MS. JANINE DENISE STOMBOLY (NPI# 1720450323) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720450323 |
| Entity Type | Individual |
| Full Name | MS. JANINE DENISE STOMBOLY |
| Credential | PMHNP |
| Practice Address |
64 North Shore Drive Alden NY 14004-9204 |
| Mailing Address |
64 N Shore Dr Alden NY 14004-9204 |
| Practice Telephone | 7163355245 |
| Mailing Telephone | 7163355245 |
| Enumeration Date | 2015-10-22 |
| Last Update Date | 2015-10-22 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
F401894-1 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
64 NORTH SHORE DRIVE |
| City | ALDEN |
| State | NY |
| Zip Code | 14004-9204 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376970632 | Robert C Dundon Jr. | Nurse Practitioner | 12705 Uebelhoer Rd, Alden, NY 14004 | 2013-10-02 |
| 1073884912 | Allen M Golibersuch | Technician/Technologist | 12444 Broadway St., Alden, NY 14004 | 2012-01-24 |
| 1578707253 | Ruth A. Johnson, M.d. | Nurse Practitioner | 13500 Broadway, Alden, NY 14004 | 2009-04-27 |
| 1053565069 | Donna Marie Garas | Speech-Language Pathologist | 472 Woodside Ct., Alden, NY 14004 | 2008-11-05 |
| 1467473058 | Frank A. Torrelli Sr. | Chiropractor | 13167 Broadway, Alden, NY 14004 | 2006-07-21 |
| 1194713693 | Hope Obertean | Nurse Practitioner | 3040 Wende Rd, Alden, NY 14004 | 2005-10-10 |
| 1275520538 | Alden Medical Supply LLC | Durable Medical Equipment & Medical Supplies | 13185 Broadway, Alden, NY 14004 | 2005-10-03 |
| 1669729984 | Lara Darling | Nurse Practitioner | 3040 Wende Rd, Alden, NY 14004 | 2012-08-06 |
| 1629101753 | Alden Central School District | Local Education Agency (LEA) | 13190 Park St, Alden, NY 14004-1022 | 2007-03-14 |
| 1881942050 | Marci Ann Oar | Speech-Language Pathologist | 13190 Park St, Alden, NY 14004-1022 | 2012-08-20 |
| Find all providers in zip 14004 | ||||
| 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 |
|---|---|---|---|---|
| 1033114574 | Ann Marie Pasek | Nurse Practitioner | 11901 Broadway St, Alden, NY 14004-9454 | 2005-06-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013518794 | Johnson Oppong | Nurse Practitioner | 160 Theodore Fremd Ave Apt C2, Rye, NY 10580-2842 | 2020-11-08 |
| 1619578366 | Jecinter L Otieno | Nurse Practitioner | 195 Hillside Dr, Oneonta, NY 13820-3611 | 2020-11-07 |
| 1073113833 | Natalie Grant-villegas | Nurse Practitioner | 1210 Fulton St Apt 1, Brooklyn, NY 11216-2003 | 2020-10-29 |
| 1780284869 | Mary Gwynne Tillotson | Nurse Practitioner | 82 Oxford Ave, Buffalo, NY 14209-1406 | 2020-10-28 |
| 1780284273 | Angela Abramov | Nurse Practitioner | 141-30 Pershing Creacsent Apt 3c, Jamaica, NY 11435 | 2020-10-26 |
| 1407455967 | Marie J. Schwarz, Npp-bc PC | Nurse Practitioner | 133 E Main St Ste 3h, Babylon, NY 11702-3517 | 2020-10-25 |
| 1720687015 | Ashley Winn | Nurse Practitioner | 367 E Chester St, Long Beach, NY 11561-2324 | 2020-10-19 |
| 1114525961 | Tanya Monique Sydnor Holmes | Nurse Practitioner | 1601 Baldwin Blvd, Bay Shore, NY 11706-2145 | 2020-10-14 |
| 1669079976 | Mary Lynn Good | Nurse Practitioner | 3344 Chambers Rd # 200, Horseheads, NY 14845-1403 | 2020-10-08 |
| 1376140277 | Megan Elizabeth Bhatti | Nurse Practitioner | 2104 Delaware Ave Apt 1, Buffalo, NY 14216-3216 | 2020-10-04 |
| 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.