CASEY CHAMBERS (NPI# 1770026601) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770026601 |
| Entity Type | Individual |
| Full Name | CASEY CHAMBERS |
| Credential | AGNP-C |
| Practice Address |
120 Mineola Blvd Ste 500 Mineola NY 11501-4074 |
| Practice Telephone | 5166639500 |
| Enumeration Date | 2016-11-25 |
| Last Update Date | 2018-03-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
307830 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 200 Old Country Rd, Suite 450, Mineola, NY 115014235 | 5166639500 |
| Street Address |
120 MINEOLA BLVD STE 500 |
| City | MINEOLA |
| State | NY |
| Zip Code | 11501-4074 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609081561 | Julius Paul Duic | Emergency Medicine | 120 Mineola Blvd Ste 500, Mineola, NY 11501-4074 | 2007-05-14 |
| 1851937445 | Elsa Fikri Bahiru | Registered Nurse | 120 Mineola Blvd Ste 500, Mineola, NY 11501-4074 | 2019-11-19 |
| 1427691302 | Thaleshravi Prashad | Nurse Practitioner | 120 Mineola Blvd Ste 500, Mineola, NY 11501-4074 | 2019-10-23 |
| 1134616881 | Jenna Lynn Goldbach | Registered Nurse | 120 Mineola Blvd Ste 500, Mineola, NY 11501-4074 | 2018-04-18 |
| 1073990107 | Abhinav Rohatgi | Internal Medicine | 120 Mineola Blvd Ste 500, Mineola, NY 11501 | 2015-04-27 |
| 1568761336 | Marc Justin Braunstein | Internal Medicine | 120 Mineola Blvd Ste 500, Mineola, NY 11501-4074 | 2011-03-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710500350 | Steve Abraham Simon | Student in an Organized Health Care Education/Training Program | 222 Station Plaza, Suite 509, Mineola, NY 11501 | 2020-05-18 |
| 1407478167 | Frederick Milton Bosoy | Student in an Organized Health Care Education/Training Program | 259 1st St, Mineola, Ny 11501, Mineola, NY 11501 | 2020-05-15 |
| 1982226130 | Katelyn Anne Fowler | Counselor | [email protected], 410 East Jericho Tpke, Mineola, NY 11501 | 2020-05-11 |
| 1225667819 | New York Dialysis Services, Inc | Clinic/Center | 1 East Jericho Turnpike, Mineola, NY 11501 | 2020-04-06 |
| 1518500032 | Irina Victoria Kushnareva | Social Worker | 126 Saville Rd, Mineola, NY 11501 | 2019-10-28 |
| 1861046336 | Milagros M Matias | Case Manager/Care Coordinator | 39 E. Jericho Turnpike, Mineola, NY 11501 | 2019-08-01 |
| 1154974244 | Bahram Dabiri | Student in an Organized Health Care Education/Training Program | 222 Station Plaza N., Suite 620 Mineola, Mineola, NY 11501 | 2019-07-18 |
| 1972168748 | Nabeel A. Arain | Physician Assistant | 251 1st St., Mineola, NY 11501 | 2019-05-07 |
| 1598328940 | Ramsha Jabbar | Student in an Organized Health Care Education/Training Program | 222 Station Plaza North, Suite 305, Mineola, NY 11501 | 2019-04-20 |
| 1235628850 | Valentyna Erstenyuk | Student in an Organized Health Care Education/Training Program | 222 Station Plaza N, Suite 611, Mineola, NY 11501 | 2018-05-09 |
| Find all providers in zip 11501 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407457088 | Sanjana Kumari | Nurse Practitioner | 62 Albertson Pl, Mineola, NY 11501-4601 | 2020-11-02 |
| 1043751654 | Emily Lynn Kobus | Nurse Practitioner | 101 Mineola Blvd Fl 2, Mineola, NY 11501-4007 | 2017-03-15 |
| 1942661574 | Shaiba Anil | Nurse Practitioner | 127 Raff Ave, Mineola, NY 11501 | 2016-03-09 |
| 1053669614 | Nurse Practitioners In Adult Health Services, Pllc | Nurse Practitioner | 184 Old Country Road, First Floor, Mineola, NY 11501 | 2012-08-29 |
| 1033359799 | Theresa M Del Vecchio | Nurse Practitioner | 222 Station Plz N Ste 400, Winthrop Pulmonary, Mineola, NY 11501-3893 | 2009-02-20 |
| 1457359341 | Joan Aiello | Nurse Practitioner | 200 Old Country Rd, Mineola, NY 11501-4235 | 2005-07-13 |
| 1659905800 | Jennifer Valencia | Nurse Practitioner | 259 1st St, Mineola, NY 11501-3957 | 2020-02-26 |
| 1700422102 | Rachael Shapiro | Nurse Practitioner | 259 1st St, Mineola, NY 11501-3957 | 2019-11-20 |
| 1124599642 | Susmita Mondal | Nurse Practitioner | 259 1st St, Mineola, NY 11501-3957 | 2018-12-10 |
| 1245707082 | Shady Zeidan | Nurse Practitioner | 259 1st St, Mineola, NY 11501-3957 | 2018-10-30 |
| Find all providers in MINEOLA | ||||
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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.