MEDARDO OCASIONES EBOL JR. (NPI# 1649819616) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649819616 |
| Entity Type | Individual |
| Full Name | MEDARDO OCASIONES EBOL JR. |
| Credential | RN |
| Practice Address |
Kirby Forensic Psychiatric Center Wards Island Complex Manhattan NY 10035-6095 |
| Mailing Address |
410 Westchester Ave Unit 110 Port Chester NY 10573-3619 |
| Practice Telephone | 9146466800 |
| Practice Fax Number | 9146466892 |
| Mailing Telephone | 9144731039 |
| Enumeration Date | 2019-12-23 |
| Last Update Date | 2019-12-23 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WP0809X |
Registered Nurse Specialization: Psych/Mental Health, Adult |
637484 | NY | Nursing Service Providers |
| Street Address |
KIRBY FORENSIC PSYCHIATRIC CENTER WARDS ISLAND COMPLEX |
| City | MANHATTAN |
| State | NY |
| Zip Code | 10035-6095 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689213597 | Arnaldo Santos Selfaison | Registered Nurse | Kirby Forensic Psychiatric Center, Wards Island Complex, Manhattan, NY 10035 | 2019-12-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043821531 | Shandrika Potts-mills | Social Worker | 2600 Madison Ave, New York, NY 10035 | 2020-08-10 |
| 1982220919 | Christine Marie Fitzsimmons | Registered Nurse | 104-106 E 126th Street, 1a, New York, NY 10035 | 2020-06-25 |
| 1811542038 | Tamsin Jordan | Dietitian, Registered | Hunter College, 2180 3rd Ave, New York, Ny, New York, NY 10035 | 2019-08-05 |
| 1659938397 | Fanney Pereyra | Dentist | 2265 Third Avenue, New York, NY 10035 | 2019-05-28 |
| 1770046351 | Ralph Lauren Center for Cancer Care and Prevention | Special Hospital | 1919 Madison Ave Frnt 2, New York, NY 10035 | 2019-04-10 |
| 1285105866 | Union Square Eye Center LLC | Optometrist | 1815 Madison Avenue, New York, NY 10035 | 2018-12-08 |
| 1497236913 | Susannah Irene Blum | Speech-Language Pathologist | Ps 138@ps30 144 Eat 138th Street, New York, NY 10035 | 2018-08-23 |
| 1114413267 | Woodhull Medical Supplies Inc. | Durable Medical Equipment & Medical Supplies | 57 East 124th St, New York, NY 10035 | 2018-07-02 |
| 1477041234 | Rina Rossignol | Social Worker | 108 Wards Island, Manhattan, NY 10035 | 2018-04-27 |
| 1669978664 | Alexandra Black | Student in an Organized Health Care Education/Training Program | 53 East 124th Street, New York, NY 10035 | 2018-03-30 |
| Find all providers in zip 10035 | ||||
| Taxonomy Code | 163WP0809X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Psych/Mental Health, Adult |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215408331 | Sara E Gotchey | Registered Nurse | 2100 Claflin Rd, Manhattan, KS 66502 | 2018-12-16 |
| 1689213597 | Arnaldo Santos Selfaison | Registered Nurse | Kirby Forensic Psychiatric Center, Wards Island Complex, Manhattan, NY 10035 | 2019-12-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548879109 | Linda Ann Paradiso | Registered Nurse | 300 Jay St # A611m, Brooklyn, NY 11201-1909 | 2020-07-29 |
| 1629606215 | Joan Amodeo | Registered Nurse | 140 W Orangeburg Rd, Orangeburg, NY 10962-2006 | 2020-03-30 |
| 1336788157 | Pamela Sandoval | Registered Nurse | 349 Central Ave Apt 3c, Lawrence, NY 11559-1616 | 2019-12-26 |
| 1346884376 | Diane Aleksandrowicz | Registered Nurse | 2186 Bear Creek Dr, Ontario, NY 14519-9766 | 2019-11-02 |
| 1104468347 | King Xia | Registered Nurse | 1653 Hubbell St, Bronx, NY 10461-2905 | 2019-10-09 |
| 1699316497 | Zoey Luan | Registered Nurse | 89 Metropolitan Oval Apt 1e, Bronx, NY 10462-6411 | 2019-10-02 |
| 1699325993 | Michelle Yvonne Cerutti | Registered Nurse | 33 Mitchell Ave Ste G-80, Binghamton, NY 13903-1642 | 2019-09-18 |
| 1235792672 | Ann Marie Pignatti | Registered Nurse | 8093 Ashery Ln, Cicero, NY 13039-8353 | 2019-04-22 |
| 1619438785 | Debra Rieben | Registered Nurse | 711a Old Lane Rd, Vestal, NY 13850-3570 | 2019-03-29 |
| 1588138382 | Nichola Stimpson | Registered Nurse | Lenoxhill Hospital 100 East, 77 Street, New York, NY 10075 | 2019-01-15 |
| Find all providers with the same taxonomy | ||||
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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.