DAVID JUAN (NPI# 1497975759) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497975759 |
| Entity Type | Individual |
| Full Name | DAVID JUAN |
| Practice Address |
11 Farber Drive Unit D Bellport NY 11713 |
| Practice Telephone | 6312860700 |
| Practice Fax Number | 6312860688 |
| Enumeration Date | 2007-04-27 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
18907 | NY | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528300076 | David Juan | Student in an Organized Health Care Education/Training Program | 1811 E Bert Koun Loop, Shreveport, LA 71105 | 2013-03-22 |
| 1205877222 | David Juan | Internal Medicine | 3466 El Camino Real, Santa Clara, CA 95051-2809 | 2006-06-09 |
| Street Address |
11 FARBER DRIVE UNIT D |
| City | BELLPORT |
| State | NY |
| Zip Code | 11713 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336221811 | Annmarie Jazylo | Counselor | 11 Farber Drive, Unit D, Bellport, NY 11713 | 2006-10-20 |
| 1619484698 | Courtney Jean Mcdermott | Counselor | 11 Farber Drive, Bellport, NY 11713 | 2017-12-29 |
| 1063632248 | Mary Brite | Counselor | 11 Farber Drive, Unit D, Bellport, NY 11713 | 2007-04-27 |
| 1972685451 | Frances Johnson | Registered Nurse | 11 Farber Drive, Unit D, Bellport, NY 11713 | 2006-10-20 |
| 1922180405 | Bettina Pennon | Counselor | 11 Farber Drive, Unit D, Bellport, NY 11713 | 2006-10-20 |
| 1073695540 | Derek Hawkins | Social Worker | 11 Farber Drive, Unit D, Bellport, NY 11713 | 2006-10-20 |
| 1023190501 | Karen O'brien | Social Worker | 11 Farber Drive, Unit D, Bellport, NY 11713 | 2006-10-20 |
| 1679655187 | Suzanne Soganics | Counselor | 11 Farber Drive, Unit D, Bellport, NY 11713 | 2006-10-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730621210 | Jessica Henderson-gray | Licensed Practical Nurse | 735 Walker Ave, Bellport, NY 11713 | 2016-11-15 |
| 1184166969 | Eshelai Jainese Fitzgerald | Licensed Practical Nurse | 138 New Jersey Ave, Bellport, NY 11713 | 2016-11-10 |
| 1437592557 | Rachel Boykin | Licensed Practical Nurse | 654 Meade Avenue, Bellport, NY 11713 | 2013-04-08 |
| 1922383702 | Gabrielle Maria Coyne | Student in an Organized Health Care Education/Training Program | 35 Kreamer Street, Bellport, NY 11713 | 2011-10-12 |
| 1003124595 | Cathy Jean Ekstrom | Speech-Language Pathologist | 352 Martha Ave, Bellport, NY 11713 | 2010-09-17 |
| 1841440401 | Colline Ann Murphy | Licensed Practical Nurse | 755 Bourdois Ave, Bellport, NY 11713 | 2008-09-19 |
| 1134398209 | Althea Lavernie Bullen | Registered Nurse | 548 Bellport Ave, Bellport, NY 11713 | 2008-02-22 |
| 1366646689 | Erica Martin | Counselor | 11 Farber Drive Unit D, Bellport, NY 11713 | 2007-06-12 |
| 1316153109 | Serenity Enterprises Inc | Counselor | 27 Champlin Avenue, Bellport, NY 11713 | 2007-05-16 |
| 1972641256 | Anne Dooling | Social Worker | 56 Bieselin Road, Bellport, NY 11713 | 2007-02-01 |
| Find all providers in zip 11713 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366646689 | Erica Martin | Counselor | 11 Farber Drive Unit D, Bellport, NY 11713 | 2007-06-12 |
| 1316153109 | Serenity Enterprises Inc | Counselor | 27 Champlin Avenue, Bellport, NY 11713 | 2007-05-16 |
| 1336221811 | Annmarie Jazylo | Counselor | 11 Farber Drive, Unit D, Bellport, NY 11713 | 2006-10-20 |
| 1053819334 | Mary Christine Climo | Counselor | 11 Farber Dr, Bellport, NY 11713-1500 | 2018-01-31 |
| 1093221178 | Caitlin Lamneck | Counselor | 11 Farber Dr, Bellport, NY 11713-1500 | 2017-12-27 |
| 1730695149 | Marissa Nicole Boscia-wittekind | Counselor | 11 Farber Dr Ste D, Bellport, NY 11713-1500 | 2017-12-20 |
| 1518323922 | Catherine Schneider | Counselor | 112 S Country Rd, Suite 210, Bellport, NY 11713-2534 | 2016-01-14 |
| 1164676805 | Jessica Pentecost | Counselor | 11 Farber Dr, Bellport, NY 11713-1500 | 2008-11-07 |
| 1477707289 | Conrado De La Garza | Counselor | 11 Farber Dr, Unit D, Bellport, NY 11713-1500 | 2008-11-06 |
| 1366643439 | Addie Hampton | Counselor | 27 Champlin Avenue, Bellport, NY 11713 | 2007-05-29 |
| Find all providers in BELLPORT | ||||
Please comment or provide details below to improve the information on DAVID JUAN.
| 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.