THERESA REYES CUSTODIO (NPI# 1508162397) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508162397 |
| Entity Type | Individual |
| Full Name | THERESA REYES CUSTODIO |
| Credential | RN |
| Practice Address |
1 Pier Pointe St Apt 517 Yonkers NY 10701-6941 |
| Mailing Address |
1 Pier Pointe St Apt 517 Yonkers NY 10701-3569 |
| Practice Telephone | 7748887724 |
| Mailing Telephone | 7748887724 |
| Enumeration Date | 2011-01-27 |
| Last Update Date | 2011-01-27 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163WH0200X |
Registered Nurse Specialization: Home Health |
608387-1 | NY | Nursing Service Providers |
| Y | 163WP0200X |
Registered Nurse Specialization: Pediatrics |
608387-1 | NY | Nursing Service Providers |
| Street Address |
1 PIER POINTE ST APT 517 |
| City | YONKERS |
| State | NY |
| Zip Code | 10701-6941 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578919718 | Westchester Wellness Nutrition Pllc | Dietitian, Registered | 1 Pier Pointe St, St. 919f, Yonkers, NY 10701-3569 | 2016-05-06 |
| 1568869527 | Kayla Jaeckel | Dietitian, Registered | 1 Pier Pointe St, 919f, Yonkers, NY 10701-3569 | 2014-11-19 |
| 1376824680 | Marilyn Castillo Garcia | Social Worker | 1 Pier Pointe St, Yonkers, NY 10701-3569 | 2011-08-31 |
| 1700165040 | Dmf Nursing Registry | Nursing Care | 1 Pier Pointe St, Apt 508f, Yonkers, NY 10701 | 2011-08-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356978357 | Nisha Ann Jacob | Student in an Organized Health Care Education/Training Program | Saint Joseph's Medical Center, 127 South Broadway, Yonkers, NY 10701 | 2020-03-27 |
| 1306471412 | Mchealth Nemt LLC | Non-emergency Medical Transport (VAN) | 10 Locust Hill Avenue, Suite 2, Yonkers, NY 10701 | 2020-03-09 |
| 1073150314 | Daniel Owusu-ansah | Registered Nurse | 615 Warburton Ave, Apt 4e, Yonkers, NY 10701 | 2019-12-05 |
| 1447738067 | Britney Hudson | Counselor | 58 Hudson St, Yonkers, NY 10701 | 2018-08-06 |
| 1104320704 | Jonathan Alfred Manley | Specialist | 1 Odell Plaza - Fred S. Keller School, Suite #263, Yonkers, NY 10701 | 2018-03-20 |
| 1841718905 | Tanesha Lyttle | Licensed Practical Nurse | 50 Hewphorne Ave., Yonkers, NY 10701 | 2017-09-08 |
| 1598297715 | Lauren Ramm | Surgery | 967 North Broadway, Medical Education Department, Yonkers, NY 10701 | 2017-03-28 |
| 1063953115 | Gina Bianca Butrico | Early Intervention Provider Agency | 300 Corporate Blvd. South, Yonkers, NY 10701 | 2017-03-09 |
| 1225574551 | Syed Islam | Assistant Behavior Analyst | 6 B Greene Pl., Yonkers, NY 10701 | 2017-01-10 |
| 1306296470 | Rebecca Hill | Physician Assistant | 984 N Broadway Ste 509, Yonkers, NY 10701 | 2016-06-20 |
| Find all providers in zip 10701 | ||||
| Taxonomy Code | 163WP0200X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548598261 | Nasmoon Sutherland | Registered Nurse | 781 Mile Square Rd, Yonkers, NY 10704 | 2009-11-19 |
| 1700110160 | Taareenie Prashad | Registered Nurse | 43 Linda Ln, Yonkers, NY 10710-1116 | 2009-10-01 |
| 1336774850 | Penelope Pina | Registered Nurse | 300 Corporate Blvd S, Yonkers, NY 10701-6862 | 2020-03-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164023909 | Joshua Ryan Fox | Registered Nurse | 97 Lianne Dr, Rochester, NY 14626-5337 | 2020-11-06 |
| 1386242261 | Asha Ewrse | Registered Nurse | 24022 Weller Ave, Rosedale, NY 11422-2316 | 2020-10-13 |
| 1407454689 | Emily Rose Hale | Registered Nurse | 58 Evanston Pl, Buffalo, NY 14220-2641 | 2020-10-11 |
| 1750998142 | Keely May Craig | Registered Nurse | 400 W 113th St Apt 410, New York, NY 10025-1770 | 2020-09-29 |
| 1548876055 | Bridget Anne Muscatello | Registered Nurse | 2551 Country Ln, Baldwinsville, NY 13027-9606 | 2020-09-20 |
| 1881209252 | Emily Francesca | Registered Nurse | 80 Corona Rd, Rochester, NY 14615-2643 | 2020-09-12 |
| 1033727649 | Samantha Ashley Hedges | Registered Nurse | 3 Mountain Ln Apt 3c, Rochester, NY 14625-2502 | 2020-07-20 |
| 1053932921 | Jennifer Thomas | Registered Nurse | 1835 Baird Rd, Penfield, NY 14526-1045 | 2020-05-02 |
| 1447870241 | Carrie Marie Meyer | Registered Nurse | 3 Lucia Cir, North Chili, NY 14514-9632 | 2020-04-21 |
| 1255968087 | Anna Marie Marcy | Registered Nurse | 44 Dundas Dr, Rochester, NY 14625-1369 | 2020-03-23 |
| 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.