AMEL BADR (NPI# 1528262904) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528262904 |
| Entity Type | Individual |
| Full Name | AMEL BADR |
| Practice Address |
998 Crooked Hill Rd West Brentwood NY 11717-1043 |
| Mailing Address |
260 Terrace Ave Hasbrouck Heights NJ 07604-1931 |
| Practice Telephone | 6317613500 |
| Enumeration Date | 2007-06-12 |
| Last Update Date | 2017-08-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
P56143 | NY | Allopathic & Osteopathic Physicians |
| Y | 2084P0805X |
Psychiatry & Neurology Specialization: Geriatric Psychiatry |
NJ25MA08326600 | NJ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | P56143 | 05 |
| Street Address |
998 CROOKED HILL RD |
| City | WEST BRENTWOOD |
| State | NY |
| Zip Code | 11717-1043 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891721916 | Herminia Hermogenes | Psychiatry & Neurology | 998 Crooked Hill Rd, Bldg. 56, West Brentwood, NY 11717-1043 | 2006-06-23 |
| 1740887124 | Christian Ciaburri | Registered Nurse | 998 Crooked Hill Rd, West Brentwood, NY 11717-1019 | 2020-10-08 |
| 1437771011 | Noelle Vidaic | Registered Nurse | 998 Crooked Hill Rd, West Brentwood, NY 11717-1019 | 2020-05-18 |
| 1679194112 | Maryna Krumholz | Registered Nurse | 998 Crooked Hill Rd, West Brentwood, NY 11717-1019 | 2020-05-06 |
| 1427679695 | Christine Simcich | Registered Nurse | 998 Crooked Hill Rd, West Brentwood, NY 11717-1019 | 2020-04-29 |
| 1538789086 | Carolyn Herold | Registered Nurse | 998 Crooked Hill Rd, West Brentwood, NY 11717-1019 | 2020-04-24 |
| 1992325450 | Henry Vonpoleski | Registered Nurse | 998 Crooked Hill Rd, West Brentwood, NY 11717-1019 | 2020-04-24 |
| 1851925903 | Marvett A Malcolm | Registered Nurse | 998 Crooked Hill Rd, West Brentwood, NY 11717-1019 | 2020-02-27 |
| 1992346621 | Diane Lopez-mahabir | Registered Nurse | 998 Crooked Hill Rd, West Brentwood, NY 11717-1019 | 2019-10-03 |
| 1770133423 | Ivan Leonidas Giannou | Registered Nurse | 998 Crooked Hill Rd, West Brentwood, NY 11717-1019 | 2019-09-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265998827 | Lauretta Elaine Murdock | Behavioral Analyst | C/o The Mosaic Foundation for Autism, Inc., 1725 Brentwood Rd., Brentwood, NY 11717 | 2019-02-19 |
| 1811467467 | Benjamin D. Thompkins Jr. | Social Worker | 164 3rd Avenue, Brentwood, NY 11717 | 2018-11-27 |
| 1114496262 | Timothy Eisemann | Registered Nurse | 52 Third Ave, Brentwood, NY 11717 | 2018-11-19 |
| 1245710490 | Lauren Linker | Occupational Therapist | Brentwood Union Free School District, 52 Third Avenue, Brentwood, NY 11717 | 2018-08-17 |
| 1558849786 | Anila Thomas | Registered Nurse | Pilgrims Psychiatric Center, 998 Crooked Hill Road, Brentwood, NY 11717 | 2018-07-31 |
| 1306330857 | Rhina Aguila | Licensed Practical Nurse | 162 Studley St, Brentwood, NY 11717 | 2018-06-19 |
| 1659863595 | Steven Edward Szydziak | Registered Nurse | Pilgrim State Psychiatric Center, 998crooked Hil Rd, Brentwood, NY 11717 | 2018-06-06 |
| 1881103570 | Shatevia Simpson Hickson | Behavioral Analyst | 56 Swallow Ln, Brentwood, NY 11717 | 2017-09-25 |
| 1306375753 | Shavona Layne | Behavioral Analyst | 8 Strum Streeet, Brentwood, NY 11717 | 2017-06-08 |
| 1669921334 | David Ramirez | Licensed Practical Nurse | 27 Bruce Lane, Brentwood, NY 11717 | 2016-09-23 |
| Find all providers in zip 11717 | ||||
| Taxonomy Code | 2084P0805X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Geriatric Psychiatry |
| Geriatric Psychiatry is a subspecialty with psychiatric expertise in prevention, evaluation, diagnosis and treatment of mental and emotional disorders in the elderly, and improvement of psychiatric care for healthy and ill elderly patients. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295984615 | Claudia Zoch | Psychiatry & Neurology | 998 Crooked Hill Rd, Building 25 3n, West Brentwood, NY 11717-1019 | 2008-09-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982003380 | Johanna Cabassa | Psychiatry & Neurology | 111 E 210th St # Street1, Bronx, NY 10467-2401 | 2014-08-21 |
| 1427491745 | Mervat Estefanos | Psychiatry & Neurology | 1901 1st Ave, Room M1-18, Metropolitan Hospital Center, New York, NY 10029 | 2013-04-17 |
| 1194076851 | Paul E. Yarden | Psychiatry & Neurology | 201 E 77th St Apt 17b, New York, NY 10075-2085 | 2012-09-20 |
| 1588810592 | Nery Diaz | Psychiatry & Neurology | 635 W 165th St # Ei-6, New York, NY 10032-3724 | 2008-08-10 |
| 1679734651 | Stephanie Joan Samuels | Psychiatry & Neurology | 25 Gilbert Dr, Hyde Park, NY 12538-2431 | 2008-06-22 |
| 1295992410 | Lamberto Soriano Lopez | Psychiatry & Neurology | 28 Sherri Ln, Spring Valley, NY 10977-1300 | 2008-05-16 |
| 1982802906 | Alex Mikhelson | Psychiatry & Neurology | 690 Castleton Ave, Staten Island, NY 10310-1818 | 2007-07-11 |
| 1831224062 | Walter W. Furer | Psychiatry & Neurology | 150 E 90th St, New York, NY 10128-2328 | 2007-02-21 |
| 1225172075 | Diana Feldman | Psychiatry & Neurology | 525 East 68th Street # 140, New York, NY 10021 | 2007-02-16 |
| 1023155504 | Barry Reisberg | Psychiatry & Neurology | 20 Waterside Plaza, Suite # 7k, New York, NY 10010-2619 | 2007-01-31 |
| Find all providers with the same taxonomy | ||||
| City | WEST BRENTWOOD |
| Zip Code | 11717 |
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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.