MRS. RADOISHKA TRUJILLO (NPI# 1720454069) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720454069 |
| Entity Type | Individual |
| Full Name | MRS. RADOISHKA TRUJILLO |
| Practice Address |
156 N Ocean Ave Patchogue NY 11772-2004 |
| Practice Telephone | 6312071053 |
| Practice Fax Number | 6313374190 |
| Mailing Telephone | 6312071053 |
| Mailing Fax Number | 6313374190 |
| Enumeration Date | 2015-08-20 |
| Last Update Date | 2015-08-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| Street Address |
156 N OCEAN AVE |
| City | PATCHOGUE |
| State | NY |
| Zip Code | 11772-2004 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821134461 | Christina Bellini | Occupational Therapist | 156 N Ocean Ave, Patchogue, NY 11772-2004 | 2007-01-30 |
| 1871007856 | Maria Teresa Molano | Case Manager/Care Coordinator | 156 N Ocean Ave, Patchogue, NY 11772-2004 | 2017-11-29 |
| 1356852743 | Laura Esposito | Case Manager/Care Coordinator | 156 N Ocean Ave, Patchogue, NY 11772-2004 | 2017-10-12 |
| 1992242960 | Ana Blandino | Case Manager/Care Coordinator | 156 N Ocean Ave, Patchogue, NY 11772-2004 | 2017-01-27 |
| 1265848261 | Lisa Valle | Case Manager/Care Coordinator | 156 N Ocean Ave, Patchogue, NY 11772-2004 | 2014-07-10 |
| 1003251752 | Karina Rosero | Case Manager/Care Coordinator | 156 N Ocean Ave, Patchogue, NY 11772-2004 | 2013-05-08 |
| 1336584267 | Emily Pollack | Case Manager/Care Coordinator | 156 N Ocean Ave, Patchogue, NY 11772-2004 | 2013-05-06 |
| 1912254996 | Jane Montalvo Gonzalez | Specialist | 156 N Ocean Ave, Patchogue, NY 11772-2004 | 2012-08-09 |
| 1710232285 | Lauren T Neckin | Specialist | 156 N Ocean Ave, Patchogue, NY 11772-2004 | 2012-07-19 |
| 1932347309 | The Therapy Center for Children, LLC | Early Intervention Provider Agency | 156 N Ocean Ave, Patchogue, NY 11772-2004 | 2009-01-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205447224 | Amita Vipul Patel | Nurse Practitioner | Longlsland Community Hospital, 101 Hospital Rd, Patchogue, NY 11772 | 2020-08-13 |
| 1609491968 | Sanjib Dey | Family Medicine | Brookhaven Nephrology Associates, 260 E. Patchogue-yaphank Rd., Patchogue, NY 11772 | 2020-06-12 |
| 1992297204 | Camila Bueno-sanchez | Student in an Organized Health Care Education/Training Program | 676 S Country Rd, East Patchogue, NY 11772 | 2018-06-01 |
| 1184115859 | Premier Endodontics of Patchogue | Dentist | 44 Medford Avenue, Patchogue, NY 11772 | 2018-05-29 |
| 1801386453 | Franklin Ikechukwu Ugbode | Student in an Organized Health Care Education/Training Program | 100 Hospital Road Suite 201, Patchogue, NY 11772 | 2018-05-18 |
| 1508372335 | Stephanie Vanschaick | Counselor | 450 Waverly Ave Ste 11, Patchogue, NY 11772 | 2017-12-15 |
| 1578074498 | Chrystal Lee Curran | Specialist | 1116 Main Road, Aquebogue, NY 11772 | 2017-10-18 |
| 1013457712 | Candyce Fahner | Registered Nurse | 22 Haig Ave, E Patchogue, NY 11772 | 2017-02-28 |
| 1992251631 | Vanessa Lynn Petoello | Nurse Practitioner | 107 N/ Ocean Ave, Suite G, Patchogue, NY 11772 | 2016-09-01 |
| 1811343809 | Andrew Vanderlofske | Nurse Practitioner | 144 North Ocean Avenue, Patchogue, NY 11772 | 2016-05-09 |
| Find all providers in zip 11772 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497221527 | Jocelyn Kuan | Case Manager/Care Coordinator | 20 Terry St Apt 219, Patchogue, NY 11772-3875 | 2018-10-16 |
| 1609355106 | Kimberly Kinghorn | Case Manager/Care Coordinator | 1 Hulse Ct, Patchogue, NY 11772-3805 | 2018-08-07 |
| 1558790022 | Jennifer Musante | Case Manager/Care Coordinator | 529 S Ocean Ave, Patchogue, NY 11772-3721 | 2013-11-05 |
| 1245675966 | Kimberly Klappert | Case Manager/Care Coordinator | 156 North Ocean Ave, Patchogue, NY 11772 | 2013-05-08 |
| 1871007856 | Maria Teresa Molano | Case Manager/Care Coordinator | 156 N Ocean Ave, Patchogue, NY 11772-2004 | 2017-11-29 |
| 1356852743 | Laura Esposito | Case Manager/Care Coordinator | 156 N Ocean Ave, Patchogue, NY 11772-2004 | 2017-10-12 |
| 1992242960 | Ana Blandino | Case Manager/Care Coordinator | 156 N Ocean Ave, Patchogue, NY 11772-2004 | 2017-01-27 |
| 1265848261 | Lisa Valle | Case Manager/Care Coordinator | 156 N Ocean Ave, Patchogue, NY 11772-2004 | 2014-07-10 |
| 1073930707 | Maureen Satornino | Case Manager/Care Coordinator | 124 Maple Ave, Patchogue, NY 11772-2618 | 2014-03-19 |
| 1003251752 | Karina Rosero | Case Manager/Care Coordinator | 156 N Ocean Ave, Patchogue, NY 11772-2004 | 2013-05-08 |
| Find all providers in PATCHOGUE | ||||
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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.