KERROD DWAYNE MCNEAL (NPI# 1669718573) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669718573 |
| Entity Type | Individual |
| Full Name | KERROD DWAYNE MCNEAL |
| Credential | PA-C |
| Practice Address |
11106 145th St Jamaica NY 11435-5819 |
| Practice Telephone | 7189020654 |
| Mailing Telephone | 7189020654 |
| Enumeration Date | 2012-12-20 |
| Last Update Date | 2012-12-24 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 016329 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
11106 145TH ST |
| City | JAMAICA |
| State | NY |
| Zip Code | 11435-5819 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780284273 | Angela Abramov | Nurse Practitioner | 141-30 Pershing Creacsent Apt 3c, Jamaica, NY 11435 | 2020-10-26 |
| 1871114892 | Alternative Care Occupational Therapy, PC | Occupational Therapist | 149-16 Jamaica Ave, Jamaica, NY 11435 | 2020-04-30 |
| 1831737311 | Aminat Adams | Registered Nurse | 10753 Remitown Street, Jamaica, NY 11435 | 2019-12-16 |
| 1376180349 | Isabella Herold | Dietitian, Registered | 97-04 Sutphin Boulevard, Jamaica, NY 11435 | 2019-12-09 |
| 1235774654 | Angela Rose Torriero | Occupational Therapist | 90-36 150th Street, Jamaica, Queens, NY 11435 | 2019-11-08 |
| 1396386009 | Alexandra Mikyung Kim | Registered Nurse | 90-27 Sutphin Boulevard, Jamaica, NY 11435 | 2019-10-03 |
| 1043782097 | Louis E Krigger | Counselor | Restfull Nights Corporation, 106-38 150th St, Jamaica, NY 11435 | 2018-12-31 |
| 1407326093 | Syretta Henry | Social Worker | 90-27 Sutphin Blvd 5th Floor, Jamaica, NY 11435 | 2018-11-27 |
| 1972083277 | Debra Witherspoon-benders | Licensed Vocational Nurse | Samaritan Daytop Village 138-02 Queens Boulevard, Briarwood, NY 11435 | 2018-08-16 |
| 1982182895 | Emmanuel Oszwa Odigie | Respite Care | 148-13 Hillside Ave, 2nd Fl Briarwood, Briarwood, NY 11435 | 2018-08-02 |
| Find all providers in zip 11435 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902445034 | Allison Lawson | Physician Assistant | 11418 170th St, Jamaica, NY 11434-1317 | 2020-01-06 |
| 1275172447 | Showaib Hasan Kamal | Physician Assistant | 8280 167th St, Jamaica, NY 11432-1823 | 2020-01-05 |
| 1801435078 | Imran A Kassim | Physician Assistant | 9049 179th Pl Fl 2, Jamaica, NY 11432-5610 | 2020-01-05 |
| 1003313727 | Michael Olton Johnson | Physician Assistant | 11513 Merrick Blvd, Jamaica, NY 11434 | 2018-04-09 |
| 1558818088 | Leah Rubin | Physician Assistant | 82-68 164 St #1b-02, Jamaica, NY 11432 | 2016-09-01 |
| 1780058750 | Ruhee Gadhia | Physician Assistant | Metro Urgent Medical Care Queens, Jfk International Airport Bldg No. 125, Jamaica, NY 11430 | 2015-11-13 |
| 1679944151 | Mary Regan | Physician Assistant | Building 125 Jfk Airport, Jamaica, NY 11430 | 2015-10-09 |
| 1114335312 | Maha Komal | Physician Assistant | Jfk International Airport Bldg 14, West Wing Suite 14a, Jamaica, NY 11430 | 2014-07-31 |
| 1689010233 | Carlotta Ross-distin | Physician Assistant | 13329 Dennis St, Jamaica, NY 11434-4112 | 2013-05-21 |
| 1942551502 | Zanita Alexander | Physician Assistant | 10823 160th St # 23a, Jamaica, NY 11433-2813 | 2012-09-24 |
| Find all providers in JAMAICA | ||||
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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.