THERESA A PROVETTO (NPI# 1528022381) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528022381 |
| Entity Type | Individual |
| Full Name | THERESA A PROVETTO |
| Credential | PA |
| Practice Address |
180 E Pulaski Rd Huntington Station NY 11746-1915 |
| Practice Telephone | 6314252145 |
| Practice Fax Number | 6314252296 |
| Mailing Telephone | 6314252145 |
| Mailing Fax Number | 6314252296 |
| Enumeration Date | 2006-04-17 |
| Last Update Date | 2008-02-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 002407 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 02066017 | 05 |
| Street Address |
180 E PULASKI RD |
| City | HUNTINGTON STATION |
| State | NY |
| Zip Code | 11746-1915 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891792180 | Adam Jon Keslonsky | Podiatrist | 180 E Pulaski Rd, Huntington Station, NY 11746-1915 | 2005-07-01 |
| 1700442720 | Melissa Nicole Dietz | Dietitian, Registered | 180 E Pulaski Rd, Huntington Station, NY 11746-1915 | 2019-05-15 |
| 1346732070 | New York University | Internal Medicine | 180 E Pulaski Rd, Huntington Station, NY 11746-1915 | 2018-05-30 |
| 1447773361 | Tracy Riedinger | Physician Assistant | 180 E Pulaski Rd, Huntington Station, NY 11746-1915 | 2017-07-23 |
| 1558882076 | New York University | Internal Medicine | 180 E Pulaski Rd, Huntington Station, NY 11746-1915 | 2017-07-06 |
| 1497139869 | Lilly Ma-perez | Registered Nurse | 180 E Pulaski Rd, Huntington Station, NY 11746-1915 | 2015-07-16 |
| 1528460169 | Leslie Bredes | Nurse Practitioner | 180 E Pulaski Rd, Huntington Station, NY 11746-1915 | 2014-09-25 |
| 1205238672 | Huntington Medical Group | Physician Assistant | 180 E Pulaski Rd, Huntington Station, NY 11746-1915 | 2014-09-17 |
| 1649671223 | Christopher Danielski | Physician Assistant | 180 E Pulaski Rd, Huntington Station, NY 11746-1915 | 2014-09-15 |
| 1912312224 | Mayra Berardo | Nurse Practitioner | 180 E Pulaski Rd, Huntington Station, NY 11746-1915 | 2014-06-25 |
| 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 | 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 |
|---|---|---|---|---|
| 1447773361 | Tracy Riedinger | Physician Assistant | 180 E Pulaski Rd, Huntington Station, NY 11746-1915 | 2017-07-23 |
| 1205238672 | Huntington Medical Group | Physician Assistant | 180 E Pulaski Rd, Huntington Station, NY 11746-1915 | 2014-09-17 |
| 1649671223 | Christopher Danielski | Physician Assistant | 180 E Pulaski Rd, Huntington Station, NY 11746-1915 | 2014-09-15 |
| 1962647958 | Tracey Ann Woliner | Physician Assistant | 180 E Pulaski Rd, Huntington Station, NY 11746-1915 | 2008-12-05 |
| 1740311752 | Katia Leonard-blanc | Physician Assistant | 180 E Pulaski Rd, Huntington Station, NY 11746-1915 | 2007-03-08 |
| 1417939653 | Doreen Marie Eadie | Physician Assistant | 180 E Pulaski Rd, Huntington Station, NY 11746-1915 | 2005-11-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144821026 | Victoria Yunaev | Physician Assistant | 7203 166th St, Fresh Meadows, NY 11365-3237 | 2020-11-05 |
| 1811598857 | Brittany Christine Androsko | Physician Assistant | 1769 Union St Fl 2, Niskayuna, NY 12309-6311 | 2020-11-05 |
| 1164023172 | Betina Charlotte Apostol Nuguid | Physician Assistant | 1730 Central Park Ave Ste 3p, Yonkers, NY 10710-4905 | 2020-11-05 |
| 1023619129 | Anna Leigh Vonck | Physician Assistant | 2 Executive Park Dr Ste 2, Albany, NY 12203-3700 | 2020-11-04 |
| 1952902256 | Billy Phuoctan Truong | Physician Assistant | 8832 18th Ave, Brooklyn, NY 11214-6002 | 2020-11-03 |
| 1205437621 | Jason Patrick Feak | Physician Assistant | 6338 Falls Blvd, Chittenango, NY 13037-8799 | 2020-11-03 |
| 1437750742 | Drew James Mitchell | Physician Assistant | 58 Old Bedford Rd, Goldens Bridge, NY 10526-1000 | 2020-11-03 |
| 1306446125 | Julie Mcphillips | Physician Assistant | 961 W Kaisertown Rd, Montgomery, NY 12549-2317 | 2020-10-30 |
| 1487254330 | Thomas J Nagel | Physician Assistant | 57 Montgomery Road, Fort Montgomery, NY 10922 | 2020-10-29 |
| 1700486560 | Jayanti Rao | Physician Assistant | 1059 Union St Apt 3g, Brooklyn, NY 11225-1268 | 2020-10-29 |
| Find all providers with the same taxonomy | ||||
| City | HUNTINGTON STATION |
| Zip Code | 11746 |
Please comment or provide details below to improve the information on THERESA A PROVETTO.
| 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.