MR. TIMOTHY JAMES NERVINA (NPI# 1720593999) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720593999 |
| Entity Type | Individual |
| Full Name | MR. TIMOTHY JAMES NERVINA |
| Credential | MSN, FNP-C |
| Practice Address |
2134 Penfield Rd Penfield NY 14526-1736 |
| Mailing Address |
135 Eaglesfield Way Fairport NY 14450-4406 |
| Practice Telephone | 5852768280 |
| Mailing Telephone | 3154069072 |
| Enumeration Date | 2017-12-08 |
| Last Update Date | 2018-03-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 342344 | NY | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1300 Jefferson Rd Ste 100, Rochester, NY 146233195 | 5854131800 | |
| 3400 Monroe Ave, Rochester, NY 146184725 | 5852031055 | |
| 42 Nichols St, Spencerport, NY 145592180 | 5853497094 |
| Street Address |
2134 PENFIELD RD |
| City | PENFIELD |
| State | NY |
| Zip Code | 14526-1736 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700384898 | Abby Avallone | Nurse Practitioner | 2134 Penfield Rd, Penfield, NY 14526-1736 | 2018-01-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740791839 | Lori A Teller-mcdonald | Counselor | 15 Hidden Meadow, Penfield, NY 14526 | 2017-10-17 |
| 1952825028 | Theresa J Maher | Social Worker | 52 Liberty Street, Penfield, NY 14526 | 2017-08-01 |
| 1669894291 | Joseph Muscarella | Occupational Therapist | 22 Meadowlark Dr., Penfield, NY 14526 | 2014-01-16 |
| 1558645051 | Kathleen B Harris | Registered Nurse | 1750 Scribner Road, Penfield, NY 14526 | 2011-10-03 |
| 1073834115 | Lauren N O'meal | Registered Nurse | 481 Penbrooke Drive, Suite 6, Penfield, NY 14526 | 2010-06-11 |
| 1033365515 | Tiffany Marie Spring Welsher | Speech-Language Pathologist | 58 Dublin Heights Rd, Penfield, NY 14526 | 2008-08-15 |
| 1447358064 | Cvs Albany LLC | Pharmacy | 2200 Penfield Rd Penn Fair Plz, Penfield, NY 14526 | 2006-09-20 |
| 1295837185 | Gloria Nichols | Dentist | 2041 Penfield Rd, Penfield, NY 14526 | 2006-09-02 |
| 1023029402 | Robert Ciccone | Dentist | 2094 Five Mile Line Rd, Penfield, NY 14526 | 2006-08-10 |
| 1891732608 | Joselito Gaspar Delossantos | Pharmacist | 2200 Penfield Road, Cvs Pharmacy #545, Penfield, NY 14526 | 2006-06-01 |
| Find all providers in zip 14526 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518386200 | Shaula Woz | Family Medicine | 1835 Fairport Nine Mile Point Rd Ste 100, Penfield, NY 14526-1903 | 2014-04-10 |
| 1659637635 | Laura E Gift | Family Medicine | 1835 Nine Mile Point Rd, Suite 100, Penfield, NY 14526-1903 | 2012-04-04 |
| 1902987837 | Cheryl A Newman | Family Medicine | 2550 Baird Rd, Penfield, NY 14526-2331 | 2006-10-18 |
| 1669427308 | Pamela C Grover | Family Medicine | 421 Penbrooke Dr, Suite #6, Penfield, NY 14526-2045 | 2006-05-23 |
| 1881659845 | Richard Gordon Kennedy | Family Medicine | 1835 Fairport Nine Mile Point Rd, Ste 100, Penfield, NY 14526-1903 | 2006-04-20 |
| 1770576209 | Rachel D Yankey | Family Medicine | 2200 Penfield Rd, Penfield, NY 14526-1711 | 2005-08-30 |
| 1811248784 | Ola Mscichowski | Family Medicine | 2200 Penfield Rd, Penfield, NY 14526-1711 | 2012-10-02 |
| 1194031492 | Cheryl Newman Md, Pllc | Family Medicine | 2550 Baird Rd, Penfield, NY 14526-2331 | 2010-08-24 |
| 1114244738 | Monica Ranaletta | Family Medicine | 2212 Penfield Rd, Suite 100, Penfield, NY 14526-1756 | 2010-04-21 |
| 1285951806 | Allyson Wise | Family Medicine | 2212 Penfield Rd, Suite 100, Penfield, NY 14526-1756 | 2010-04-21 |
| Find all providers in PENFIELD | ||||
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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.