NICOLE CHRISTINE TESSAR (NPI# 1578115382) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578115382 |
| Entity Type | Individual |
| Full Name | NICOLE CHRISTINE TESSAR |
| Credential | PA-C |
| Practice Address |
203 Union Ave Holbrook NY 11741-1704 |
| Mailing Address |
70 Columbus Ave Smithtown NY 11787-4617 |
| Practice Telephone | 6318272421 |
| Mailing Telephone | 6318272421 |
| Enumeration Date | 2019-07-11 |
| Last Update Date | 2019-11-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 023658 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
203 UNION AVE |
| City | HOLBROOK |
| State | NY |
| Zip Code | 11741-1704 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487631693 | Kenneth R. Barry | Physician Assistant | 203 Union Ave, Holbrook, NY 11741-1704 | 2005-12-29 |
| 1114408887 | Christine Danielle Esposito | Physician Assistant | 203 Union Ave, Holbrook, NY 11741 | 2018-08-22 |
| 1134628183 | Joyce Ann Harris | Nurse Practitioner | 203 Union Ave, Holbrook, NY 11741-1704 | 2018-02-06 |
| 1952844136 | Stephanie Joanne Luca | Physician Assistant | 203 Union Ave, Holbrook, NY 11741-1704 | 2016-11-21 |
| 1467790600 | James Taggart | Physician Assistant | 203 Union Ave, Holbrook, NY 11741-1704 | 2013-01-23 |
| 1750567798 | Christopher J Jerome | Physician Assistant | 203 Union Ave, Holbrook, NY 11741-1704 | 2008-01-19 |
| 1881811446 | Lawrence Michael Herman | Physician Assistant | 203 Union Ave, Holbrook, NY 11741-1704 | 2007-04-18 |
| 1043355159 | First Choice Medical Pllc | Internal Medicine | 203 Union Ave, Holbrook, NY 11741-1704 | 2007-02-20 |
| 1609988211 | Lawrence S. Goldman | Internal Medicine | 203 Union Ave, Holbrook, NY 11741-1704 | 2006-08-31 |
| 1851400428 | Jayne Lyn O'gorman | Physician Assistant | 203 Union Ave, Holbrook, NY 11741-1704 | 2006-08-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417591199 | Rebecca Neville | Occupational Therapist | 302 Patchogue Hobrook Rd, Sunrise of Holbrook, Holbrook, NY 11741 | 2019-11-05 |
| 1437630258 | Church Street Acupuncture Pllc | Acupuncturist | 1720 Church St, Holbrook, NY 11741 | 2018-08-29 |
| 1780191288 | Mid-island Speech Language Pathology, Pllc | Speech-Language Pathologist | 24 Donald Street, Holbrook, NY 11741 | 2018-01-05 |
| 1871013177 | Melissa Blom | Massage Therapist | 19 Charles Ave, Holbrook, NY 11741 | 2017-06-27 |
| 1215392329 | Laura Glotzer | Registered Nurse | 812 Greenbelt Pkwy W, Holbrook, NY 11741 | 2015-12-17 |
| 1437524758 | Shakim Rivera | Licensed Practical Nurse | 445 Furrows Road, Box 443, Holbrook, NY 11741 | 2015-12-11 |
| 1700255965 | Nancy Inanir | Nurse Practitioner | 59 Avenue E, Holbrook, NY 11741 | 2015-09-17 |
| 1003298233 | Eileen M Murphy | Early Intervention Provider Agency | 1606 Grundy Avenue, Holbrook, NY 11741 | 2015-06-24 |
| 1386052090 | Allison Dunne | Specialist/Technologist | 9 Circeldale Lane, Holbrook, NY 11741 | 2014-07-25 |
| 1396173258 | Valerie Guidone | Registered Nurse | 24 Gainsborough Rd, Holbrook, NY 11741 | 2013-10-30 |
| Find all providers in zip 11741 | ||||
| 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 |
|---|---|---|---|---|
| 1073131090 | Alexandra Bunzel | Physician Assistant | 40 Flintridge Dr, Holbrook, NY 11741-2806 | 2020-07-07 |
| 1912530916 | Shaun Patrick O'connell | Physician Assistant | 134 Smith Ave, Holbrook, NY 11741-1147 | 2020-02-18 |
| 1376080879 | Megan Mcnulty | Physician Assistant | 5 Coronado Rd, Holbrook, NY 11741-1507 | 2017-01-23 |
| 1487631693 | Kenneth R. Barry | Physician Assistant | 203 Union Ave, Holbrook, NY 11741-1704 | 2005-12-29 |
| 1447231667 | Mary Ann Henry | Physician Assistant | 2109 Navajo Blvd, Holbrook, AZ 86025-0000 | 2005-11-07 |
| 1952844136 | Stephanie Joanne Luca | Physician Assistant | 203 Union Ave, Holbrook, NY 11741-1704 | 2016-11-21 |
| 1467790600 | James Taggart | Physician Assistant | 203 Union Ave, Holbrook, NY 11741-1704 | 2013-01-23 |
| 1881811446 | Lawrence Michael Herman | Physician Assistant | 203 Union Ave, Holbrook, NY 11741-1704 | 2007-04-18 |
| 1801966015 | Danielle D'alleva-byrne | Physician Assistant | 270 Union Ave, Holbrook, NY 11741-1823 | 2006-11-08 |
| 1821020280 | Gail Trinque | Physician Assistant | 175 N Franklin St, Holbrook, MA 02343-1171 | 2006-07-07 |
| Find all providers in HOLBROOK | ||||
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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.