TRACY ROSTHOLDER (NPI# 1669821732) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669821732 |
| Entity Type | Individual |
| Full Name | TRACY ROSTHOLDER |
| Practice Address |
646 Commack Rd Commack NY 11725-5426 |
| Practice Telephone | 6314994114 |
| Enumeration Date | 2016-06-08 |
| Last Update Date | 2019-07-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 299069 | NY | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
646 COMMACK RD |
| City | COMMACK |
| State | NY |
| Zip Code | 11725-5426 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417983024 | Rbk Pediatrics PC | Pediatrics | 646 Commack Rd, Commack, NY 11725-5404 | 2006-06-24 |
| 1669026142 | Michael Thomas Grassa | Dentist | 646 Commack Rd, Commack, NY 11725-5426 | 2019-08-01 |
| 1831635408 | Rbk Pediatrics | Pediatrics | 646 Commack Rd, Commack, NY 11725-5426 | 2017-01-06 |
| 1639550007 | Christine Mcgill | Pediatrics | 646 Commack Rd, Commack, NY 11725 | 2015-06-11 |
| 1255596706 | Tina M Frangella | Dentist | 646 Commack Rd, Commack, NY 11725-5426 | 2008-07-24 |
| 1275792897 | Laura Ottavia Frangella | Dentist | 646 Commack Rd, Commack, NY 11725-5426 | 2008-06-09 |
| 1790802270 | Albert V Biggiani | Dentist | 646 Commack Rd, Commack, NY 11725-5404 | 2007-03-22 |
| 1588789333 | Maria Clare Milazzo | Nurse Practitioner | 646 Commack Rd, Commack, NY 11725-5404 | 2007-03-20 |
| 1801972013 | Nina Simon | Pediatrics | 646 Commack Rd, Commack, NY 11725-5404 | 2006-10-31 |
| 1922196948 | Nicholas Rogu | Pediatrics | 646 Commack Rd, R.b.k Pediatrics, Commack, NY 11725-5404 | 2006-10-11 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699322131 | Amanda Grace Acebedo | Student in an Organized Health Care Education/Training Program | 785 Larkfield Rd, Commack, NY 11725 | 2019-08-20 |
| 1922667716 | Diana Mcnamara | Social Worker | 13 Audrey Lane, Commack, NY 11725 | 2019-06-06 |
| 1821504333 | Amy Koenig | Specialist | 787 Larkfield Rd, Commack, NY 11725 | 2017-12-19 |
| 1437661501 | Commack Chemist Inc | Pharmacy | 6216 Jericho Turnpike, Commack, NY 11725 | 2017-10-30 |
| 1285168880 | Stephanie Arico | Counselor | 14 Silver Pond Cir, Commack, NY 11725 | 2017-04-20 |
| 1235684432 | Ams Primary Medical Care House Calls,pc | Home Health | 6277 Jericho Tpk, Commack, NY 11725 | 2016-08-18 |
| 1376927459 | Min Sun Park | Dentist | All About Smiles Pediatric Dentistry, 5036 Jericho Turnpike Suite #307, Commack, NY 11725 | 2015-07-17 |
| 1467843748 | Joanna Keegan | Pharmacy Technician | 98 Veterans Memorial Highway, Commack, NY 11725 | 2015-02-09 |
| 1275936841 | Jennie Bernstein | Social Worker | 368 Veterans Hwy Ste 2, Commack, NY 11725 | 2014-09-26 |
| 1417362021 | Diana Matira Yildirim | Pediatrics | 646 Commack Road, Commack, NY 11725 | 2014-06-23 |
| Find all providers in zip 11725 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417362021 | Diana Matira Yildirim | Pediatrics | 646 Commack Road, Commack, NY 11725 | 2014-06-23 |
| 1548433121 | Linda Mary Lukose | Pediatrics | Rbk Pediatrics, 646 Commack Rd, Commack, NY 11725 | 2008-04-04 |
| 1699854638 | Scott Svitek | Pediatrics | 154 Commack Rd, Commack, NY 11725-3457 | 2006-11-02 |
| 1922104744 | Ann Margaret Hajduk-bennett | Pediatrics | 340 Veterans Memorial Hwy, Suite 10, Commack, NY 11725-4300 | 2006-09-16 |
| 1417983024 | Rbk Pediatrics PC | Pediatrics | 646 Commack Rd, Commack, NY 11725-5404 | 2006-06-24 |
| 1831635408 | Rbk Pediatrics | Pediatrics | 646 Commack Rd, Commack, NY 11725-5426 | 2017-01-06 |
| 1639550007 | Christine Mcgill | Pediatrics | 646 Commack Rd, Commack, NY 11725 | 2015-06-11 |
| 1407021850 | Brian J Bezack | Pediatrics | 66 Commack Rd, Suite 100, Commack, NY 11725-3405 | 2008-04-28 |
| 1124191879 | Lorraine Catalano | Pediatrics | 154 Commack Rd, Suite 100, Commack, NY 11725-3457 | 2006-11-17 |
| 1720157548 | Gay Elana Ezer | Pediatrics | 154 Commack Rd, Commack, NY 11725-3457 | 2006-11-07 |
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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.