MR. ADEM MARTIN GERAGHTY


Address: 4904 19th Ave, Astoria, NY 11105-1002
Phone: 3477748000

MR. ADEM MARTIN GERAGHTY (NPI# 1609276534) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1609276534
Entity Type Individual
Full Name MR. ADEM MARTIN GERAGHTY
Credential NPP
Practice Address 4904 19th Ave
Astoria
NY 11105-1002
Practice Telephone 3477748000
Mailing Telephone 3477748000
Enumeration Date 2014-08-28
Last Update Date 2014-08-28
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 163W00000X Registered Nurse 596486 NY Nursing Service Providers
Y 363LP0808X Nurse Practitioner
Specialization: Psych/Mental Health
401769 NY Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 4904 19TH AVE
City ASTORIA
State NY
Zip Code 11105-1002

Providers in the same location

NPI Name Taxonomy Address Enumeration
1992723753 Aung Khine Oo Internal Medicine 4904 19th Ave, Astoria, NY 11105-1002 2006-07-18
1689067019 Christopher Wayne Johnson Counselor 4904 19th Ave, Astoria, NY 11105-1002 2015-03-10
1437547957 Brian Michael Burns Registered Nurse 4904 19th Ave, Astoria, NY 11105-1002 2015-01-06
1700274305 James Patrick Cassar Nurse Practitioner 4904 19th Ave, Astoria, NY 11105-1002 2015-01-05
1770980252 Corizon Community/Behavioral Health 4904 19th Ave, Astoria, NY 11105-1002 2014-11-26
1477973519 Christine Edmondson Nurse Practitioner 4904 19th Ave, Astoria, NY 11105-1002 2014-04-16
1356778591 Christopher Wayne Chan Pharmacist 4904 19th Ave, Astoria, NY 11105-1002 2013-10-02
1356783476 Anna T Richards Registered Nurse 4904 19th Ave, Astoria, NY 11105-1002 2013-07-18
1669817938 Correctional Medical Associates of Newyork, P.C. Pharmacy 4904 19th Ave, Astoria, NY 11105-1002 2013-05-01
1609210178 Correctional Dental Associates of New York Dentist 4904 19th Ave, Astoria, NY 11105-1002 2013-04-26
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1639640345 Bridget Mackin Counselor 2263 41st Street, Apt 1f, Astoria, NY 11105 2018-12-07
1487154597 Five Star Assessment Corp Specialist/Technologist 2135 47 Street, Suite 2, Astoria, NY 11105 2018-02-15
1154843076 Stefania Anne Vendome Physician Assistant 23-38 28th Street, Astoria, NY 11105 2017-07-12
1164942330 Kara Lorraine Gerbino Registered Nurse 2325 31st St Ste 301, Astoria, NY 11105 2017-06-20
1669908828 Gerlie H Estores Licensed Practical Nurse 2257 23rd Street, 2nd Floor, Astoria, NY 11105 2017-05-10
1558809665 Tasrina Khan Behavioral Analyst 24-13 23rd Ave, Astoria, NY 11105 2017-02-09
1356892988 Maria Tsoukias Behavioral Analyst 21-21 24th Street, Astoria, NY 11105 2016-10-19
1356705602 Ahmed Y Nasser Pharmacist 21 09 A 31st Street, Pharmacare Plus Pharmacy, Astoria, NY 11105 2016-04-12
1194185363 Sisters of The Good Shepherd Social Worker 25-30 21 Avenue, Astoria, NY 11105 2016-03-02
1154741551 Latifat Okeke Nurse Practitioner 49-04 19th Ave, Rikers Island Correctional Facility, Astoria, NY 11105 2014-04-24
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Taxonomy Information

Taxonomy Code 363LP0808X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Psych/Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1154741551 Latifat Okeke Nurse Practitioner 49-04 19th Ave, Rikers Island Correctional Facility, Astoria, NY 11105 2014-04-24
1912146911 Cycles of Transition, LLC Nurse Practitioner 10 Pier 1 Ste 206, Astoria, OR 97103-6328 2009-02-13
1669663688 June S. Longway, Pmhnp, Bc, LLC Nurse Practitioner 10 Pier 1, Suite 202, Astoria, OR 97103-6300 2007-08-06
1386725497 Debora Anne Stout Nurse Practitioner 818 Commercial St, Suite 400, Astoria, OR 97103 2006-10-17
1467546697 Timothy Scott Holt Nurse Practitioner 2120 Exchange St Ste 301, Astoria, OR 97103-3364 2006-10-03
1467454942 Michael Joseph Wisher Nurse Practitioner 2554 Steinway St, Astoria, NY 11103-3702 2005-08-13
1700274305 James Patrick Cassar Nurse Practitioner 4904 19th Ave, Astoria, NY 11105-1002 2015-01-05
1477973519 Christine Edmondson Nurse Practitioner 4904 19th Ave, Astoria, NY 11105-1002 2014-04-16
1932449279 Sandra Marie Tobik Nurse Practitioner 2308 30th Ave, 2nd Floor, Astoria, NY 11102-3494 2013-02-24
1518245885 Carol-ann Cenac Nurse Practitioner 4904 19th Ave, Astoria, NY 11105-1002 2011-08-03
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Competitor

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City ASTORIA
Zip Code 11105

Improve Information

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Dataset Information

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.

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