JEWELIANA B TRUJILLO (NPI# 1487134011) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487134011 |
| Entity Type | Individual |
| Full Name | JEWELIANA B TRUJILLO |
| Practice Address |
22 Dairyland Rd Ext Woodridge NY 12789-1278 |
| Mailing Address |
Po Box 906 Woodridge NY 12789-0906 |
| Practice Telephone | 8457910867 |
| Enumeration Date | 2018-08-14 |
| Last Update Date | 2018-08-14 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | 332621-1 | NY | Nursing Service Providers |
| Street Address |
22 DAIRYLAND RD EXT |
| City | WOODRIDGE |
| State | NY |
| Zip Code | 12789-1278 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609355882 | Charles Robinson Jr. | Non-emergency Medical Transport (VAN) | 1220 Glenn Wild Rd, Woodridge, NY 12789 | 2018-08-09 |
| 1093263998 | Oda Primary Health Care Network, Inc. | Clinic/Center | 6 Dairyland Rd, Woodridge, NY 12789 | 2016-09-20 |
| 1578994141 | Mark A York II | Licensed Practical Nurse | 34-36 Broadway, Apt. 104, Woodridge, NY 12789 | 2013-12-09 |
| 1740351832 | David S Drew | Dentist | 9 Highland Ave, Woodridge, NY 12789 | 2006-11-13 |
| 1881825941 | Krieger Medical | Clinic/Center | 13 Fourth St, Woodridge, NY 12789-0034 | 2009-08-06 |
| 1356585780 | Charles Howard Kornblau | Internal Medicine | 2 First Street, Woodridge, NY 12789-0101 | 2009-04-29 |
| 1679877914 | Dorothy Novogrodsky | Specialist | 223 Dairyland Rd., Woodridge, NY 12789-0153 | 2010-12-30 |
| 1194709253 | Tri County Medical Associate PC | Family Medicine | 20 Broadway, Woodridge, NY 12789-0546 | 2005-12-02 |
| 1881204006 | Kelly Spear | Social Worker | 10 Alpine Dr # 1003, Woodridge, NY 12789-5800 | 2020-08-03 |
| 1184027294 | Onyinye Amakom | Registered Nurse | 3 Edelweiss Dr, Woodridge, NY 12789-5806 | 2014-10-02 |
| Find all providers in zip 12789 | ||||
| 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 |
|---|---|---|---|---|
| 1578994141 | Mark A York II | Licensed Practical Nurse | 34-36 Broadway, Apt. 104, Woodridge, NY 12789 | 2013-12-09 |
| 1609192996 | Suzanne Mcmahon | Licensed Practical Nurse | 409 Davos Pt, Woodridge, NY 12789-5905 | 2010-04-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730780503 | Michael Lee Hendryx | Licensed Practical Nurse | 803 Bell St, Olean, NY 14760-3005 | 2020-11-06 |
| 1720689664 | Chynna S Brown | Licensed Practical Nurse | 483 Newbury St, Rochester, NY 14615-3209 | 2020-11-06 |
| 1588265433 | Deanna Lucas | Licensed Practical Nurse | 206 Prospect Pl, Bay Shore, NY 11706-1537 | 2020-11-06 |
| 1659972511 | Katiesianna Marie Kovalsky | Licensed Practical Nurse | 718 Griswold Hts, Troy, NY 12180-5168 | 2020-11-05 |
| 1538760608 | Shanequa Marshall | Licensed Practical Nurse | 100 Park Ave Apt 1, Amityville, NY 11701-3165 | 2020-11-05 |
| 1780285007 | Jarleyn Severino | Licensed Practical Nurse | 10 Waterview Pl, Lynbrook, NY 11563-1921 | 2020-11-03 |
| 1023619590 | Lisa A Loomis | Licensed Practical Nurse | 2198 Us Highway 20, Nassau, NY 12123-1733 | 2020-11-02 |
| 1235739061 | Kathleen Zalamea | Licensed Practical Nurse | 37 Howells Rd, Bay Shore, NY 11706-6502 | 2020-10-30 |
| 1649870494 | Khairat Salami | Licensed Practical Nurse | 1538 Washington Ave Apt 1, Bronx, NY 10457-8334 | 2020-10-30 |
| 1518567437 | Catherine Grullon | Licensed Practical Nurse | 32 Crescent Ave, Newburgh, NY 12550-3134 | 2020-10-29 |
| 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.