MRS. JINA BAE NOCERA (NPI# 1538105887) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538105887 |
| Entity Type | Individual |
| Full Name | MRS. JINA BAE NOCERA |
| Credential | M.D. |
| Practice Address |
154 Lafayette St Palatine Bridge NY 13428-9715 |
| Practice Telephone | 5186735212 |
| Practice Fax Number | 5186734337 |
| Mailing Telephone | 5186735212 |
| Mailing Fax Number | 5186734337 |
| Enumeration Date | 2006-06-22 |
| Last Update Date | 2019-11-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
ME110184 | FL | Allopathic & Osteopathic Physicians |
| N | 208M00000X | Hospitalist | 224602 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VT | 1013986 | 05 | |
| MA | 3205029 | 05 | |
| NY | 02257876 | 05 | |
| NY | RR MEDICARE | P00371407 | 01 |
| FL | RR MEDICARE | P00995221 | 01 |
| Street Address |
154 LAFAYETTE ST |
| City | PALATINE BRIDGE |
| State | NY |
| Zip Code | 13428-9715 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417954959 | Cosden, LLC | Skilled Nursing Facility | 154 Lafayette St, Palatine Bridge, NY 13428-9715 | 2005-06-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386932614 | Mid-county Volunteer Ambulance Service, Inc. | Ambulance | 46 West Grand Street, Palatine Bridge, NY 13428 | 2011-07-20 |
| 1346562378 | Brent M Whitman | Pharmacist | 6025 Ny State Route 5, Palatine Bridge, NY 13428 | 2010-02-18 |
| 1063669836 | Lisa P Schlicht | Pharmacist | 6025 Nys Route 5, Palatine Bridge, NY 13428 | 2008-08-25 |
| 1710090477 | Golub Corporation | Pharmacy | 6025 Nys Rte 5, Palatine Bridge, NY 13428 | 2006-08-16 |
| 1043754799 | Glenn Ashline | Pharmacist | 6025 Nys Route 5, Price Chopper Pharmacy, Palatine Bridge, NY 13428 | 2016-12-15 |
| 1558698894 | Russell James Aiken | Pharmacist | 6025 Nys Route 5, Palatine Bridge, NY 13428 | 2009-11-06 |
| 1396842118 | Christine Brust | Speech-Language Pathologist | 627 Mckinley Rd, Palatine Bridge, NY 13428-2210 | 2006-09-20 |
| 1396067674 | Peter C Wing | Pharmacist | 9 E Grand St, Palatine Bridge, NY 13428-2401 | 2010-02-27 |
| 1881639219 | Mid-county Volunteer Ambulance Service Ny Inc. | Ambulance | 46 W Grand Strett, Palatine Bridge, NY 13428-9701 | 2006-06-19 |
| 1841476850 | Alaina Christin Mazza | Pharmacist | 9 E Grand St, Palatine Bridge, NY 13428-9775 | 2008-01-21 |
| Find all providers in zip 13428 | ||||
| Taxonomy Code | 207RN0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Nephrology |
| An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275171472 | Health Quest Medical Practice, PC | Internal Medicine | 667 Stoneleigh Ave Ste 123, Carmel, NY 10512-2455 | 2019-12-18 |
| 1881255370 | Marc J Yunis Md PC | Internal Medicine | 1100 Stewart Ave Ste 2, Garden City, NY 11530-4839 | 2019-06-25 |
| 1750841953 | Live Well Medical Care, PC | Internal Medicine | 178 Dahill Rd Ste 1, Brooklyn, NY 11218-2255 | 2019-03-22 |
| 1124509278 | Andre Francis Charest | Internal Medicine | 462 Grider St Fl 11, Buffalo, NY 14215-3021 | 2018-08-27 |
| 1760960132 | Hn&d Company LLC | Internal Medicine | 33 Walt Whitman Rd Ste 114, Huntington Station, NY 11746-3676 | 2018-07-30 |
| 1669979720 | Ambreen Azhar | Internal Medicine | St Lukes Hospital Mount Sinai, 1111 Amsterdam Ave, Nyc, NY 10025 | 2018-04-06 |
| 1659898443 | Broadway Medical Care, P.C. | Internal Medicine | 4117 Judge St Fl 1, Elmhurst, NY 11373-2343 | 2017-08-23 |
| 1023539590 | Ismail Omran | Internal Medicine | 7901 Broadway # C7-10, Elmhurst, NY 11373-1329 | 2017-07-05 |
| 1932636636 | Marco Bonilla | Internal Medicine | 8345 Lefferts Blvd Apt 2c, Kew Gardens, NY 11415-2516 | 2017-05-12 |
| 1386190676 | Mubasshar Rehman | Internal Medicine | Division of Nephrology Mount Sinai St. Luke's Hospital, 1111 Amsterdam Avenue, New York, NY 10025 | 2016-08-28 |
| Find all providers with the same taxonomy | ||||
| City | PALATINE BRIDGE |
| Zip Code | 13428 |
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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.