CONSUELITO ANA MEDRANO (NPI# 1578664645) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578664645 |
| Entity Type | Individual |
| Full Name | CONSUELITO ANA MEDRANO |
| Credential | MD |
| Practice Address |
235 N Belle Mead Rd East Setauket NY 11733-3456 |
| Practice Telephone | 6317513000 |
| Mailing Telephone | 6317513000 |
| Enumeration Date | 2006-09-25 |
| Last Update Date | 2014-03-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
267954 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 03613870 | 05 | |
| NY | AETNA | 5127962 | 01 |
| NY | EMPIRE BC/BS | 38Q672 | 01 |
| NY | CIGNA | 6759419 | 01 |
| Street Address |
235 N BELLE MEAD RD |
| City | EAST SETAUKET |
| State | NY |
| Zip Code | 11733-3456 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225032204 | Evan R Berger | Specialist | 235 N Belle Mead Rd, East Setauket, NY 11733-3456 | 2005-06-08 |
| 1598221269 | Lauren Mcgarty | Nutritionist | 235 N Belle Mead Rd, East Setauket, NY 11733-3456 | 2019-02-18 |
| 1316450240 | Lisa Rizzuto | Physician Assistant | 235 N Belle Mead Rd, East Setauket, NY 11733-3456 | 2017-11-14 |
| 1033644059 | Gillian Schwartz | Nutritionist | 235 N Belle Mead Rd, East Setauket, NY 11733-3456 | 2017-04-27 |
| 1164957171 | Catherine Izzo | Nutritionist | 235 N Belle Mead Rd, East Setauket, NY 11733-3456 | 2017-04-27 |
| 1093173262 | Beverly Perrone | Health Maintenance Organization | 235 N Belle Mead Rd, East Setauket, NY 11733-3456 | 2016-02-03 |
| 1538536875 | Joanne Palladino | Nurse Practitioner | 235 N Belle Mead Rd, East Setauket, NY 11733-3456 | 2015-08-21 |
| 1003161183 | Sandra Thomas | Nurse Practitioner | 235 N Belle Mead Rd, East Setauket, NY 11733-3456 | 2012-07-16 |
| 1396013231 | Laureen Callahan | Physician Assistant | 235 N Belle Mead Rd, East Setauket, NY 11733-3456 | 2011-12-07 |
| 1275825580 | Toni Ann Traschetti | Physician Assistant | 235 N Belle Mead Rd, East Setauket, NY 11733-3456 | 2011-05-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063033991 | Olivia Carlino | Registered Nurse | 28 Buckingham Meadow Road, Setauket, NY 11733 | 2020-05-01 |
| 1295392553 | Johnny Slade | Emergency Medicine | 11 Bridge Rd, East Setauket, NY 11733 | 2019-05-22 |
| 1275060345 | Donna M Sweeney | Specialist | 14 Research Way East, East Setauket, NY 11733 | 2017-05-18 |
| 1659806388 | Erin Kunz | Podiatrist | Stony Brook Surgical Associates, 37 Research Way, Setauket- East Setauket, NY 11733 | 2017-05-01 |
| 1285180521 | Allison M Pinard | Specialist/Technologist | 149 Old Field Road, Setauket, NY 11733 | 2016-08-28 |
| 1578915096 | Kristyn Matovich | Behavioral Analyst | 5 Kenwood Street, East Setauket, NY 11733 | 2016-07-08 |
| 1306258900 | Patricia M. Ferrara | Licensed Practical Nurse | 181 N Bellemeade Rd, Setauket, NY 11733 | 2014-05-30 |
| 1871922898 | Island Concierge Medical Services Pllc | Internal Medicine | 3400 Nesconset Hwy. Suite 103, East Setauket, NY 11733 | 2013-11-12 |
| 1669718219 | Sheila Marie Vergith | Physician Assistant | 17 Coraway Road, Setauket, NY 11733 | 2012-12-28 |
| 1285980474 | Jennifer L Monastero | Physical Therapist | 12 Technology Dr., Unit 2, E. Setauket, NY 11733 | 2012-07-25 |
| Find all providers in zip 11733 | ||||
| Taxonomy Code | 207RH0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology & Oncology |
| An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285630731 | Rocco Caruso | Internal Medicine | 235 N Belle Mead Rd, East Setauket, NY 11733-3456 | 2005-06-21 |
| 1881690337 | Patricia Burns | Internal Medicine | 235 N Belle Mead Rd, East Setauket, NY 11733-3456 | 2005-06-21 |
| 1225034788 | Steven Montana | Internal Medicine | 235 N Belle Mead Rd, East Setauket, NY 11733-3456 | 2005-06-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861058778 | Robert Lee De Jager | Internal Medicine | 27 Barker Ave Apt 403, White Plains, NY 10601-1559 | 2019-05-15 |
| 1033623178 | Advanced Care Associates LLC | Internal Medicine | 455 North End Avenue, Ground Floor, Welness Center, New York, NY 10282-5383 | 2017-11-28 |
| 1043738644 | Megan Greally | Internal Medicine | 303 East 60th Street Apartment 37e, New York, NY 10022 | 2017-09-03 |
| 1437675154 | Feng Hematology and Medical Oncology Pllc | Internal Medicine | 833 58th Street, Brooklyn, NY 11220 | 2017-08-15 |
| 1225552649 | George Norman Abraham | Internal Medicine | 600 Elmwood Avenue, University of Rochester, Rochester, NY 14642 | 2017-07-27 |
| 1376095901 | Carolyn Michele Paradise | Internal Medicine | 6 Gilman Ln, Cortlandt Manor, NY 10567-6204 | 2016-10-31 |
| 1821444001 | Advanced Hematology Oncology Pllc | Internal Medicine | 4235 Main St Ste 3h, Flushing, NY 11355-3956 | 2016-05-06 |
| 1174992184 | Tetyana Koulikova | Internal Medicine | 2272 63rd St Apt 2f, Brooklyn, NY 11204-3153 | 2015-09-20 |
| 1588031389 | Taha Oncology PC | Internal Medicine | 568b Buchanan Ave, Staten Island, NY 10314-4160 | 2015-08-27 |
| 1609251123 | Gene Resnick | Internal Medicine | 59 Alex Dr, White Plains, NY 10605-3414 | 2015-07-26 |
| Find all providers with the same taxonomy | ||||
| City | EAST SETAUKET |
| Zip Code | 11733 |
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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.