MERCY MEDICAL CENTER (NPI# 1770597395) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770597395 |
| Entity Type | Organization |
| Organization Name | MERCY MEDICAL CENTER |
| Other Organization Name | MERCY MEDICAL CENTER-PHYSICIAN EXTENDERS |
| Practice Address |
1000 N. Village Avenue Rockville Centre NY 11571 |
| Mailing Address |
P.o Box 798 Rockville Centre NY 11570 |
| Practice Telephone | 5167051353 |
| Mailing Telephone | 5167051353 |
| Enumeration Date | 2006-07-28 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | JACQUELINE BRATHWAITE (CREDENTIALS DIRECTOR) |
| Authorized Official Telephone | 5167051353 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers |
| Other Name | Type Code |
|---|---|
| Mercy Medical Center-Physician Extenders | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417493073 | Mercy Medical Center | Chronic Disease Hospital | 7011 E Baltimore St, Baltimore, MD 21224-1829 | 2017-01-06 |
| 1356726293 | Mercy Medical Center | Community/Behavioral Health | 506 Stewart Avenue, Garden City, NY 11550 | 2015-07-21 |
| 1407075096 | Mercy Medical Center | Occupational Therapist | 2120 Edgewood Rd Sw, Cedar Rapids, IA 52404-2342 | 2007-04-24 |
| 1891714994 | Mercy Medical Center | Surgery | 1000 N Village Avenue, Rockville Centre, NY 11571 | 2006-07-19 |
| 1033159769 | Mercy Medical Center | Hospice Care, Community Based | 315 18th Ave, Hiawatha, IA 52233-2042 | 2006-06-08 |
| 1720456361 | Mercy Medical Center | Community/Behavioral Health | 506 Stewart Ave, Garden City, NY 11530-4706 | 2015-09-14 |
| 1548661366 | Mercy Medical Center | Rehabilitation Hospital | 125 Canton Rd Nw, Carrollton, OH 44615-1009 | 2014-09-11 |
| 1558783548 | Mercy Medical Center | Clinic/Center | 1421 S Caton Ave, Suite 203, Baltimore, MD 21227-1025 | 2014-01-10 |
| 1184974677 | Mercy Medical Center | Pharmacy | 701 10th Street Se, Cedar Rapids, IA 52403-1292 | 2012-09-12 |
| 1790054815 | Mercy Medical Center | Rehabilitation Hospital | 345 Saint Paul Pl, Baltimore, MD 21202-2123 | 2011-12-19 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | MERCY MEDICAL CENTER | 500 S Oakwood Rd, Oshkosh, WI 54901-7944 |
| New York State Corporations | MERCY MEDICAL CENTER | 1000 North Village Avenue, Rockville Centre, New York 11570 |
| System for Award Management (SAM) Entities | MERCY MEDICAL CENTER - DES MOINES | 1111 6th Ave, Des Moines, IA 50314-2610 |
| System for Award Management (SAM) Entities | MERCY MEDICAL CENTER - NEWTON | 204 North 4th Avenue East, Newton, IA 50208-3135 |
| Iowa Business Entities | MERCY MEDICAL CENTER FOUNDATION - NORTH IOWA | 1000 4th St Sw, Mason City, IA 50401 |
| System for Award Management (SAM) Entities | MERCY MEDICAL CENTER FUNDATION IN IOWA | 1000 4th St Sw, Mason City, IA 50401-2800 |
| New York State Corporations | MERCY MEDICAL CENTER PHYSICIAN-HOSPITAL ALLIANCE, INC. | 1000 North Village Avenue, Rockville Centre, Ny 11570 |
| System for Award Management (SAM) Entities | MERCY MEDICAL CENTER, INC | 301 Saint Paul Pl, Baltimore, MD 21202-2102 |
| System for Award Management (SAM) Entities | MERCY MEDICAL CENTER, INC. | 1320 Mercy Dr Nw, Canton, OH 44708-2614 |
| Oregon Corporations, Companies and Business Names | MERCY MEDICAL CENTER, INC. | 2700 Stewart Parkway, Roseburg, OR 97471 |
| Street Address |
1000 N. VILLAGE AVENUE |
| City | ROCKVILLE CENTRE |
| State | NY |
| Zip Code | 11571 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881646321 | Jay Itzkowitz | Emergency Medicine | 1000 N. Village Avenue, Rockville Centre, NY 11571 | 2006-05-16 |
| 1790045706 | Catherine Gillis | Speech-Language Pathologist | 1000 N. Village Avenue, Rockville Centre, NY 11570 | 2012-05-23 |
| 1972863983 | Danielle Persampiere | Speech-Language Pathologist | 1000 N. Village Avenue, Rockville Centre, NY 11570 | 2012-05-23 |
| 1245590256 | Jessica Militello | Speech-Language Pathologist | 1000 N. Village Avenue, Rockville Centre, NY 11570 | 2012-05-23 |
| 1619245610 | Mercy Medical Center | Internal Medicine | 1000 N. Village Avenue, Rockville Centre, NY 11570 | 2011-12-05 |
| 1104106178 | Frank L Dorf | Social Worker | 1000 N. Village Avenue, Rockville Centre, NY 11570 | 2011-08-23 |
| 1043590144 | Annemarie Hardgrove | Social Worker | 1000 N. Village Avenue, Rockville Centre, NY 11570 | 2011-08-19 |
| 1619256781 | Frank Joseph Smith Jr. | Physician Assistant | 1000 N. Village Avenue, Rockville Centre, NY 11570-1000 | 2011-08-08 |
| 1447569066 | Marina Kats | Physician Assistant | 1000 N. Village Avenue, Ob/gyn, Rockville Centre, NY 11570-0000 | 2010-09-30 |
| 1083854319 | Daniel G. Murphy, Md, PC | Internal Medicine | 1000 N. Village Avenue, Rockville Centre, NY 11570 | 2009-02-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851474696 | Adam Roberts | Physician Assistant | 1000 N. Village, Rockville Centre, NY 11571 | 2006-10-23 |
| 1003836289 | Christine Busching | Physician Assistant | 1000 N.village Avenue, Rockville Centre, NY 11571 | 2006-07-20 |
| 1891714994 | Mercy Medical Center | Surgery | 1000 N Village Avenue, Rockville Centre, NY 11571 | 2006-07-19 |
| 1932130374 | Michael Carney | Physician Assistant | 1000 N. Village Ave, Rockville Centre, NY 11571 | 2006-07-05 |
| 1770511875 | Yohanna A Reyes | Physician Assistant | 1000 North Village Avenue, Rockville Centre, NY 11571 | 2006-06-28 |
| 1982126629 | Kinga Ramos | Physician Assistant | 1000 North Village Ave, Mercy Medical Center, Rockville Centre, NY 11571 | 2017-07-14 |
| 1316120074 | Alan D Guerci | Internal Medicine | 1000 N Village Avenue, Rockville Centre, NY 11571 | 2007-12-17 |
| 1114947033 | Patricia Buro | Physician Assistant | 1000 N. Village Ave, Rockville Centre, NY 11571 | 2006-07-21 |
| 1780604827 | Dominick Diprimo | Physician Assistant | 1000 N.village Avenue, Rockville Centre, NY 11571 | 2006-07-20 |
| 1861412959 | Jaime Aubel | Physician Assistant | 1000 N. Village Ave, Rockville Centre, NY 11571 | 2006-07-20 |
| Find all providers in zip 11571 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720644925 | Olivia Coughlin | Physician Assistant | 83 Sherman Ave, Rockville Centre, NY 11570-3135 | 2019-05-13 |
| 1861974560 | Melissa Milano | Physician Assistant | 100 Merrick Rd Ste 128, Rockville Centre, NY 11570-4821 | 2018-08-30 |
| 1184159865 | Mary Katherine Furlong | Physician Assistant | 427 Morris Ave, Rockville Centre, NY 11570-2040 | 2017-05-01 |
| 1982946976 | Adam Joshua Marchbein | Physician Assistant | 2000 N Village Ave Ste 306, Rockville Centre, NY 11570-1001 | 2013-03-18 |
| 1003836289 | Christine Busching | Physician Assistant | 1000 N.village Avenue, Rockville Centre, NY 11571 | 2006-07-20 |
| 1770511875 | Yohanna A Reyes | Physician Assistant | 1000 North Village Avenue, Rockville Centre, NY 11571 | 2006-06-28 |
| 1700410701 | Jonathan Akilov | Physician Assistant | 1000 N Village Ave, Rockville Centre, NY 11570-1000 | 2020-02-27 |
| 1619520475 | Samantha Lynn Quaglia | Physician Assistant | 1000 N Village Ave, Rockville Centre, NY 11570-1000 | 2019-07-22 |
| 1689239758 | Danamarie Feldman | Physician Assistant | 1000 N Village Ave, Rockville Centre, NY 11570-1000 | 2019-05-04 |
| 1992278980 | Kayley Henz Clark | Physician Assistant | 1000 N Village Ave, Rockville Centre, NY 11570-1000 | 2019-01-02 |
| Find all providers in ROCKVILLE CENTRE | ||||
| City | ROCKVILLE CENTRE |
| Zip Code | 11571 |
Please comment or provide details below to improve the information on MERCY MEDICAL CENTER.
| 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.