SAMANTHA PIDGEON (NPI# 1508374190) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508374190 |
| Entity Type | Individual |
| Full Name | SAMANTHA PIDGEON |
| Practice Address |
3600 Route 112 Coram NY 11727 |
| Mailing Address |
14202 20th Ave Fl 3 Flushing NY 11351-3000 |
| Practice Telephone | 6319208500 |
| Mailing Telephone | 9175633350 |
| Enumeration Date | 2018-01-17 |
| Last Update Date | 2018-06-05 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| N | 390200000X | Student in an Organized Health Care Education/Training Program | NY | Student, Health Care |
| Street Address |
3600 ROUTE 112 |
| City | CORAM |
| State | NY |
| Zip Code | 11727 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417083973 | Mary Ringlen | Social Worker | 3600 Route 112, Coram, NY 11727-4116 | 2007-02-26 |
| 1760081277 | Ally Danielle Liff | Student in an Organized Health Care Education/Training Program | 3600 Route 112, Coram, NY 11727-4116 | 2020-10-26 |
| 1407456940 | Imani Alexia Nunez | Student in an Organized Health Care Education/Training Program | 3600 Route 112, Coram, NY 11727-4116 | 2020-10-26 |
| 1174137038 | Jennifer Stosch | Social Worker | 3600 Route 112, Coram, NY 11727-4116 | 2020-09-08 |
| 1144834979 | Christina Cona | Student in an Organized Health Care Education/Training Program | 3600 Route 112, Coram, NY 11727-4116 | 2020-08-31 |
| 1225648033 | Brianna Gallina | Student in an Organized Health Care Education/Training Program | 3600 Route 112, Coram, NY 11727-4116 | 2020-08-06 |
| 1871119750 | Michele Piediscalzo | Student in an Organized Health Care Education/Training Program | 3600 Route 112, Coram, NY 11727-4116 | 2020-06-17 |
| 1235755117 | Justine Biscardi | Student in an Organized Health Care Education/Training Program | 3600 Route 112, Coram, NY 11727-4116 | 2020-06-17 |
| 1992321889 | Andy Melendez | Student in an Organized Health Care Education/Training Program | 3600 Route 112, Coram, NY 11727-4116 | 2020-06-17 |
| 1740804426 | Jaclynn Paduano | Student in an Organized Health Care Education/Training Program | 3600 Route 112, Coram, NY 11727-4116 | 2020-05-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649891490 | Ocean Acupuncture PC | Acupuncturist | 1970-6, Coram, NY 11727 | 2020-05-04 |
| 1982254058 | Lynanne Helen Bopp | Student in an Organized Health Care Education/Training Program | 3600 Ny- 112, Coram, NY 11727 | 2019-09-19 |
| 1427604206 | Embrace Your Energy, LLC | Specialist/Technologist | 300 Wincoram Way, Coram, NY 11727 | 2019-08-16 |
| 1457842247 | Hina Ghani | Pharmacist | 1710 Ny-112, Coram, NY 11727 | 2018-05-29 |
| 1093219636 | James Brian Rochford Jr. | Social Worker | 1980 Ny Route 112, Coram, NY 11727 | 2018-03-20 |
| 1902324502 | Shanell Lovette Woodley | Registered Nurse | Country Club Drive, Apt 10 D, Coram, NY 11727 | 2017-09-03 |
| 1730606377 | Emani, Inc. | Respite Care | 5 Hagen Ct., Coram, NY 11727 | 2017-08-24 |
| 1124553292 | Zhimin Lin | Dentist | 1879 Ny-112, Coram, NY 11727 | 2017-04-26 |
| 1780125286 | Jennifer Zielinski | Specialist | 18 Cammann Road, Coram, NY 11727 | 2017-03-16 |
| 1194271486 | Kimberly Kowalczyk | Psychologist | 28 Hawkins Path, Coram, NY 11727 | 2016-08-28 |
| Find all providers in zip 11727 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679086920 | Janine Colasuonno, Licensed Mental Health Counselor, Pllc | Counselor | 3 Chestnut St, Coram, NY 11727-1404 | 2017-11-08 |
| 1366833550 | Nicole Alexis Skinner | Counselor | 3600 New York 112, Coram, NY 11727 | 2015-02-10 |
| 1922420538 | Kristen L Hoey | Counselor | 23 Canterbury Dr, Coram, NY 11727-2308 | 2014-01-16 |
| 1952658015 | Shari Lynn Loewenthal | Counselor | 2430 Avalon Pines Dr, Coram, NY 11727-5169 | 2012-08-08 |
| 1053933085 | Shannon Tierney | Counselor | 3600 Route 112, Coram, NY 11727-4116 | 2020-05-13 |
| 1982223723 | Cynthia Stusvick | Counselor | 3600 Route 112, Coram, NY 11727-4116 | 2020-04-12 |
| 1205481637 | Christina Postiglione | Counselor | 3600 Route 112, Coram, NY 11727-4116 | 2019-08-02 |
| 1366904013 | Jennifer Solis | Counselor | 3600 Route 112, Coram, NY 11727-4116 | 2019-04-02 |
| 1245794338 | Keisha Joseph-brister | Counselor | 3600 Route 112, Coram, NY 11727-4116 | 2019-01-23 |
| 1003394735 | Joanne Bauman | Counselor | 3600 Route 112, Coram, NY 11727-4116 | 2018-08-03 |
| Find all providers in CORAM | ||||
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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.