MATTHEW THOMAS GORMAN (NPI# 1508334962) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508334962 |
| Entity Type | Individual |
| Full Name | MATTHEW THOMAS GORMAN |
| Credential | PA-C |
| Practice Address |
625 Belmont Ave West Babylon NY 11704-1939 |
| Practice Telephone | 6312758322 |
| Mailing Telephone | 6312758322 |
| Enumeration Date | 2018-11-04 |
| Last Update Date | 2019-03-20 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 023388 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043477243 | Matthew Francis Gorman | Pediatrics | 505 Parnassus Ave Box 0106, Ucsf Department of Pediatrics - Oncology, San Francisco, CA 94143-0106 | 2008-05-16 |
| 1770874117 | Matthew William Gorman | Family Medicine | 8100 W 78th St, Ste. 230, Edina, MN 55439-2516 | 2011-04-20 |
| 1518189471 | Matthew E Gorman | Internal Medicine | 739 Irving Ave, Suite 500, Syracuse, NY 13210-1640 | 2007-05-02 |
| 1194858357 | Matthew Gorman | Orthopaedic Surgery | 4140 Centennial Hills Blvd, Ste A, Casper, WY 82609 | 2007-03-14 |
| 1427130392 | Matthew Gorman | Internal Medicine | 10 Saint Clare Ct, Washington, IL 61571-9239 | 2006-10-20 |
| Street Address |
625 BELMONT AVE |
| City | WEST BABYLON |
| State | NY |
| Zip Code | 11704-1939 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679107387 | Terese Wunderlich | Massage Therapist | 555 Little E. Neck Road, West Babylon, NY 11704 | 2020-03-03 |
| 1437782604 | Pierangelie Maldonado | Licensed Practical Nurse | 140 Bond Street, West Babylon, NY 11704 | 2020-02-17 |
| 1356811947 | Chanell Smiley | Social Worker | 635 Commander Ave, West Babylon, NY 11704 | 2018-11-27 |
| 1265973960 | Elizabeth Cianchetti, Lcsw, Pllc | Social Worker | 1218 -12th St., West Babylon, NY 11704 | 2017-03-14 |
| 1689060626 | Jessica Marie Byers | Licensed Practical Nurse | 430 14th Street, West Babylon, NY 11704 | 2015-04-07 |
| 1689079741 | Barbara Hayes | Registered Nurse | 1 Farmingdale Road Route 109, Federation of Organizations, West Babyon, NY 11704 | 2014-10-30 |
| 1336541515 | Heather C Frankaitis | Massage Therapist | 555 Little East Neck Rd., Suite 3, West Babylon, NY 11704 | 2014-09-19 |
| 1922414572 | Nikki Lanclos | Counselor | 165 Fulton Street, West Babylon, NY 11704 | 2014-07-03 |
| 1699189027 | Corina Smith | Licensed Practical Nurse | 15 Mida Ct, West Babylon, NY 11704 | 2014-06-13 |
| 1528483005 | Angela Christina Albergo-roman | Counselor | One Farmingdale Road, West Babylon, NY 11704 | 2014-02-20 |
| Find all providers in zip 11704 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417590399 | Jessica Kiernan | Physician Assistant | 272 Cadman Ave, West Babylon, NY 11704-6711 | 2019-10-23 |
| 1699185934 | Shreya Gir | Physician Assistant | 218 15th St, West Babylon, NY 11704-2708 | 2014-05-07 |
| 1841503463 | Michele Capaccio | Physician Assistant | 393 Sunrise Hwy Ste 2, West Babylon, NY 11704-5909 | 2010-07-24 |
| 1003382383 | Kaitlyn Oliveri | Physician Assistant | 190 15th St, West Babylon, NY 11704-2706 | 2018-10-15 |
| 1164931101 | Kara Michelle Cianciotti | Physician Assistant | 373 Sunrise Hwy, West Babylon, NY 11704-5901 | 2017-09-21 |
| 1043750722 | Volodymyr Serediouk | Physician Assistant | 21 Montgomery Ave, West Babylon, NY 11704 | 2017-03-01 |
| 1093267338 | Tova Kutner | Physician Assistant | 580 Sunrise Hwy, West Babylon, NY 11704-6000 | 2016-11-03 |
| 1174074660 | Danielle Marie Read | Physician Assistant | 760 Sunrise Hwy, West Babylon, NY 11704-6014 | 2016-10-19 |
| 1588011076 | Meaghan Watts | Physician Assistant | 760 Sunrise Hwy, West Babylon, NY 11704-6014 | 2016-05-16 |
| 1093111486 | Maura Casey | Physician Assistant | 373 Sunrise Hwy, West Babylon, NY 11704-5901 | 2014-11-12 |
| Find all providers in WEST BABYLON | ||||
| City | WEST BABYLON |
| Zip Code | 11704 |
Please comment or provide details below to improve the information on MATTHEW THOMAS GORMAN.
| 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.