MR. MICHAEL V. BACERDO (NPI# 1578568804) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578568804 |
| Entity Type | Individual |
| Full Name | MR. MICHAEL V. BACERDO |
| Credential | RPA-C |
| Practice Address |
19 Beekman St New York NY 10038-1522 |
| Practice Telephone | 2125137711 |
| Practice Fax Number | 2129644861 |
| Mailing Telephone | 2125137711 |
| Mailing Fax Number | 2129644861 |
| Enumeration Date | 2005-06-14 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
005310-1 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
19 BEEKMAN ST |
| City | NEW YORK |
| State | NY |
| Zip Code | 10038-1522 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639470131 | Andrew Michael Chung | Specialist | 19 Beekman St, New York, NY 10038-1522 | 2010-11-15 |
| 1821307125 | Cara Eve Sussman | Specialist | 19 Beekman St, New York, NY 10038-1522 | 2010-10-04 |
| 1679803886 | Heidi Laroche | Physical Therapist | 19 Beekman St, Suite, 1b, New York, NY 10038-1522 | 2010-01-11 |
| 1356576482 | Seaport Orthopeadic Associates, PC | Specialist | 19 Beekman St, New York, NY 10038-1522 | 2009-05-19 |
| 1346485885 | Jason Marino | Pharmacist | 19 Beekman St, New York, NY 10038-1522 | 2008-12-12 |
| 1235374844 | Beekman Pharmacy | Pharmacy | 19 Beekman St, New York, NY 10038-1522 | 2008-12-10 |
| 1760631139 | Howard G Krinick | Dentist | 19 Beekman St, 2nd Floor, New York, NY 10038-1522 | 2008-09-10 |
| 1194972554 | Seaport Orthopaedic Associates PC | Orthopaedic Surgery | 19 Beekman St, New York, NY 10038-1522 | 2008-08-27 |
| 1952571002 | Pamela J Mirabella | Physician Assistant | 19 Beekman St, New York, NY 10038-1522 | 2008-03-05 |
| 1922165117 | Center for Alternative Sentencing and Employment Services | Clinic/Center | 19 Beekman St, 4th Floor, New York, NY 10038-1522 | 2007-01-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093353575 | Jacqueline Michelle Collins | Speech-Language Pathologist | 144-176 E 128th Street, New York, NY 10038 | 2019-12-16 |
| 1013552421 | Sai Ka Tsang | Optometrist | 150 William Street, Pride Optical, New York, NY 10038 | 2019-11-08 |
| 1407412802 | Corner Chemists Pharmacy LLC | Pharmacy | 11 Henry Street, New York, NY 10038 | 2019-05-13 |
| 1235603374 | Chuan Jing Mou | Acupuncturist | 7-8 Chatham Square #805, New York, NY 10038 | 2019-01-11 |
| 1023531654 | Natalie Considine | Counselor | 75 Maiden Ln Ste 341, New York, NY 10038 | 2017-07-25 |
| 1801319199 | Cecile Bell | Registered Nurse | 15 St James Place, Apt 10 I, New York, NY 10038 | 2017-07-19 |
| 1598206088 | Jessica Moreno | Registered Nurse | 182 South Street Apt 8e, New York, NY 10038 | 2017-03-16 |
| 1801258678 | Disha Vin | Physical Therapist | 160 Broadway East Building, New York, NY 10038 | 2016-03-22 |
| 1861877110 | Andrew Zhu | Physician Assistant | 70 William Street, New York, NY 10038 | 2015-07-29 |
| 1467848770 | Bryan Andrew Roller | Anesthesiology | Columbia University Medical Center - Dept of Anesthesia, 622 West 168th Street, New York, NY 10038 | 2015-04-13 |
| Find all providers in zip 10038 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295347078 | Alana Janine Miller | Physician Assistant | 1060 5th Ave # 1b, New York, NY 10128-0104 | 2020-08-21 |
| 1861041840 | Gabriella Fluss | Physician Assistant | 268 W 84th St Apt 6c, New York, NY 10024-4362 | 2019-09-11 |
| 1659929123 | Jacob Mark Czajka | Physician Assistant | 130 E 77th St Fl Hall11, New York, NY 10075-1851 | 2019-08-28 |
| 1033766860 | Deena Rothman | Physician Assistant | 1090 Amsterdam Ave Ste 10a, New York, NY 10025-1737 | 2019-08-26 |
| 1730698747 | Nolle L Graham | Physician Assistant | East 101 Street, New York, NY 10029 | 2017-09-21 |
| 1629594494 | Emma Ungureanu | Physician Assistant | 1790 Broadway/ 5 Columbus Circle, Fl 8, New York, NY 10019-1412 | 2017-08-14 |
| 1881117141 | Kaitlin Anne Tergesen | Physician Assistant | 3959 Broadway # Chn216, New York, NY 10032-1559 | 2017-07-19 |
| 1356879217 | Andreina Armas | Physician Assistant | E 101st Street, Mount Sinai, New York, NY 10029 | 2017-05-23 |
| 1093189870 | Amanda Londino | Physician Assistant | 568 Park Avenue, New York, NY 10068 | 2015-11-17 |
| 1437521549 | Heather Sorrentino | Physician Assistant | 105 Haven Ave Apt 3d, New York, NY 10032-2708 | 2015-10-28 |
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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.