ST MARYS HEALTHCARE SYSTEM FOR CHILDREN (NPI# 1497194617) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497194617 |
| Entity Type | Organization |
| Organization Name | ST MARYS HEALTHCARE SYSTEM FOR CHILDREN |
| Practice Address |
1638 Jasmine Ave New Hyde Park NY 11040-4339 |
| Mailing Address |
1638 Jasmine Avenue New Hyde Park NY 11040 |
| Practice Telephone | 3036811136 |
| Mailing Telephone | 3036811136 |
| Enumeration Date | 2013-06-20 |
| Last Update Date | 2013-06-20 |
| Authorized Official Name | KRISTIN SUMMERS KAMBOURIAN (OCCUPATIONAL THERAPIST) |
| Authorized Official Telephone | 3036811136 |
| Authorized Official Credential | OTR/L |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 305R00000X | Preferred Provider Organization | Managed Care Organizations |
| Street Address |
1638 JASMINE AVE |
| City | NEW HYDE PARK |
| State | NY |
| Zip Code | 11040-4339 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598366734 | Naurin Shaki | Case Management | 108 Bryant Ave, New Hyde Park, NY 11040 | 2020-11-04 |
| 1326645920 | Oksana Isakharov | Marriage & Family Therapist | Remote Telehealth Due To Pandemic, Remote Telehealth Due To Pandemic, NY 11040 | 2020-10-06 |
| 1639784036 | Michelle Edith Narain | Nurse Practitioner | 270-05 76th Aveune, New Hyde Park, NY 11040 | 2020-09-11 |
| 1124636188 | Shannon Maureen O'connell | Physician Assistant | 270-05 270th Ave, New Hyde Park, NY 11040 | 2020-07-16 |
| 1851929384 | Hollie Brown | Student in an Organized Health Care Education/Training Program | 45 Lakeville Rd Ste M41, New Hyde Park, NY 11040 | 2020-03-30 |
| 1780211797 | Miriam Tarrash | Student in an Organized Health Care Education/Training Program | Lijmc, 270-05 76th Avenue, New Hyde Park, NY 11040 | 2020-03-27 |
| 1902438971 | Kristina Petrich | Student in an Organized Health Care Education/Training Program | Long Island Jewish Medical Center, 270-05 76th Avenue, New Hyde Park, NY 11040 | 2020-02-07 |
| 1528622735 | David Olatunji Omole | Dentist | 270-05 76th Avenue Dept. of Dental Medicine / Oral And, Surgery New Hyde Park, Ny, Ny 11040, New Hyde Park, NY 11040 | 2019-04-24 |
| 1720642093 | Thanzina Chowdhury | Pharmacy | 271-11 76th Ave, Queens, NY 11040 | 2019-04-23 |
| 1427519834 | Connor William Crowley | Student in an Organized Health Care Education/Training Program | Office of Surgical Education Victoria M. Waithe, 270-05 76th Avenue. Research Bldg - C Level Room 039ab, New Hyde Park, NY 11040 | 2019-03-28 |
| Find all providers in zip 11040 | ||||
| Taxonomy Code | 305R00000X |
| Grouping | Managed Care Organizations |
| Classification | Preferred Provider Organization |
| A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level. |
| Notes: Source: "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/ October 1995, p. 62 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891180212 | Fabiola Milord, Dds, Mph, Pllc | Preferred Provider Organization | 1300 Union Tpke, Suite 101, New Hyde Park, NY 11040-1764 | 2015-04-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710404850 | Physical Therapy Unlimited | Preferred Provider Organization | 684 Ocean Terrace, Staten Island, NY 10301 | 2017-08-29 |
| 1982131751 | Wendy Sanzone-korkus | Preferred Provider Organization | 260 7th St, Saint James, NY 11780-2731 | 2017-05-11 |
| 1043753874 | Lisa M. Cassidy, Psychology, P.C. | Preferred Provider Organization | 4250 Vets Hwy, Suite 215, Holbrook, NY 11741-4000 | 2016-11-28 |
| 1780136259 | E. Focus Mental Health Pllc | Preferred Provider Organization | 1713 1719 Ralph Ave, Brooklyn, NY 11236 | 2016-10-31 |
| 1174982953 | S.a.v.o.c L.l.c | Preferred Provider Organization | 2833 West Ridge Road, Pearle Vision Ridgemont Plaza Suite 'a', Rochester, NY 14626 | 2016-02-22 |
| 1154789683 | Awixa Home of Li, Inc | Preferred Provider Organization | 199 Benton Pl, Bay Shore, NY 11706-1507 | 2016-01-28 |
| 1356707293 | Precision Family Dental Nyc | Preferred Provider Organization | 2134 30th Ave, Astoria, NY 11102-3332 | 2016-01-07 |
| 1932565850 | Precision Periodontics Nyc | Preferred Provider Organization | 20124 43rd Ave, Bayside, NY 11361-2545 | 2016-01-07 |
| 1518331156 | Essential Energy Acupuncture, P.C. | Preferred Provider Organization | 2409 Avenue Z, Brooklyn, NY 11235-2631 | 2015-11-19 |
| 1336511336 | Early Intervention Cornerstone, Inc. | Preferred Provider Organization | 98-34 Alstyne Avenue, Floor 2, Corona, NY 11368 | 2015-10-29 |
| Find all providers with the same taxonomy | ||||
| City | NEW HYDE PARK |
| Zip Code | 11040 |
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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.