DR. BEVERLY H ORTIZ (NPI# 1639110802) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639110802 |
| Entity Type | Individual |
| Full Name | DR. BEVERLY H ORTIZ |
| Credential | MD |
| Practice Address |
715 Roanoke Ave Riverhead NY 11901-2769 |
| Practice Telephone | 6312984655 |
| Practice Fax Number | 6312987569 |
| Mailing Telephone | 6312984655 |
| Mailing Fax Number | 6312987569 |
| Enumeration Date | 2006-06-09 |
| Last Update Date | 2015-08-04 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 199062 | NY | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760826572 | Beverly Ortiz | Marriage & Family Therapist | 3801 University Ave, Suite 400, Riverside, CA 92501-3247 | 2013-04-23 |
| Street Address |
715 ROANOKE AVE |
| City | RIVERHEAD |
| State | NY |
| Zip Code | 11901-2769 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548625288 | Winthrop Community Medical Affiliates, PC | Internal Medicine | 715 Roanoke Ave, Suite 3, Riverhead, NY 11901-2769 | 2015-12-23 |
| 1154726552 | Richard K. Fishler | Durable Medical Equipment & Medical Supplies | 715 Roanoke Ave, Suite #2, Riverhead, NY 11901-2769 | 2014-10-28 |
| 1811397219 | Richard Fishler | Dentist | 715 Roanoke Ave, Suite 2, Riverhead, NY 11901-2769 | 2014-09-04 |
| 1699045468 | Long Island Bariatric Pllc | Surgery | 715 Roanoke Ave, Riverhead, NY 11901-2729 | 2012-01-10 |
| 1992092365 | Camile Gooden | Internal Medicine | 715 Roanoke Ave, Suite 3, Riverhead, NY 11901-2729 | 2011-07-06 |
| 1821380304 | Richard Fishler Dds Pllc | Clinic/Center | 715 Roanoke Ave, Suite 2, Riverhead, NY 11901-2769 | 2011-05-03 |
| 1427284892 | Katie Hough | Internal Medicine | 715 Roanoke Ave, Suite 3, Riverhead, NY 11901-2769 | 2009-05-29 |
| 1396764288 | Kerry A Murphy | Family Medicine | 715 Roanoke Ave, Suite 3, Riverhead, NY 11901-2769 | 2006-07-19 |
| 1114951613 | Paayal P Mehta | Surgery | 715 Roanoke Ave, Suite 1, Riverhead, NY 11901-2729 | 2006-07-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578102786 | Michael Arthur Frangeskos | Physician Assistant | 1330 Roanoke Avenue, Riverhead, NY 11901 | 2020-01-06 |
| 1922569136 | Mjd Optical Corp | Optometrist | 1053 Route 58 Roanoke Ave, Riverhead, NY 11901 | 2019-03-29 |
| 1356837702 | Justin M Liu | Physician Assistant | 31 Main Rd Ste 3, Riverhead, NY 11901 | 2018-07-09 |
| 1467943522 | North Shore Hematology Oncology Associates PC | Clinic/Center | 750 Old Country Rd Bldg 2, Riverhead, NY 11901 | 2018-05-24 |
| 1063918688 | Riverhead Volunteer Ambulance Corps Inc | Ambulance | 111 Osborn Ave, Riverhead, NY 11901 | 2018-04-03 |
| 1669977906 | Joseph Cataldo | Student in an Organized Health Care Education/Training Program | 64 Ida Lane, Riverhead, NY 11901 | 2018-03-28 |
| 1861903056 | The Flanders Northampton Volunteer Ambulance Company Inc | Ambulance | 641 Flanders Road, Flanders, NY 11901 | 2017-10-16 |
| 1336676659 | Patricia Ann Leask | Registered Nurse | 300 Center Drive Suite 250, Methadone Clinic Department of Mental Health, Riverhead, NY 11901 | 2017-05-17 |
| 1922463447 | Diana Williams-burke | Counselor | 550 East Main St Suite 103, Riverhead, NY 11901 | 2015-12-29 |
| 1699155549 | Twin Forks Optometry, Pllc | Optometrist | 25 Cranberry Street, Riverhead, NY 11901 | 2015-06-05 |
| Find all providers in zip 11901 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326565888 | Carly Rosenberg | Specialist | 1116 Main Rd, Riverhead, NY 11901-5714 | 2017-08-25 |
| 1669716627 | Lauren Fuhs | Specialist | 536 Pleasure Dr, Riverhead, NY 11901-4924 | 2012-11-15 |
| 1548574155 | Five Boroughs Medical Associates, P.C. | Specialist | 36 Osprey Avenue, Riverhead, NY 11901 | 2010-08-06 |
| 1629212576 | Rebecca F Davis | Specialist | 112 Pier Ave, Riverhead, NY 11901-5409 | 2009-04-22 |
| 1487619409 | Zeinab Fathelbab | Specialist | 1333 Roanoke Ave, Riverhead, NY 11901-2029 | 2006-04-20 |
| 1205813268 | Mitchell Meyerson | Specialist | 1149 Old Country Rd, Suite C4, Riverhead, NY 11901-2057 | 2005-12-29 |
| 1003396839 | Diane Panchak | Specialist | 18 Center Dr, Riverhead, NY 11901-1078 | 2018-08-21 |
| 1902078173 | Urological Associates of Li, PC | Specialist | 1333 Roanoke Ave, Riverhead, NY 11901-2029 | 2008-03-28 |
| 1689862880 | Mitchell S. Meyerson, Md, PC | Specialist | 1015 Roanoke Ave, Riverhead, NY 11901-2735 | 2007-10-12 |
| 1811187214 | Peconic Surgical Group, PC | Specialist | 31 Main Rd, Suite 2, Riverhead, NY 11901-1953 | 2007-07-31 |
| Find all providers in RIVERHEAD | ||||
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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.