KASSANDRA MENDOZA CARCAMO (NPI# 1780247957) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780247957 |
| Entity Type | Individual |
| Full Name | KASSANDRA MENDOZA CARCAMO |
| Practice Address |
1 Blue Hill Plz Fl 3 Pearl River NY 10965-3104 |
| Mailing Address |
1 Blue Hill Plaza, 3rd Floor, P.o. Box 1611 Pearl River NY 10965 |
| Practice Telephone | 8456942420 |
| Enumeration Date | 2019-04-15 |
| Last Update Date | 2019-04-15 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| Street Address |
1 BLUE HILL PLZ FL 3 |
| City | PEARL RIVER |
| State | NY |
| Zip Code | 10965-3104 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073172219 | Ximena Andrea Salamanca | Case Manager/Care Coordinator | 1 Blue Hill Plz Fl 3, Pearl River, NY 10965-3104 | 2019-06-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467967331 | Alenka Ravnik List Rdn Pllc | Dietitian, Registered | 9 Violet Dr, Pearl River, NY 10965 | 2017-12-13 |
| 1427577212 | Jacqueline Dubil Craig | Behavioral Analyst | 14 Elmendorf Lane, Pearl River, NY 10965 | 2017-09-13 |
| 1356770481 | Jennifer Marie Manfredonia | Nurse Practitioner | 200 N. Middletown Road, Pearl River, NY 10965 | 2013-11-08 |
| 1760822852 | Elizabeth Eanniello | Social Worker | 49 Meadows Street, Pearl River, NY 10965 | 2013-07-03 |
| 1679874002 | Winifred Ann Convery | Physical Therapy Assistant | 644 Orangeburg Ave, A Starting Place, Pearl River, NY 10965 | 2010-11-17 |
| 1548413511 | R Troy Q Noval | Physical Therapist | 195 Townline Rd, Pearl River, NY 10965 | 2008-11-03 |
| 1306068671 | Helen Perakis | Otolaryngology | 150 S. Pearl Street, Pearl River, NY 10965 | 2007-05-03 |
| 1609906700 | Robert Daniel Jablonski Jr. | Otolaryngology | 26 Franklin Avenue, Pearl River, NY 10965 | 2007-03-07 |
| 1265599187 | Bruce L. Rothschild Dds & Associates Pllc | Dentist | 300 N Middletown Rd., Suite 9, Pearl River, NY 10965 | 2007-01-02 |
| 1619038221 | Stefan P Kurucz | Internal Medicine | 300 North Middletown Road, Suite 11, Pearl River, NY 10965 | 2006-12-13 |
| Find all providers in zip 10965 | ||||
| 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 |
|---|---|---|---|---|
| 1073172219 | Ximena Andrea Salamanca | Case Manager/Care Coordinator | 1 Blue Hill Plz Fl 3, Pearl River, NY 10965-3104 | 2019-06-11 |
| 1750782009 | Jessica Anzenberger | Case Manager/Care Coordinator | 664 Orangeburg Rd, Pearl River, NY 10965-2830 | 2014-09-05 |
| 1659632818 | Barbara Damiani | Case Manager/Care Coordinator | 664 Orangeburg Rd, Pearl River, NY 10965-2830 | 2012-06-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487255220 | Nelcy M Garcia De Leon | Case Manager/Care Coordinator | 11 Thamsen Dr, Stony Point, NY 10980-1054 | 2020-11-06 |
| 1003416769 | Mashhura Rofieva | Case Manager/Care Coordinator | 1733 Sheepshead Bay Rd Ste 16, Brooklyn, NY 11235-3743 | 2020-10-30 |
| 1285234369 | David Olmedo | Case Manager/Care Coordinator | 3192 Rawlins Ave, Bronx, NY 10465-1340 | 2020-10-28 |
| 1144829326 | Perel Langsam | Case Manager/Care Coordinator | 14 Jeffrey Pl, Monsey, NY 10952-5702 | 2020-10-20 |
| 1609474295 | Akyra M. Green | Case Manager/Care Coordinator | 11 Dobson Ave, Merrick, NY 11566-4127 | 2020-10-15 |
| 1578161162 | Elizabeth Anna Rubin | Case Manager/Care Coordinator | 3513 Broadway Apt 2l, Astoria, NY 11106-1162 | 2020-10-15 |
| 1033717855 | Sarah Bruck | Case Manager/Care Coordinator | 14 Melnick Dr, Monsey, NY 10952-3328 | 2020-10-14 |
| 1831797091 | Yuliya Levakova | Case Manager/Care Coordinator | 146 Macfarland Ave, Staten Island, NY 10305-4448 | 2020-10-10 |
| 1861009383 | Faith Gibbs | Case Manager/Care Coordinator | 13038 224th St, Laurelton, NY 11413-1244 | 2020-09-29 |
| 1316554074 | Sherry Ann Brion | Case Manager/Care Coordinator | 126 W Chemung St Ste 103, Painted Post, NY 14870-1300 | 2020-09-28 |
| Find all providers with the same taxonomy | ||||
| City | PEARL RIVER |
| Zip Code | 10965 |
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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.