JENNIFER MCCANN (NPI# 1780779009) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780779009 |
| Entity Type | Individual |
| Full Name | JENNIFER MCCANN |
| Credential | PA |
| Practice Address |
45 Route 25a Suite C Shoreham NY 11786-1389 |
| Practice Telephone | 6317443303 |
| Practice Fax Number | 6317441627 |
| Mailing Telephone | 6317443303 |
| Mailing Fax Number | 6317441627 |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 010216 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528416864 | Jennifer Mccann | Specialist/Technologist | 4658 Mission Dr, Decatur, IL 62526-9269 | 2016-05-26 |
| 1457610057 | Jennifer E Mccann | Social Worker | 2660 Yorkway, Baltimore, MD 21222-4432 | 2012-05-16 |
| 1821190968 | Jennifer L Mccann | Counselor | 68 Bishop St, Suite 3, Portland, ME 04103-2681 | 2006-09-01 |
| 1851367403 | Jennifer L Mccann | Physical Therapist | 2145 Country Club Rd Ste 800, Jacksonville, NC 28546-2400 | 2006-02-24 |
| 1912538174 | Jennifer Mccann | Behavior Technician | 25115 Avenue Stanford Ste A100, Valencia, CA 91355-1290 | 2020-01-27 |
| 1760030464 | Jennifer Mccann | Dietitian, Registered | 7281 Sawmill Rd, Dublin, OH 43016-9021 | 2019-08-27 |
| 1083816854 | Jennifer R Mccann | Obstetrics & Gynecology | 206 W 5th St, Deridder, LA 70634-4856 | 2007-06-04 |
| 1205998580 | Jennifer Lynn Mccann | Nurse Practitioner | 155 Lawn Ave, Suite 100, Buffalo, NY 14207-1816 | 2006-12-14 |
| 1811062425 | Jennifer Mccann | Occupational Therapist | 2 Hornet Dr, Fulton, MO 65251-2732 | 2006-11-21 |
| 1295847663 | Jennifer Mccann | Social Worker | 1 Jefferson Barracks Dr, Saint Louis, MO 63125-4181 | 2006-08-31 |
| Street Address |
45 ROUTE 25A SUITE C |
| City | SHOREHAM |
| State | NY |
| Zip Code | 11786-1389 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700860269 | Jeffrey Kraushaar | Optometrist | 45 Route 25a, Shoreham, NY 11786-1389 | 2005-11-30 |
| 1619336179 | Winthrop Community Medical Affiliates, PC | Internal Medicine | 45 Route 25a, Shoreham, NY 11786-1389 | 2016-02-12 |
| 1669860573 | Shoreham Psychotherapy Services Lcsw Pllc | Social Worker | 45 Route 25a, Suite A2, Shoreham, NY 11786-1389 | 2014-12-30 |
| 1194084913 | Gary P Milack Dpm PC | Clinic/Center | 45 Route 25a, Suite D-1, Shoreham, NY 11786-1389 | 2012-05-14 |
| 1659655157 | Shoreham Medical Services PC | Internal Medicine | 45 Route 25a, Shoreham, NY 11786-1389 | 2011-10-03 |
| 1164691879 | Shoreham Medical Services P.C. | Internal Medicine | 45 Route 25a, Suite C, Shoreham, NY 11786-1389 | 2008-02-27 |
| 1215115605 | Jeffrey Kraushaar | Eyewear Supplier (Equipment, not the service) | 45 Route 25a, Suite 25a, Shoreham, NY 11786-1389 | 2008-02-07 |
| 1033310834 | Charles Richard Hoeg Jr. | Dentist | 45 Route 25a, Suite A1, Shoreham, NY 11786-1389 | 2007-05-30 |
| 1326133646 | Hariton Kousourou | Internal Medicine | 45 Route 25a, Suite C, Shoreham, NY 11786-1389 | 2006-10-03 |
| 1124111232 | Owen Yen | Internal Medicine | 45 Route 25a, Suite C, Shoreham, NY 11786-1389 | 2006-10-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831600816 | Lisa Wolf | Social Worker | 45 Route 25, Suite A-2, Shoreham, NY 11786 | 2017-10-18 |
| 1245672476 | Eric Brett Salmonson | Dentist | 47 N. Country Rd., Shoreham, NY 11786 | 2013-07-30 |
| 1275841165 | Kaitlyn Elizabeth Boulukos | Speech-Language Pathologist | 3 Miller Avenue, Shoreham, NY 11786 | 2010-09-14 |
| 1659694123 | Nimisha P Joshi | Pharmacist | 2 Villa Street, Shoreham, NY 11786 | 2010-03-11 |
| 1720300148 | Rita J Shah | Pharmacist | 99-1 Route 25a, Shoreham, NY 11786 | 2010-02-26 |
| 1619299070 | Jayesh K Shah | Pharmacist | 99-1 Rte 25a, Shoreham, NY 11786 | 2010-02-25 |
| 1922250802 | Julianne Marie Smith | Registered Nurse | 45 Rt 25a Suite C, Shoreham, NY 11786 | 2008-10-22 |
| 1326290438 | John M. Aloisio | Dentist | 2 Southgate, Shoreham, NY 11786 | 2008-10-21 |
| 1639345366 | Dawn M Mineo | Nutritionist | 8 Cornell Rd, Shoreham, NY 11786 | 2008-05-02 |
| 1780871103 | Linda Marie Spallina | Social Worker | 9 South Trl, Shoreham, NY 11786 | 2007-09-30 |
| Find all providers in zip 11786 | ||||
| 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 |
|---|---|---|---|---|
| 1770574246 | Andrew J Ribaudo | Physician Assistant | 54 Woodville Rd, Shoreham, NY 11786-1331 | 2005-11-02 |
| 1033258009 | Danielle Faye Stoebe | Physician Assistant | 54 Woodville Rd, Shoreham, NY 11786-1331 | 2007-02-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144821026 | Victoria Yunaev | Physician Assistant | 7203 166th St, Fresh Meadows, NY 11365-3237 | 2020-11-05 |
| 1811598857 | Brittany Christine Androsko | Physician Assistant | 1769 Union St Fl 2, Niskayuna, NY 12309-6311 | 2020-11-05 |
| 1164023172 | Betina Charlotte Apostol Nuguid | Physician Assistant | 1730 Central Park Ave Ste 3p, Yonkers, NY 10710-4905 | 2020-11-05 |
| 1023619129 | Anna Leigh Vonck | Physician Assistant | 2 Executive Park Dr Ste 2, Albany, NY 12203-3700 | 2020-11-04 |
| 1952902256 | Billy Phuoctan Truong | Physician Assistant | 8832 18th Ave, Brooklyn, NY 11214-6002 | 2020-11-03 |
| 1205437621 | Jason Patrick Feak | Physician Assistant | 6338 Falls Blvd, Chittenango, NY 13037-8799 | 2020-11-03 |
| 1437750742 | Drew James Mitchell | Physician Assistant | 58 Old Bedford Rd, Goldens Bridge, NY 10526-1000 | 2020-11-03 |
| 1306446125 | Julie Mcphillips | Physician Assistant | 961 W Kaisertown Rd, Montgomery, NY 12549-2317 | 2020-10-30 |
| 1487254330 | Thomas J Nagel | Physician Assistant | 57 Montgomery Road, Fort Montgomery, NY 10922 | 2020-10-29 |
| 1700486560 | Jayanti Rao | Physician Assistant | 1059 Union St Apt 3g, Brooklyn, NY 11225-1268 | 2020-10-29 |
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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.