MARY ALAINA ROSE BURBAGE (NPI# 1790156206) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1790156206 |
Entity Type | Individual |
Full Name | MARY ALAINA ROSE BURBAGE |
Credential | FNP-BC |
Practice Address |
215 E 95th St New York NY 10128-9480 |
Mailing Address |
55 Water St 2nd Floor, Credentialing New York NY 10041-0004 |
Practice Telephone | 2129968000 |
Mailing Telephone | 6466802888 |
Mailing Fax Number | 5165425556 |
Enumeration Date | 2015-10-09 |
Last Update Date | 2019-11-14 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 163W00000X | Registered Nurse | 643704 | NY | Nursing Service Providers |
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
340348 | NY | Physician Assistants & Advanced Practice Nursing Providers |
Address | Telephone Number | Fax Number |
---|---|---|
21 East 22nd Street, New York, NY 100109995 | 2124607800 | 2124607877 |
Street Address |
215 E 95TH ST |
City | NEW YORK |
State | NY |
Zip Code | 10128-9480 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538159801 | Damion P Sanchez | Anesthesiology | 215 E 95th St, New York, NY 10128-4077 | 2005-10-26 |
1366082588 | Paige Gudim | Nurse Practitioner | 215 E 95th St, New York, NY 10128-4077 | 2020-01-15 |
1316462286 | Lindsay Sarrel | Nurse Practitioner | 215 E 95th St, New York, NY 10128-4077 | 2017-08-11 |
1639610835 | Divya Sundarapandiyan | Student in an Organized Health Care Education/Training Program | 215 E 95th St, Apt 25c, New York, NY 10128-4077 | 2017-03-20 |
1164894218 | Brian Schaffer | Behavioral Analyst | 215 E 95th St, Apt 22c, New York, NY 10128-4077 | 2015-10-28 |
1528441672 | Hunter Polese | Registered Nurse | 215 E 95th St, New York, NY 10128-4007 | 2015-07-08 |
1629466271 | Christine Mcgurn | Student in an Organized Health Care Education/Training Program | 215 E 95th St, New York, NY 10128-4077 | 2015-01-06 |
1538569363 | Eva Ledezma | Dietitian, Registered | 215 E 95th St, New York, NY 10128-4077 | 2014-08-29 |
1306257746 | Amber Rosenthal | Registered Nurse | 215 E 95th St, New York, NY 10128-4077 | 2014-05-19 |
1366868663 | Julie Spencer | Nurse Practitioner | 215 E 95th St, New York, NY 10128-4077 | 2014-03-11 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326671314 | Kathleen Forhan | Student in an Organized Health Care Education/Training Program | 116 East 92nd Street, Bsmnt, New York, NY 10128 | 2020-02-18 |
1811539638 | Baron Shieh | Physical Therapist | 1844 Second Ave, New York, NY 10128 | 2019-10-14 |
1720641335 | Michael Gary Rothenberg | Psychologist | 5 East 94th Street, New York, NY 10128 | 2019-04-18 |
1275003865 | Desiree Caban | Psychoanalyst | 1449 Lexington Ave 4b1 East, New York, NY 10128 | 2018-11-27 |
1326514191 | Yjk Anesthesia LLC | Anesthesiology | 403 East 91st, New York, NY 10128 | 2018-10-19 |
1619454568 | Arthur Jenkins Md LLC | Neurological Surgery | 65 Eat 96th Street, Suite 1b, New York, NY 10128 | 2018-07-24 |
1285120832 | Eric Axel Gerdner | Social Worker | 309 E 94th St Fl 4, New York, NY 10128 | 2018-07-06 |
1003317694 | Max I Bolotin | Psychologist | 49 East 96 Street Apt 12d, New York, NY 10128 | 2018-02-28 |
1518471465 | Elyse Palumbo | Social Worker | 305 East 92nd Street, New York, NY 10128 | 2017-11-29 |
1720505282 | Arlene Kramer Richards | Psychologist | 200 East89 Street, 45bc, New York, NY 10128 | 2017-08-25 |
Find all providers in zip 10128 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134726540 | Alison Anne Avallone | Nurse Practitioner | 425 E 80th St Apt 6d, New York, NY 10075-0613 | 2020-10-08 |
1194331199 | Katie Ann Felter | Nurse Practitioner | 144 E 36th St Apt 8b, New York, NY 10016-3517 | 2020-09-16 |
1407462492 | Alexandra Moench | Nurse Practitioner | 225 W 23rd St Apt 5s, New York, NY 10011-2300 | 2020-09-16 |
1770193237 | Lenka Varekova | Nurse Practitioner | 242 E 5th St Apt 3, New York, NY 10003-8501 | 2020-08-08 |
1184234817 | Hyun Gyeong Im | Nurse Practitioner | 435 W 46th St Apt 2re, New York, NY 10036-9085 | 2020-08-06 |
1942822507 | Busime Mimy Mudekereza | Nurse Practitioner | 1885 Adam Clayton Powell Jr Blvd Apt 2c, New York, NY 10026-2892 | 2020-05-17 |
1366061376 | Christine Go Np In Family Health PC | Nurse Practitioner | 315 Madison Ave Ste 1200, New York, NY 10017-5441 | 2020-04-09 |
1427687151 | Ken Chuan Michael Chan | Nurse Practitioner | 110 Madison Ave Apt 10, New York, NY 10016-7486 | 2020-04-04 |
1528695004 | Marylee Ann Marre | Nurse Practitioner | 226 E 25th St Apt 3d, New York, NY 10010 | 2020-03-25 |
1013541275 | Albina Guzman | Nurse Practitioner | 226 5th Ave Fl 6, New York, NY 10001-7706 | 2020-02-26 |
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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.