OCTAVIA PERRY (NPI# 1568931962) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568931962 |
| Entity Type | Individual |
| Full Name | OCTAVIA PERRY |
| Credential | FNP-C |
| Practice Address |
160 N Midland Ave Nyack NY 10960-1912 |
| Mailing Address |
454 Avalon Gardens Dr Nanuet NY 10954-7434 |
| Practice Telephone | 8453482000 |
| Mailing Telephone | 8039174815 |
| Enumeration Date | 2018-11-15 |
| Last Update Date | 2019-09-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 21238 | SC | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363L00000X | Nurse Practitioner | 0024175789 | VA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
344839 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 60 Manilla Ln, Hampton, VA 236691683 | 8039174815 |
| Street Address |
160 N MIDLAND AVE |
| City | NYACK |
| State | NY |
| Zip Code | 10960-1912 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528068871 | Mitchell D. Cohn | Anesthesiology | 160 N Midland Ave, Nyack Hospital, Nyack, NY 10960-1912 | 2005-07-28 |
| 1831725860 | Adam E Skrypack | Pharmacist | 160 N Midland Ave, Nyack, NY 10960-1912 | 2020-03-22 |
| 1770141616 | Shelby D Alexa | Midwife | 160 N Midland Ave, Nyack, NY 10960-1912 | 2019-06-05 |
| 1679044002 | Montefiore Nyack Hospital | General Acute Care Hospital | 160 N Midland Ave, Nyack, NY 10960-1998 | 2018-12-11 |
| 1083193262 | Hospitalist Medicine Physician of New York - Nyack, PC | Internal Medicine | 160 N Midland Ave, Nyack, NY 10960-1912 | 2018-08-09 |
| 1780120139 | Beth Timperi | Registered Nurse | 160 N Midland Ave, Ima Hospital Office 2nd Floor, Nyack, NY 10960-1912 | 2017-01-10 |
| 1225583180 | Mrudula Premkumar | Pediatrics | 160 N Midland Ave, Nyack, NY 10960-1912 | 2016-08-22 |
| 1952854028 | Leena Thomas | Nurse Practitioner | 160 N Midland Ave, Nyack, NY 10960-1912 | 2016-07-25 |
| 1114379013 | Rachel Unger | Physician Assistant | 160 N Midland Ave, Nyack, NY 10960-1912 | 2016-07-05 |
| 1326499096 | Naji Abdul Wajid | Obstetrics & Gynecology | 160 N Midland Ave, Nyack, NY 10960-1912 | 2016-06-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164963443 | Urmi Vaghela | Behavioral Analyst | 99 Main St Suite 208, Vital Behavior Services, Inc., Nyack, NY 10960 | 2017-03-20 |
| 1063968873 | Ebony S. Owens | Behavioral Analyst | 204 Nyack Plaza, Nyack, NY 10960 | 2016-08-31 |
| 1306299979 | Timothy O'shea Jr. | Registered Nurse | 28 Central Ave North, Nyack, NY 10960 | 2016-07-19 |
| 1114378460 | Abilene Murassaint | Licensed Practical Nurse | 65 Waldron Ave, Nyack, NY 10960 | 2016-06-28 |
| 1114388261 | United States Medical Supply Co. | Durable Medical Equipment & Medical Supplies | 286 S. Boulevard, Nyack, NY 10960 | 2016-03-17 |
| 1316329477 | Susanna Miran Park | Acupuncturist | 85 South Broadway, Nyack, NY 10960 | 2015-06-25 |
| 1851724769 | Molly Hahn | Social Worker | 292 Main St Ste 4, Nyack, NY 10960 | 2013-08-14 |
| 1952648511 | Courtney Lia Sturm | Speech-Language Pathologist | 21 Burd Street, Nyack, NY 10960 | 2013-01-15 |
| 1942545389 | Manni Chahal | Registered Nurse | 3 Waldron Ave, Nyack, NY 10960 | 2012-12-11 |
| 1376894394 | Barbara Lewis Baker | Social Worker | 339 North Broadway, The Summit School and Children's Residence Center, Upper Nyack, NY 10960 | 2012-10-01 |
| Find all providers in zip 10960 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952854028 | Leena Thomas | Nurse Practitioner | 160 N Midland Ave, Nyack, NY 10960-1912 | 2016-07-25 |
| 1043546468 | Mona Perez | Nurse Practitioner | 160 N Midland Ave, Nyack Hospital, Nyack, NY 10960-1912 | 2009-10-20 |
| 1295964039 | Scott Jeffrey St James | Nurse Practitioner | 160 N Midland Ave, Nyack, NY 10960 | 2009-07-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285235432 | Koli Eckert | Nurse Practitioner | 2455 77th St Fl 2, East Elmhurst, NY 11370-1525 | 2020-11-04 |
| 1134728942 | Angelyn Arielle Brown | Nurse Practitioner | 3332 Walden Ave Ste 1100, Depew, NY 14043-2400 | 2020-10-22 |
| 1871191056 | Natalie Larissa Cohen | Nurse Practitioner | 555 Laguardia Pl, New York, NY 10012-1402 | 2020-10-11 |
| 1841807799 | Raquel Shivanna Sookram | Nurse Practitioner | 5505 Myrtle Ave, Ridgewood, NY 11385-3550 | 2020-09-24 |
| 1154938264 | Haessal Kim | Nurse Practitioner | 14425 33rd Ave Apt 4l, Flushing, NY 11354-3103 | 2020-09-23 |
| 1235745282 | April Lynne Mott | Nurse Practitioner | 600 Ivy St Ste 108, Elmira, NY 14905-1627 | 2020-09-16 |
| 1407461676 | Kim Marie Neenan-reilly | Nurse Practitioner | 7200 Douglaston Pkwy, Main Floor, Douglaston, NY 11362-1941 | 2020-09-14 |
| 1336753680 | Alexandra Lynn Picard | Nurse Practitioner | Henry Ittleson Center, 5050 Iselin Avenue, Bronx, NY 10471 | 2020-09-03 |
| 1205447224 | Amita Vipul Patel | Nurse Practitioner | Longlsland Community Hospital, 101 Hospital Rd, Patchogue, NY 11772 | 2020-08-13 |
| 1992316996 | Cassandra Dionne Saint-furcy | Nurse Practitioner | 6 Provenzano St, Inwood, NY 11096-1410 | 2020-08-12 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on OCTAVIA PERRY.
| 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.