DR. JONATHAN SCOTT PODLASKI (NPI# 1477876555) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477876555 |
| Entity Type | Individual |
| Full Name | DR. JONATHAN SCOTT PODLASKI |
| Credential | PHARMD |
| Practice Address |
575 Underhill Blvd Suite 110 Syosset NY 11791-3426 |
| Mailing Address |
19 Thompson Pl Lynbrook NY 11563-4022 |
| Practice Telephone | 8557946634 |
| Practice Fax Number | 8557946635 |
| Mailing Telephone | 5163951925 |
| Enumeration Date | 2010-03-03 |
| Last Update Date | 2017-03-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
053990 | NY | Pharmacy Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 04548876 | 05 |
| Street Address |
575 UNDERHILL BLVD SUITE 110 |
| City | SYOSSET |
| State | NY |
| Zip Code | 11791-3426 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306894217 | Jill Anne Bressler | Specialist | 575 Underhill Blvd, Suite 128, Syosset, NY 11791 | 2006-05-04 |
| 1962889642 | Eugene Daly | Pharmacist | 575 Underhill Blvd, Syosset, NY 11791-0000 | 2015-05-01 |
| 1740675362 | Specialty Rx Home Meds Inc | Pharmacy | 575 Underhill Blvd, Suite #110, Syosset, NY 11791-3426 | 2015-03-31 |
| 1073840724 | Han Win | Pathology | 575 Underhill Blvd, Syosset, NY 11791-3426 | 2009-11-17 |
| 1104153865 | Alexander Pliskin | Pathology | 575 Underhill Blvd, Syosset, NY 11791-3426 | 2009-11-17 |
| 1073840849 | Joyce Forman | Pathology | 575 Underhill Blvd, Syosset, NY 11791-3426 | 2009-11-15 |
| 1306098991 | Long Island Physical Medicine and Rehab I, P.C. | Physical Medicine & Rehabilitation | 575 Underhill Blvd, Suite 130, Syosset, NY 11791-3426 | 2008-10-15 |
| 1831312347 | Jill A Bressler Md LLC | Acupuncturist | 575 Underhill Blvd, Suite 128, Syosset, NY 11791 | 2007-04-11 |
| 1659427094 | Emilie Talamayan Zipagan-azocar | Pathology | 575 Underhill Blvd, Syosset, NY 11791-3426 | 2007-01-26 |
| 1588710925 | Ziba Jelveh | Pathology | 575 Underhill Blvd, Syosset, NY 11791-3426 | 2007-01-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508491879 | Marjorie Stein, M.d., PC | Internal Medicine | 30 Coach Lane, Muttontown, NY 11791 | 2020-03-07 |
| 1770118168 | Naomi Krikheli | Occupational Therapy Assistant | Cooper Kids Therapy Associates, 2 Roosevelt Ave Sute300, Syosset, NY 11791 | 2020-03-06 |
| 1912482266 | Angela Viviana Depompeis | Student in an Organized Health Care Education/Training Program | 6800 Jericho Turnpike Suite 120w, Syosset, NY 11791 | 2018-10-02 |
| 1063997104 | Stephen William Tozer | Specialist/Technologist | 70 South Woods Road, Syosset, NY 11791 | 2018-09-25 |
| 1295214682 | Cathy Lynn Singer | Nurse Practitioner | 575 Underhill Blvd Ste 210, Syosset, NY 11791 | 2018-08-07 |
| 1831628296 | Amanticia Joseph | Case Manager/Care Coordinator | 40 Oak Drive, Syosset, NY 11791 | 2017-06-08 |
| 1528500758 | James F Creamer | Chiropractor | 15 Beatrice Ave, Syosset, NY 11791 | 2016-11-04 |
| 1053868190 | Diana Eileen Marlow | Registered Nurse | 1597 Laurel Hollow Road, Syosset, NY 11791 | 2016-09-07 |
| 1346796695 | Emily Bregman | Specialist | 33 Picardy Lane, Laurel Hollow, NY 11791 | 2016-08-28 |
| 1962811364 | Leslie Juarez | Registered Nurse | 7 Market Drive, Syosset, NY 11791 | 2014-08-11 |
| Find all providers in zip 11791 | ||||
| Taxonomy Code | 1835P0018X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
| Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management. |
| Notes: Source: National Uniform Claim Committee, 2007 [1/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285241794 | Erika Modh | Pharmacist | 6220 11th Ave, Brooklyn, NY 11219-5204 | 2020-09-29 |
| 1457990657 | Hina Khawaja | Pharmacist | 24 E 24th St, Huntington Station, NY 11746-3702 | 2020-01-06 |
| 1508411810 | Michael Richard Izzo | Pharmacist | 104 Reservoir Rd, Little Falls, NY 13365-5924 | 2019-08-04 |
| 1306498100 | Cerris Chung | Pharmacist | 320 E 94th St # 3f, New York, NY 10128-5604 | 2019-07-11 |
| 1558922419 | Jennifer Sophia Orozco | Pharmacist | 1275 York Ave # 710, New York, NY 10065-6007 | 2019-06-21 |
| 1558846014 | Lisa Chu | Pharmacist | 14634 23rd Ave, Whitestone, NY 11357-3514 | 2018-10-01 |
| 1841772514 | Salvatore Oreste | Pharmacist | 32 Alder Dr, Kings Park, NY 11754-2202 | 2018-08-30 |
| 1184138885 | B&t Port Richmond Pharmacy Inc. | Pharmacist | 251 Port Richmond Ave, Staten Island, NY 10302-1704 | 2017-11-17 |
| 1922510072 | Robert O'connell | Pharmacist | 3840 211th St Fl 2, Bayside, NY 11361-1956 | 2017-10-30 |
| 1427577048 | Fawzieh Mourtada | Pharmacist | Rite Aid, 540 West 235th Street, Bronx, NY 10643 | 2017-09-14 |
| Find all providers with the same taxonomy | ||||
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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.