MS. JEANNETTE SANTULLI (NPI# 1497946784) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497946784 |
| Entity Type | Individual |
| Full Name | MS. JEANNETTE SANTULLI |
| Credential | NURSE PRACTITIONER |
| Practice Address |
197 Half Hollow Rd Dix Hills NY 11746-5861 |
| Mailing Address |
56 Jacqueline Way North Babylon NY 11703-1206 |
| Practice Telephone | 6312866935 |
| Mailing Telephone | 6316834199 |
| Enumeration Date | 2007-08-05 |
| Last Update Date | 2009-01-13 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 417230 1 | NY | Nursing Service Providers |
| N | 163WP0807X |
Registered Nurse Specialization: Psych/Mental Health, Child & Adolescent |
F401156-1 | NY | Nursing Service Providers |
| Y | 364SP0807X |
Clinical Nurse Specialist Specialization: Psych/Mental Health, Child & Adolescent |
F4011561 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 02077636 | 05 |
| Street Address |
197 HALF HOLLOW RD |
| City | DIX HILLS |
| State | NY |
| Zip Code | 11746-5861 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104983329 | Nys Office of Mental Health | Clinic/Center | 197 Half Hollow Rd, Dix Hills, NY 11746-5861 | 2007-01-03 |
| 1588128052 | Anthony Calabrese | Social Worker | 197 Half Hollow Rd, Dix Hills, NY 11746-5859 | 2019-01-29 |
| 1053829622 | Donna Cohen-buthmann | Social Worker | 197 Half Hollow Rd, Dix Hills, NY 11746-5861 | 2018-01-17 |
| 1245747799 | Megan Antoncich | Social Worker | 197 Half Hollow Rd, Dix Hills, NY 11746-5861 | 2018-01-05 |
| 1093118283 | Andrew C Yang | Pharmacist | 197 Half Hollow Rd, Pharmacy Dept, Dix Hills, NY 11746-5859 | 2014-10-01 |
| 1962708529 | Chukwuka Mordi | Nurse Practitioner | 197 Half Hollow Rd, Dix Hills, NY 11746-5861 | 2011-01-31 |
| 1891927851 | Lyle Eisenberg | Pharmacist | 197 Half Hollow Rd, Dix Hills, NY 11746-5861 | 2009-08-10 |
| 1003040486 | Edward John Rorrison | Pharmacist | 197 Half Hollow Rd, Dix Hills, NY 11746-5861 | 2009-05-13 |
| 1649480294 | Michele Marie Mahon | Psychiatry & Neurology | 197 Half Hollow Rd, Dix Hills, NY 11746-5861 | 2007-05-23 |
| 1285846188 | Angela M. Bengis | Social Worker | 197 Half Hollow Rd, Dix Hills, NY 11746-5861 | 2007-05-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063044170 | Gail Sackett | Registered Nurse | James E. Allen Learning Center, 762 Deer Park Road, Dix Hills, NY 11746 | 2020-02-06 |
| 1275011835 | Kimberly Susan Tillett | Licensed Practical Nurse | 22 Millet St., Dix Hills, NY 11746 | 2018-08-04 |
| 1225514409 | Mauricio R. Milhoua | Otolaryngology | 16 Marion Place, South Huntington, NY 11746 | 2018-07-11 |
| 1073037032 | Stacy H Schoenbach | Nurse Practitioner | 150 Broadhollow Road Suite 310, Melville, NY 11746 | 2017-08-01 |
| 1124542584 | Molar To Molar Dentistry PC | Dentist | 1679 New York Avenue, Huntington Station, NY 11746 | 2017-07-27 |
| 1114451077 | Ashleigh Lakatos | Specialist/Technologist | 586 Vanderbilt Pkwy, Dix Hills, NY 11746 | 2017-04-18 |
| 1487199170 | Aderemi O. Ogundiran | Student in an Organized Health Care Education/Training Program | 10 Mont Avenue, Dix Hills, NY 11746 | 2017-01-04 |
| 1942758347 | Philopenie Moise | Registered Nurse | 58 Alpine Way, Huntington Station, NY 11746 | 2016-09-14 |
| 1235598996 | Helen Martignette | Registered Nurse | 121 Wolf Hill Rd, Birchwood School, Melville, NY 11746 | 2016-02-23 |
| 1154780963 | Karen Rose Jacobsen | Registered Nurse | 165 Pidgeon Hill Road, South Huntington, NY 11746 | 2016-02-22 |
| Find all providers in zip 11746 | ||||
| Taxonomy Code | 364SP0807X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| Specialization | Psych/Mental Health, Child & Adolescent |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205470333 | Lissy Mathew Kochupurackal | Clinical Nurse Specialist | 8141 249th St, Bellerose, NY 11426-2517 | 2019-10-31 |
| 1942843685 | Dolly Ann Benedict | Clinical Nurse Specialist | 7403 Commonwealth Blvd Bldg 55, Bellerose, NY 11426-1839 | 2019-10-25 |
| 1326671488 | James Ernest Watts | Clinical Nurse Specialist | 1400 Noyes St, Utica, NY 13502-3854 | 2020-02-18 |
| 1144764168 | Jayne Eliach | Clinical Nurse Specialist | 470 West End Avenue, Suite 1d, Ny, NY 10024 | 2016-12-09 |
| 1285833947 | Diane Annette Stranieri | Clinical Nurse Specialist | 480 Old Westbury Road, Roslyn Heights, NY 11577 | 2007-07-13 |
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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.