MS. MARILYN J EJERCITO (NPI# 1649554809) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649554809 |
| Entity Type | Individual |
| Full Name | MS. MARILYN J EJERCITO |
| Credential | RN, BSN, MS |
| Practice Address |
124 Main St Goshen NY 10924-2124 |
| Mailing Address |
124 Main St. Goshen NY 10924 |
| Practice Telephone | 8452912330 |
| Practice Fax Number | 8452912380 |
| Mailing Telephone | 8452912330 |
| Mailing Fax Number | 8452912380 |
| Enumeration Date | 2011-10-06 |
| Last Update Date | 2011-10-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WA2000X |
Registered Nurse Specialization: Administrator |
297319-1 | NY | Nursing Service Providers |
| Street Address |
124 MAIN ST |
| City | GOSHEN |
| State | NY |
| Zip Code | 10924-2124 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093339806 | Leslie-ann Harvey | Case Manager/Care Coordinator | 124 Main St, Goshen, NY 10924-2133 | 2020-06-08 |
| 1730745043 | Maria Violeta Pierre | Case Manager/Care Coordinator | 124 Main St, Goshen, NY 10924-2124 | 2019-05-13 |
| 1437628484 | Bridget Ahearn | Case Manager/Care Coordinator | 124 Main St, Goshen, NY 10924-2124 | 2018-11-20 |
| 1780171769 | Alexandra Nunez-gomez | Case Manager/Care Coordinator | 124 Main St, Goshen, NY 10924-2124 | 2018-04-16 |
| 1407352230 | Stormy Peterson Vallejo | Case Manager/Care Coordinator | 124 Main St, Goshen, NY 10924-2124 | 2018-04-02 |
| 1538663471 | Olga Giselle Hernandez | Case Manager/Care Coordinator | 124 Main St, Goshen, NY 10924-2124 | 2018-03-23 |
| 1376043992 | Nilda Julissa Rosales | Case Manager/Care Coordinator | 124 Main St, Goshen, NY 10924-2124 | 2018-02-20 |
| 1194263038 | Kim Graham | Case Manager/Care Coordinator | 124 Main St, Goshen, NY 10924-2124 | 2017-02-10 |
| 1104175892 | Joanne Schultz | Specialist | 124 Main St, Goshen, NY 10924-2124 | 2012-09-10 |
| 1386990901 | Jean Mary Hudson | Family Medicine | 124 Main St, Goshen, NY 10924-2124 | 2012-08-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487127239 | Yessica Amadis | Counselor | 27 Matthews Street, Goshen, NY 10924 | 2019-01-04 |
| 1649752668 | Lucinda Figueroa | Social Worker | Orange Intensive Day Treatment @ Ouboces Ah Ed Center, 4 Harriman Drive, Goshen, NY 10924 | 2018-09-06 |
| 1619499365 | Grace Catherine Stieh | Speech-Language Pathologist | 1997 Ny-17m #9, Goshen, NY 10924 | 2017-07-14 |
| 1255738902 | Linda S. Miller | Behavioral Analyst | 60 Erie Street #6, Suite 304, Goshen, NY 10924 | 2014-11-24 |
| 1275963894 | Ellen Martin | Speech-Language Pathologist | 9a Maplewood Terrace, Goshen, NY 10924 | 2013-11-18 |
| 1578803854 | Shirley Johnson | Social Worker | 3 Hatfield Lane Valley Behavioral Medicine, Suite 1, Goshen, NY 10924 | 2013-02-22 |
| 1689933566 | Gloria Sanabria | Licensed Practical Nurse | 252 Main St., Wellness Home Care, Goshen, NY 10924 | 2012-05-11 |
| 1780955377 | Karen Ann Walczak | Registered Nurse | 56 Gibson Rd., Goshen, NY 10924 | 2012-01-13 |
| 1699067884 | Cherie Lee Meci | Occupational Therapy Assistant | 52 Gibson Rd., Rcce, Goshen, NY 10924 | 2011-05-06 |
| 1053617597 | James Francis Kohut | Social Worker | Rcpc 53 Gibson Road, Goshen, NY 10924 | 2011-02-01 |
| Find all providers in zip 10924 | ||||
| Taxonomy Code | 163WA2000X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Administrator |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932747128 | Joyce Martinez | Registered Nurse | Wards Island Complex, New York, NY 10035-6095 | 2019-12-18 |
| 1184275554 | Margarette Douglas | Registered Nurse | 1500 Waters Pl # 10461, Bronx, NY 10461-2723 | 2019-09-26 |
| 1982252268 | Natalie Rivera | Registered Nurse | 2223 Amsterdam, New York, NY 10032 | 2019-08-29 |
| 1568016889 | Deborah L Proscher | Registered Nurse | 167 S Parliman Rd, Lagrangeville, NY 12540-6817 | 2019-07-25 |
| 1689235350 | Patricia Rosemary Downer-bandoo | Registered Nurse | 250 W 2nd St Ph, Mount Vernon, NY 10550-2829 | 2019-06-24 |
| 1477012839 | Dinette Phildor | Registered Nurse | 13545 223rd St, Laurelton, NY 11413-2341 | 2019-03-15 |
| 1669936373 | Tanya Lavonne Woods | Registered Nurse | 10 Spindrift Ct Apt 6, Williamsville, NY 14221-7853 | 2019-01-27 |
| 1326513912 | Kurt H. Leggard | Registered Nurse | 1661 Millstone Rd, Sag Harbor, NY 11963-2211 | 2018-10-10 |
| 1770092371 | Nadege M Rihan | Registered Nurse | 3000 Eastchester Road, Bronx, NY 10469 | 2017-09-26 |
| 1720512007 | Patrice Collins | Registered Nurse | 101-125 W 147th St, Apt 8c, New York, NY 10039-4301 | 2017-04-13 |
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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.