MJ NP IN FAMILY HEALTH CARE P. C. (NPI# 1578182275) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578182275 |
| Entity Type | Organization |
| Organization Name | MJ NP IN FAMILY HEALTH CARE P. C. |
| Practice Address |
163 Poospatuck Ln Mastic NY 11950-5201 |
| Mailing Address |
Po Box 273 Mastic NY 11950-0273 |
| Practice Telephone | 6313945310 |
| Mailing Telephone | 6313945310 |
| Enumeration Date | 2020-04-13 |
| Last Update Date | 2020-04-13 |
| Authorized Official Name | MICHELLE ANN JACKSON (FNP) |
| Authorized Official Telephone | 6313945310 |
| Authorized Official Credential | FNP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QH0100X |
Clinic/Center Specialization: Health Service |
Ambulatory Health Care Facilities |
| Street Address |
163 POOSPATUCK LN |
| City | MASTIC |
| State | NY |
| Zip Code | 11950-5201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306095658 | Michelle Jackson | Registered Nurse | 163 Poospatuck Ln, Mastic, NY 11950-5201 | 2008-09-11 |
| 1447654660 | Hands of Care Home Health Agency LLC | Home Health | 163 Poospatuck Ln, Mastic, NY 11950-5201 | 2014-10-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508404054 | Ashley Arnold | Counselor | 1235 Montalk Highway, Mastic, NY 11950 | 2019-12-16 |
| 1457906935 | Creative Concepts Mental Health Counseling, PC | Counselor | 1360 Montauk Hwy 1st Floor East, Mastic, NY 11950 | 2019-08-02 |
| 1295242246 | Jamie Marie Lauro | Counselor | 37 Bedford Avenue, Mastic, NY 11950 | 2017-12-29 |
| 1932594025 | Elizabeth Liebson | Licensed Practical Nurse | 14 Logan Place, Mastic, NY 11950 | 2015-04-06 |
| 1659772341 | Lilianna Gul | Specialist | 12 Burney Blvd, Mastic, NY 11950 | 2014-09-12 |
| 1023423910 | Savannah Berliner | Nursing Home Administrator | 76 Franklin Ave, Mastic, NY 11950 | 2014-06-30 |
| 1104196013 | Ruth Ann Rainone | Registered Nurse | 170 Mastic Blvd, Mastic, NY 11950 | 2012-01-09 |
| 1174846489 | Amy Lynette Chaves | Licensed Practical Nurse | 158 Vanburen Street, Mastic, NY 11950 | 2010-03-02 |
| 1780805226 | Rosalye Diane Friedman | Social Worker | 1235 Montauk Highway, Mastic, NY 11950 | 2007-05-01 |
| 1063575066 | Walter E Haberstroh | Chiropractor | 1245 Montauk Hwy, Mastic, NY 11950 | 2006-12-19 |
| Find all providers in zip 11950 | ||||
| Taxonomy Code | 261QH0100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Health Service |
| Definition to come... |
| Notes: [7/1/2006: modified title] |
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| 1497398267 | Health Logistics Rn and Np Pllc | Clinic/Center | 2805 Wehrle Dr Ste 2, Williamsville, NY 14221-7383 | 2019-10-23 |
| 1285277202 | Community Conscious Cultural Events (c3e, Inc.) | Clinic/Center | 13220 116th Ave, South Ozone Park, NY 11420-2646 | 2019-10-22 |
| 1033751656 | Nolimits Nyc Corp | Clinic/Center | 2753 Coney Island Ave Fl 1, Brooklyn, NY 11235-5015 | 2019-10-15 |
| 1659929735 | Adult Choice Np In Adult Heath Pllc | Clinic/Center | 21440 Hillside Ave, Queens, NY 11427 | 2019-08-31 |
| 1386118412 | Trinidad D Agtarap Nurse Practitioner In Gerontology Pllc | Clinic/Center | 7116 34th Ave Apt 2b, Jackson Heights, NY 11372-1016 | 2019-01-11 |
| 1821560848 | Carfora Medical Health Wellness Pllc | Clinic/Center | 412 N Country Rd Ste 10, Saint James, NY 11780-1761 | 2019-01-02 |
| Find all providers with the same taxonomy | ||||
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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.