JENNIFER L REARDON (NPI# 1679506455) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679506455 |
| Entity Type | Individual |
| Full Name | JENNIFER L REARDON |
| Credential | NP |
| Practice Address |
160 North Midland Ave Weill Cornell Multiple Sclerosis Center At Nyack Hospit Nyack NY 10960 |
| Practice Telephone | 8453488880 |
| Practice Fax Number | 8453482047 |
| Mailing Telephone | 8453488880 |
| Mailing Fax Number | 8453482047 |
| Enumeration Date | 2006-07-08 |
| Last Update Date | 2012-11-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
F303926 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902405582 | Jennifer Leigh Reardon | Registered Nurse | 33785 Se Davona Dr, Scappoose, OR 97056-4513 | 2020-10-23 |
| 1518239961 | Jennifer Dorothy Reardon | Dietitian, Registered | 47a Batavia City Ctr, Batavia, NY 14020-2107 | 2012-02-01 |
| 1538210315 | Jennifer Rion Reardon | Specialist | 5003 240th Pl Sw, Mountlake Terrace, WA 98043-5628 | 2007-01-16 |
| 1821612342 | Jennifer Anne Reardon | Behavior Technician | 3229 S Cherokee Ln, Woodstock, GA 30188-4461 | 2020-06-01 |
| 1346380276 | Jennifer Theo Reardon | Social Worker | 191 Broadway, Amityville, NY 11701-2790 | 2007-02-08 |
| Street Address |
160 NORTH MIDLAND AVE WEILL CORNELL MULTIPLE SCLEROSIS CENTER AT NYACK HOSPIT |
| City | NYACK |
| State | NY |
| Zip Code | 10960 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164963443 | Urmi Vaghela | Behavioral Analyst | 99 Main St Suite 208, Vital Behavior Services, Inc., Nyack, NY 10960 | 2017-03-20 |
| 1063968873 | Ebony S. Owens | Behavioral Analyst | 204 Nyack Plaza, Nyack, NY 10960 | 2016-08-31 |
| 1306299979 | Timothy O'shea Jr. | Registered Nurse | 28 Central Ave North, Nyack, NY 10960 | 2016-07-19 |
| 1114378460 | Abilene Murassaint | Licensed Practical Nurse | 65 Waldron Ave, Nyack, NY 10960 | 2016-06-28 |
| 1114388261 | United States Medical Supply Co. | Durable Medical Equipment & Medical Supplies | 286 S. Boulevard, Nyack, NY 10960 | 2016-03-17 |
| 1316329477 | Susanna Miran Park | Acupuncturist | 85 South Broadway, Nyack, NY 10960 | 2015-06-25 |
| 1851724769 | Molly Hahn | Social Worker | 292 Main St Ste 4, Nyack, NY 10960 | 2013-08-14 |
| 1952648511 | Courtney Lia Sturm | Speech-Language Pathologist | 21 Burd Street, Nyack, NY 10960 | 2013-01-15 |
| 1942545389 | Manni Chahal | Registered Nurse | 3 Waldron Ave, Nyack, NY 10960 | 2012-12-11 |
| 1376894394 | Barbara Lewis Baker | Social Worker | 339 North Broadway, The Summit School and Children's Residence Center, Upper Nyack, NY 10960 | 2012-10-01 |
| Find all providers in zip 10960 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821653320 | Cara Danielle Sullivan | Nurse Practitioner | 214 Glenbrook Rd, Nyack, NY 10960-1328 | 2019-05-09 |
| 1285702910 | Heidi Brenner | Nurse Practitioner | 258 High Ave, Nyack, NY 10960-2407 | 2006-12-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104427871 | Tammie Kae Copp | Nurse Practitioner | 8266 Casson Rd, Lindley, NY 14858-9697 | 2020-11-08 |
| 1770184673 | Annette Virosami | Nurse Practitioner | 890 Trinity Ave Apt 8d, Bronx, NY 10456-7419 | 2020-11-06 |
| 1972104958 | Jonathan Dillera Nietes | Nurse Practitioner | 4411 Macnish St Apt 1g, Elmhurst, NY 11373-3609 | 2020-11-05 |
| 1407457088 | Sanjana Kumari | Nurse Practitioner | 62 Albertson Pl, Mineola, NY 11501-4601 | 2020-11-02 |
| 1780284927 | Hannah Catan | Nurse Practitioner | 473 W 158th St Apt 10, New York, NY 10032-5361 | 2020-10-27 |
| 1700486248 | Amandeep Kaur | Nurse Practitioner | 7638 270th St, New Hyde Park, NY 11040-1418 | 2020-10-26 |
| 1861091324 | Stacey M Jantsch | Nurse Practitioner | 8237 Cicero Mills Rd, Cicero, NY 13039-8344 | 2020-10-25 |
| 1871192468 | Adult Health Np House Calls, PC | Nurse Practitioner | 7954 Transit Rd # 134, Williamsville, NY 14221-4117 | 2020-10-23 |
| 1104425891 | Tze-hsuan Chao | Nurse Practitioner | 3916 Prince St Ste 257, Flushing, NY 11354-5367 | 2020-10-22 |
| 1992304968 | Nicholas Robinson | Nurse Practitioner | 295 Essjay, Williamsville, NY 14221 | 2020-10-21 |
| 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.