MS. NICOLE KAREN CERUSSI (NPI# 1730633579) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730633579 |
| Entity Type | Individual |
| Full Name | MS. NICOLE KAREN CERUSSI |
| Credential | PMHNP-BC |
| Practice Address |
146 Pike St Port Jervis NY 12771-1808 |
| Practice Telephone | 6462395955 |
| Mailing Telephone | 6462395955 |
| Enumeration Date | 2016-08-10 |
| Last Update Date | 2016-08-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
F402062 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
146 PIKE ST |
| City | PORT JERVIS |
| State | NY |
| Zip Code | 12771-1808 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720076599 | Frances M Griffin | Social Worker | 146 Pike St, Port Jervis, NY 12771-1808 | 2005-10-06 |
| 1598394918 | Christine Anush Derian | Counselor | 146 Pike St, Port Jervis, NY 12771-1808 | 2020-04-07 |
| 1356973606 | Jessica Vitolano | Student in an Organized Health Care Education/Training Program | 146 Pike St, Port Jervis, NY 12771-1808 | 2020-02-05 |
| 1689215352 | Janan Virginia Furlong | Social Worker | 146 Pike St, Port Jervis, NY 12771-1808 | 2019-10-03 |
| 1487207189 | Donna Ann Goulette | Student in an Organized Health Care Education/Training Program | 146 Pike St, Port Jervis, NY 12771-1808 | 2019-07-22 |
| 1417519620 | Lillian Dugan | Social Worker | 146 Pike St, Port Jervis, NY 12771-1808 | 2019-07-08 |
| 1457913154 | Terry Lynn Clark | Counselor | 146 Pike St, Port Jervis, NY 12771-1808 | 2019-07-02 |
| 1194202598 | Barbara Marie Marszalek | Nurse Practitioner | 146 Pike St, Port Jervis, NY 12771-1808 | 2018-07-27 |
| 1366939662 | Genevieve Curio | Clinic/Center | 146 Pike St, Port Jervis, NY 12771-1808 | 2018-04-23 |
| 1710338827 | Toni Hall | Counselor | 146 Pike St, Port Jervis, NY 12771-1808 | 2016-06-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164045571 | Mary Ann Ricci | Counselor | 155 West Main, Port Jervis, NY 12771 | 2020-05-20 |
| 1982236022 | Jylian Ann Jackson | Social Worker | 146 Pike Street Outpatient Clinic, Port Jervis, NY 12771 | 2020-02-06 |
| 1336605591 | Dominic James Costantino | Physical Therapist | 17 Franklin Street, Port Jervis, NY 12771 | 2019-02-13 |
| 1871011775 | Pamela Ann Gluck | Counselor | 17 Sussex Street, Port Jervis, NY 12771 | 2017-08-31 |
| 1891211868 | Jamie Muller | Home Health Aide | 12 Mt William St, Port Jervis, NY 12771 | 2017-08-21 |
| 1922456649 | Greenville Township Volunteer Ambulance Corps Inc | Ambulance | 1495 Greenville Turnpike, Port Jervis, NY 12771 | 2016-06-03 |
| 1659702363 | Agnes Timberger | Social Worker | 626 Eatontown Road, Port Jervis, NY 12771 | 2013-12-05 |
| 1962795708 | Olga I Murray | Registered Nurse | 125 E. Main St., Port Jervis, NY 12771 | 2011-05-26 |
| 1407089444 | Daniel David Gersten | Counselor | 17-19 Sussex Street, Port Jervis, NY 12771 | 2009-08-25 |
| 1447404736 | Ann Marie Brown | Counselor | 136 Jersey Avenue, Suite 1, Port Jervis, NY 12771 | 2008-11-13 |
| Find all providers in zip 12771 | ||||
| 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 |
|---|---|---|---|---|
| 1194202598 | Barbara Marie Marszalek | Nurse Practitioner | 146 Pike St, Port Jervis, NY 12771-1808 | 2018-07-27 |
| 1194065383 | Margaret Mitchell | Nurse Practitioner | 146 Pike St, Port Jervis, NY 12771-1808 | 2013-02-25 |
| 1417149659 | Martha Mcphail Thomson | Nurse Practitioner | 146 Pike Street, Port Jervis, NY 12771 | 2007-08-12 |
| 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 | ||||
| City | PORT JERVIS |
| Zip Code | 12771 |
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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.