WALT WHITMAN AA, LLC (NPI# 1588004154) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588004154 |
| Entity Type | Organization |
| Organization Name | WALT WHITMAN AA, LLC |
| Practice Address |
1895 Walt Whitman Rd Ste 10 Melville NY 11747-3031 |
| Mailing Address |
718 Walt Whitman Rd Po Box 1109 Melville NY 11747-6600 |
| Practice Telephone | 6312939700 |
| Practice Fax Number | 6312932021 |
| Mailing Telephone | 6312939700 |
| Mailing Fax Number | 6312932021 |
| Enumeration Date | 2013-06-27 |
| Last Update Date | 2013-06-27 |
| Authorized Official Name | JAY S YOUNGERMAN (PRESIDENT) |
| Authorized Official Telephone | 6312939700 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207L00000X | Anesthesiology | Allopathic & Osteopathic Physicians |
| Street Address |
1895 WALT WHITMAN RD STE 10 |
| City | MELVILLE |
| State | NY |
| Zip Code | 11747-3031 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023004876 | Max I Hamburger | Internal Medicine | 1895 Walt Whitman Rd, Melville, NY 11747-3031 | 2005-09-26 |
| 1316586100 | Laurel Pettit | Physical Therapist | 1895 Walt Whitman Rd, Melville, NY 11747-3031 | 2019-12-27 |
| 1801440326 | Bijal Patel | Physical Therapist | 1895 Walt Whitman Rd, Melville, NY 11747-3031 | 2019-08-01 |
| 1770054710 | Heidi Fyrberg Physician Assistant PC | Physician Assistant | 1895 Walt Whitman Rd, Melville, NY 11747-3031 | 2018-12-17 |
| 1598240434 | Brittany Burbell | Occupational Therapist | 1895 Walt Whitman Rd, Melville, NY 11747-3031 | 2018-09-26 |
| 1942700737 | Megan Jean Ahrens | Physical Therapist | 1895 Walt Whitman Rd, Melville, NY 11747-3031 | 2018-02-18 |
| 1245769793 | Jenna D'alessandro | Physical Therapist | 1895 Walt Whitman Rd, Melville, NY 11747-3031 | 2017-06-08 |
| 1285170597 | Erica Andersen | Physical Therapist | 1895 Walt Whitman Rd, St. Charles Rehabilitation, Melville, NY 11747-3031 | 2017-01-10 |
| 1083012272 | Jamie Ilyssa Edelson | Occupational Therapist | 1895 Walt Whitman Rd, Melville, NY 11747-3031 | 2014-12-21 |
| 1093114415 | St Charles Rehabilitation | Rehabilitation Hospital | 1895 Walt Whitman Rd, Melville, NY 11747-3031 | 2014-08-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891316139 | Shaina Flanzraich | Physical Therapist | 3237 1800 Walt Whitman Rd, 120, Melville, NY 11747 | 2020-04-28 |
| 1952943763 | Liana Danielle Maher | Behavior Technician | 225 Broadhallow Road Suite 402, Melville, NY 11747 | 2019-10-14 |
| 1114402096 | Anicka Inez Douglas | Behavior Technician | 225 Broadhollow Road Suite 402, Melville, NY 11747 | 2018-09-26 |
| 1962988717 | Brien Nina-louise Potter | Behavior Technician | 225 Broadhollow Road, Suite 402, Melville, NY 11747 | 2018-07-16 |
| 1750804951 | Iri: Innovative Resources for Independence | Intermediate Care Facility, Mentally Retarded | 922 Rainbow Commons Ct, Melville, NY 11747 | 2017-07-19 |
| 1386178127 | Marissa Zydor | Specialist | 538 Ny-110 #202, Melville, NY 11747 | 2017-04-19 |
| 1992236624 | Annmarie Irene Russo | Behavior Technician | 538 Ny-110, Suite 202, Melville, NY 11747 | 2017-03-24 |
| 1205378130 | Independent Group Home Living Program, Inc | Nursing Facility/Intermediate Care Facility | 914 Rainbow Commons, Melville, NY 11747 | 2016-11-09 |
| 1932641867 | Independent Group Home Living Program, Inc | Nursing Facility/Intermediate Care Facility | 917 Rainbow Commons, Melville, NY 11747 | 2016-11-09 |
| 1740732999 | Independent Group Home Living Program, Inc | Nursing Facility/Intermediate Care Facility | 924 Rainbow Commons, Melville, NY 11747 | 2016-11-03 |
| Find all providers in zip 11747 | ||||
| Taxonomy Code | 207L00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700296340 | Diagnostic and Interventional Medical Care P.C. | Anesthesiology | 1 Arrowood Ln, Melville, NY 11747-1503 | 2014-05-05 |
| 1346417979 | Milton Parker | Anesthesiology | 7 Carry Ln, Melville, NY 11747-3903 | 2008-05-13 |
| 1023040268 | Moinul Haque | Anesthesiology | 80 Marcus Dr, Melville, NY 11747-4230 | 2006-07-07 |
| 1093707879 | North American Partners In Anesthesia (maryland), LLC | Anesthesiology | 68 S Service Rd, Suite 350, Melville, NY 11747-2354 | 2005-08-18 |
| 1659752921 | Anesthesia Patient Services of Pennsylvania LLC | Anesthesiology | 68 S Service Rd, Suite 350, Melville, NY 11747-2354 | 2015-06-12 |
| 1669869012 | Napa Management Services Corporation | Anesthesiology | 68 S Service Rd, Suite 350, Melville, NY 11747-2354 | 2015-04-23 |
| 1669870408 | North American Partners In Anesthesia, LLP | Anesthesiology | 68 S Service Rd, Suite 350, Melville, NY 11747-2354 | 2014-12-10 |
| 1033472154 | Marjorie Pierre | Anesthesiology | 68 South Service Road, Napa, Melville, NY 11747 | 2012-06-22 |
| 1740506104 | Jay B Lee | Anesthesiology | 68 S Service Rd, Suite 350, Melville, NY 11747-2354 | 2010-04-10 |
| 1275868697 | Anjali Vira | Anesthesiology | 68 S Service Rd, Suite 350, Melville, NY 11747-2354 | 2009-10-04 |
| Find all providers in MELVILLE | ||||
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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.