broadway, Bronx, NY 10463-5250 | 2019-08-05 |
| 1487122164 | Michael Medina | Behavior Technician | 36 Oak Ln, Mountain View, CA 94040-2629 | 2018-11-11 |
| 1114461522 | Michael Medina | Behavior Technician | 201 Saint Charles Ave Ste 2500, New Orleans, LA 70170-2500 | 2016-12-05 |
| 1417299538 | Michael Medina | Student in an Organized Health Care Education/Training Program | 301 University Blvd # 2-a, Galveston, TX 77555-0591 | 2013-03-27 |
| 1093979783 | Michael V Medina IIi | Otolaryngology | 2950 Cleveland Clinic Blvd, Weston, FL 33331-3609 | 2008-07-11 |
| 1356503056 | Michael Medina | Student in an Organized Health Care Education/Training Program | 4860 Y St Ste 1600, Sacramento, CA 95817-2307 | 2008-06-25 |
| Street Address |
1510 WATERS PL |
| City | BRONX |
| State | NY |
| Zip Code | 10461-2700 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457456162 | Theresa Capra | Physician Assistant | 1510 Waters Pl, Bronx, NY 10461-2700 | 2006-09-14 |
| 1386251502 | Kaelene Marie Tomasulo | Counselor | 1510 Waters Pl, Bronx, NY 10461-2700 | 2020-10-01 |
| 1790303410 | Elyssa Torres | Counselor | 1510 Waters Pl, Bronx, NY 10461-2700 | 2020-07-09 |
| 1689233140 | Danielle Preziosi | Counselor | 1510 Waters Pl, Bronx, NY 10461-2700 | 2019-06-10 |
| 1881182228 | Elisabeth Marie Cornacchia | Counselor | 1510 Waters Pl, Bronx, NY 10461-2700 | 2018-05-01 |
| 1861999096 | Julie Ann Cantone | Student in an Organized Health Care Education/Training Program | 1510 Waters Pl, Bronx, NY 10461-2700 | 2018-04-13 |
| 1407353436 | Celeste Classon | Counselor | 1510 Waters Pl, Bronx, NY 10461-2700 | 2018-04-06 |
| 1598261679 | John Ambrosio | Counselor | 1510 Waters Pl, Bronx, NY 10461-2700 | 2018-04-05 |
| 1922504505 | Luis Angel Cruz | Counselor | 1510 Waters Pl, Bronx, NY 10461-2700 | 2018-04-03 |
| 1053817015 | Sherry Samaroo | Counselor | 1510 Waters Pl, Bronx, NY 10461-2700 | 2018-03-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427665975 | Zhanna Kleynerman | Pharmacist | R&a Drugs Inc, 2562 Est Tremont Ave, Bronx, NY 10461 | 2020-09-29 |
| 1245867738 | Dalia Duzdar | Student in an Organized Health Care Education/Training Program | 1400 Pelham Pkwy S Building 6, Suite B125, Bronx, NY 10461 | 2020-03-24 |
| 1306486667 | Alvin Antony Mathew | Physical Therapist | 1500 Blondell Ave., Bronx, NY 10461 | 2020-01-14 |
| 1295374007 | Felicia Bowman | Peer Specialist | 55 Westchester Square Bronx, 55 Westchester Square Bronx, Bronx, NY 10461 | 2019-12-26 |
| 1477191161 | Todd Benevento Jr. | Physical Therapist | 1250 Waters Place Tower One 10th Floor, Bronx, NY 10461 | 2019-12-13 |
| 1073173845 | Harriet Sarpong-blankson | Pharmacist | Jack D Weiler Hospital, 1825 Eastchester Road, Bronx, NY 10461 | 2019-06-14 |
| 1396300166 | Victoria Sliva | Psychologist | 1400 Pelham Pkwy S Bldg 19w, Bldg 1, 9w, Bronx, NY 10461 | 2019-05-07 |
| 1538723366 | Shuai Wang | Student in an Organized Health Care Education/Training Program | 1400 Pelham Parkway South Jacobi Medical Center, Bronx, NY 10461 | 2019-04-26 |
| 1457810079 | Morpheus Sleep Solutions Inc | Durable Medical Equipment & Medical Supplies | 3004 Middletown Road, Lower Level Unit 1, Bronx, NY 10461 | 2019-03-13 |
| 1922565118 | Metro Care Management LLC | Case Management | 2481 Rowe St, Bronx, NY 10461 | 2019-02-25 |
| Find all providers in zip 10461 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649870494 | Khairat Salami | Licensed Practical Nurse | 1538 Washington Ave Apt 1, Bronx, NY 10457-8334 | 2020-10-30 |
| 1780284661 | Tiffanny Rawlins | Licensed Practical Nurse | 4200 Bronxwood Ave, Bronx, NY 10466-3119 | 2020-10-29 |
| 1063012987 | Theresa Kukueley Okaikoi | Licensed Practical Nurse | 2271 Washington Ave Apt 1d, Bronx, NY 10457-1458 | 2020-10-29 |
| 1770182396 | Daouda Nikiema | Licensed Practical Nurse | 3477 Knox Pl Apt E, Bronx, NY 10467-2051 | 2020-10-23 |
| 1811596000 | Nancy Agyapong | Licensed Practical Nurse | 1735 Lafayette Ave, Bronx, NY 10473-4171 | 2020-10-20 |
| 1255939005 | Serifat Adeyemi | Licensed Practical Nurse | 830 E 214th St, Bronx, NY 10467-5914 | 2020-10-14 |
| 1124625165 | Vanessa Daymon | Licensed Practical Nurse | 662 E 216th St, Bronx, NY 10467-5512 | 2020-10-02 |
| 1770199135 | Paula Pamella Smith | Licensed Practical Nurse | 2035 Nereid Ave, Bronx, NY 10466-1110 | 2020-09-21 |
| 1477169274 | Yetunde Elizabeth Onafuwa | Licensed Practical Nurse | 1485 Fulton Ave Apt 5d, Bronx, NY 10456-2119 | 2020-09-17 |
| 1336755123 | Eunice Isabel Paredes | Licensed Practical Nurse | 1895 University Ave Apt 6d, Bronx, NY 10453-4475 | 2020-09-17 |
| Find all providers in BRONX | ||||
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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.