DR. FRED RONALD WAXENBERG (NPI# 1700484151) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700484151 |
| Entity Type | Individual |
| Full Name | DR. FRED RONALD WAXENBERG |
| Practice Address |
3001 Hewlett Ave Merrick NY 11566-5312 |
| Practice Telephone | 5169872351 |
| Mailing Telephone | 5169872351 |
| Enumeration Date | 2020-10-16 |
| Last Update Date | 2020-10-22 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC1900X |
Psychologist Specialization: Counseling |
0006472 | NY | Behavioral Health & Social Service Providers |
| Street Address |
3001 HEWLETT AVE |
| City | MERRICK |
| State | NY |
| Zip Code | 11566-5312 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538722657 | Francis Gregory Coffey | Psychologist | 124 N Merrick Ave, Merrick, NY 11566 | 2019-04-15 |
| 1912499401 | Icahn School of Medicine At Mount Sinai | Registered Nurse | 2209 Merrick Rd Ste 101, Merrick, NY 11566 | 2018-05-31 |
| 1013436732 | Elisabeth Chandlin Walker | Speech-Language Pathologist | 2825 Bay Dr, Merrick, NY 11566 | 2017-09-13 |
| 1720509938 | Gloria Lebeaux | Social Worker | 1860 Nassau Street, Merrick, NY 11566 | 2017-06-28 |
| 1104350941 | Sari Klar | Counselor | 1991 Norshon Rd, Merrick, NY 11566 | 2017-04-19 |
| 1447790563 | Yash Shah | Student in an Organized Health Care Education/Training Program | 1068 Susan Ct, Merrick, NY 11566 | 2017-03-08 |
| 1457700320 | Rachel Zimmern | Specialist | 16 Arbor Ln, Merrick, NY 11566 | 2016-06-10 |
| 1326435785 | Christine Cione | Counselor | 2116 Merrick Avenue, Suite 2006, Merrick, NY 11566 | 2015-04-22 |
| 1407269590 | Yolanda Stahl Dpm PC | Podiatrist | 1457 Merrick Ave, Merrick, NY 11566 | 2014-06-05 |
| 1629496575 | Sara D Lobato | Registered Nurse | 1970 Brook Park Dr, Merrick, NY 11566 | 2014-03-28 |
| Find all providers in zip 11566 | ||||
| Taxonomy Code | 103TC1900X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Counseling |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528672870 | Alexandra E Lamm | Psychologist | 50 W 96th Street, Apt 5a-d, New York, NY 10025 | 2020-09-03 |
| 1699384495 | Illumination Psychology Pllc | Psychologist | 88 Terry Rd Ste 106, Smithtown, NY 11787-3811 | 2020-07-28 |
| 1881212140 | Elizabeth Wilen-berg | Psychologist | 308 W 103rd St Apt 8d, New York, NY 10025-4463 | 2020-07-13 |
| 1396361747 | Jeanna Pagnotta | Psychologist | 109 N 12th St Ste 507, Brooklyn, NY 11249-1002 | 2020-06-22 |
| 1376167544 | Amelio A D'onofrio | Psychologist | 58 E 79th St Fl 4f, New York, NY 10075-0221 | 2020-06-03 |
| 1114540648 | Alexandra Lerner | Psychologist | 10 Whitetail Dr, Ithaca, NY 14850-9458 | 2020-05-19 |
| 1386265882 | Abba Human Services Foundation, Inc | Psychologist | 10 Schriever Ln Ste B, New City, NY 10956-3314 | 2020-05-06 |
| 1750911160 | Julie Herman Hirschfeld | Psychologist | 575 West End Ave. Gr-a-3, New York, NY 10024-2711 | 2020-01-24 |
| 1588204093 | Rebecca Frances Reed | Psychologist | 1 City Pl Apt 610, White Plains, NY 10601-3334 | 2020-01-13 |
| 1750928735 | Gregory Alexander, Ph.d. Psychologist, PC | Psychologist | 260 W Main St Ste 9, Bay Shore, NY 11706-8322 | 2019-12-09 |
| 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.