MRS. DANIELLE ALBERTE GUSTAMA (NPI# 1689190969) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689190969 |
| Entity Type | Individual |
| Full Name | MRS. DANIELLE ALBERTE GUSTAMA |
| Credential | NURSE PRACTITIONER |
| Practice Address |
45 E 81st St New York NY 10028-0263 |
| Mailing Address |
13152 232nd St Laurelton NY 11413-1836 |
| Practice Telephone | 2127379774 |
| Mailing Telephone | 6463770096 |
| Enumeration Date | 2017-08-17 |
| Last Update Date | 2019-11-22 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 545039 | NY | Nursing Service Providers |
| N | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
307698 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
402807 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
45 E 81ST ST |
| City | NEW YORK |
| State | NY |
| Zip Code | 10028-0263 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356630495 | Dana Rosenbluth | Speech-Language Pathologist | 45 E 81st St, New York, NY 10028-0263 | 2011-03-29 |
| 1841739794 | Melissa Mcdermott | Speech-Language Pathologist | 45 E 81st St, New York, NY 10028-0263 | 2017-02-13 |
| 1386189819 | Elizabeth Fallon | Speech-Language Pathologist | 45 E 81st St, New York, NY 10028-0263 | 2016-12-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386256329 | Anna Holloway | Physical Therapist | 245 East 84th Street, Ground Floor, New York, NY 10028 | 2020-08-20 |
| 1083248694 | Madison Apothecary Inc. | Pharmacy | 1114 Madison Avenue, New York, NY 10028 | 2020-02-24 |
| 1235769449 | Behavioral Health of New York Psychology PC | Psychologist | 103 East 86th Street #1e, New York, NY 10028 | 2020-01-16 |
| 1801446596 | Michael Bassiri-tehrani Md Pllc | Clinic/Center | 61 East 86th St., Practices At 86, New York, NY 10028 | 2019-09-16 |
| 1427601574 | Vasileios Bouris | Student in an Organized Health Care Education/Training Program | 152 E 84th St., Manhattan, New York, NY 10028 | 2019-07-18 |
| 1770049728 | Kinetic Kids Occupational Therapy Pllc | Occupational Therapist | 312 E 85th Street, Ba, New York, NY 10028 | 2019-02-14 |
| 1447744909 | Blueprint-nutrition P.l.l.c. | Dietitian, Registered | 345 E. 81st Street, Apt 5d, New York, NY 10028 | 2018-06-19 |
| 1073024840 | Katrina Dever | Nurse Practitioner | 12 E 86th St Ofc 4c, New York, NY 10028 | 2017-10-19 |
| 1255853610 | Alison C Baker | Social Worker | 1035 Park Avenue, #8b, New York, NY 10028 | 2017-07-07 |
| 1427411248 | Bibek Gurung | Registered Nurse | 517 E 83rd Street, Apt 3w, Ny, NY 10028 | 2016-03-30 |
| Find all providers in zip 10028 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487267639 | Grace Taylor | Nurse Practitioner | 75 Maiden Ln Fl 7, New York, NY 10038-4619 | 2020-08-27 |
| 1003425729 | Melissa Byers | Nurse Practitioner | 610 E 20th St Apt 3b, New York, NY 10009-1403 | 2020-07-28 |
| 1518595727 | Psychiatric Nurse Practitioner P.c | Nurse Practitioner | 191 Orchard St Apt 4d, New York, NY 10002-1424 | 2020-04-01 |
| 1194351965 | Wellround Provider Group, P.a. | Nurse Practitioner | 401 Park Ave S Fl 9, New York, NY 10016-8808 | 2020-03-12 |
| 1619511219 | Comfort Arms Np Psychiatric Services | Nurse Practitioner | 470 Lenox Ave Apt 1f, New York, NY 10037-3012 | 2019-11-06 |
| 1689227175 | Marianna Garibaldi | Nurse Practitioner | 246 W 38th St Fl 10, New York, NY 10018-5805 | 2019-07-23 |
| 1235781535 | Nathan Hanna | Nurse Practitioner | 6 E 39th St Ste 902, New York, NY 10016-0468 | 2019-07-16 |
| 1528610854 | Cohen Psychiatric Services Pllc | Nurse Practitioner | 57 W 57th St Ste 801, New York, NY 10019-2802 | 2019-07-16 |
| 1952962227 | Richard Callado | Nurse Practitioner | 245 5th Ave Ste 336, New York, NY 10016 | 2019-06-26 |
| 1467017392 | Shaneika Lindsay | Nurse Practitioner | 109 W 27th St Ste 5s, New York, NY 10001-6208 | 2019-05-06 |
| Find all providers in NEW YORK | ||||
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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.