JOHN ECCLESTON (NPI# 1578191888) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578191888 |
| Entity Type | Individual |
| Full Name | JOHN ECCLESTON |
| Credential | EMT-B |
| Practice Address |
15 Duer Ln Staten Island NY 10301-3014 |
| Practice Telephone | 6462471548 |
| Mailing Telephone | 6462471548 |
| Enumeration Date | 2020-03-31 |
| Last Update Date | 2020-03-31 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 146N00000X | Emergency Medical Technician, Basic | 106939 | NY | Emergency Medical Service Providers |
| Street Address |
15 DUER LN |
| City | STATEN ISLAND |
| State | NY |
| Zip Code | 10301-3014 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417586397 | Maria Duncan | Registered Nurse | Nurse Family Partnership, 358 St. Marks Place, 5th Floor, Staten Island, NY 10301 | 2020-04-03 |
| 1659835569 | Ipark Podiatry P.C. | Podiatrist | 970 Bard Avenue, Staten Island, NY 10301 | 2019-01-24 |
| 1386149789 | Dana Gioia | Specialist | 215 Hart Blvd Apt 5a, Staten Island, NY 10301 | 2018-03-27 |
| 1710404850 | Physical Therapy Unlimited | Preferred Provider Organization | 684 Ocean Terrace, Staten Island, NY 10301 | 2017-08-29 |
| 1356885438 | Jessica Glassman | Social Worker | 10 Dobbs Pl, Staten Island, NY 10301 | 2016-12-08 |
| 1679016372 | Amelia Rella | Speech-Language Pathologist | 60 Foote Ave, Staten Island, NY 10301 | 2016-11-29 |
| 1457714958 | Philip Kaplan | Dentist | 155 Bay Street, Unit C3, Staten Island, NY 10301 | 2016-04-01 |
| 1104284777 | Marie G Joseph | Social Worker | 2381 Hyland Blvd, Staten Island, NY 10301 | 2016-02-10 |
| 1700262565 | Courtney Pryor | Speech-Language Pathologist | 57 Westbury Avenue, Staten Island, NY 10301 | 2015-08-04 |
| 1710377999 | Jessica Maldarelli | Speech-Language Pathologist | 91 Henderson Avenue, Staten Island, NY 10301 | 2015-01-27 |
| Find all providers in zip 10301 | ||||
| Taxonomy Code | 146N00000X |
| Grouping | Emergency Medical Service Providers |
| Classification | Emergency Medical Technician, Basic |
| A Basic EMT is an individual trained and certified to perform basic life support treatment in medical emergencies based on individual state boards. |
| Notes: Sources: Tabers Medical Dictionary and Florida EMS Clearing House. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801270608 | Joseph Compitello | Emergency Medical Technician, Basic | 156 Jerome Avenue, Staten Island, NY 10305 | 2015-07-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033723226 | Kaelee Bouleris | Emergency Medical Technician, Basic | 203 County Route 70, Stillwater, NY 12170-2000 | 2020-09-03 |
| 1245869981 | Weli Sanbul Aden I | Emergency Medical Technician, Basic | 214 E James St Apt 6, Syracuse, NY 13206-2565 | 2020-04-04 |
| 1932738762 | Yael Beer | Emergency Medical Technician, Basic | 6411 99th St Apt 107, Rego Park, NY 11374-2625 | 2020-04-03 |
| 1881223972 | Annanina Corsica | Emergency Medical Technician, Basic | 435 E 30th St, New York, NY 10016-8304 | 2020-04-02 |
| 1821633868 | Samantha Chang | Emergency Medical Technician, Basic | 10 Happy Acres Dr, Shirley, NY 11967-3015 | 2019-11-13 |
| 1477024909 | Justin Unislawski | Emergency Medical Technician, Basic | 4 Van Wyck St, Gloversville, NY 12078 | 2018-12-10 |
| 1356850820 | Gavin John Maclachlan | Emergency Medical Technician, Basic | 115 Downing Rd, De Witt, NY 13214-1547 | 2017-09-27 |
| 1912422304 | Alliyah Okhamvilaysack | Emergency Medical Technician, Basic | 3255 Route 39, Bliss, NY 14024-9730 | 2017-08-07 |
| 1205351731 | Serena Grainge | Emergency Medical Technician, Basic | 3677 River Rd, Youngstown, NY 14174-9700 | 2017-08-05 |
| 1447774336 | Bryana Vishion | Emergency Medical Technician, Basic | 141 Witmer Rd, North Tonawanda, NY 14120-2455 | 2017-08-01 |
| Find all providers with the same taxonomy | ||||
| City | STATEN ISLAND |
| Zip Code | 10301 |
Please comment or provide details below to improve the information on JOHN ECCLESTON.
| 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.