JESSICA STILES (NPI# 1790191708) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790191708 |
| Entity Type | Individual |
| Full Name | JESSICA STILES |
| Credential | NP |
| Practice Address |
26901 76th Ave 4th Floor New Hyde Park NY 11040-1433 |
| Mailing Address |
395 S End Ave Apt 25b New York NY 10280-1033 |
| Practice Telephone | 7184703140 |
| Mailing Telephone | 2035362295 |
| Enumeration Date | 2014-07-10 |
| Last Update Date | 2019-11-11 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163WP0218X |
Registered Nurse Specialization: Pediatric Oncology |
629734 | NY | Nursing Service Providers |
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
382608 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356759203 | Jessica Stiles | Pharmacist | 1975 S Alma School Rd, Chandler, AZ 85286-6905 | 2014-07-23 |
| 1457584609 | Jessica Stiles | Specialist | 590 Fishers Station Dr, Suite 130, Victor, NY 14564-9744 | 2009-09-03 |
| Street Address |
26901 76TH AVE 4TH FLOOR |
| City | NEW HYDE PARK |
| State | NY |
| Zip Code | 11040-1433 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407856750 | David B Meyer | Specialist | 26901 76th Ave, New Hyde Park, NY 11040-1433 | 2005-07-28 |
| 1003420027 | Mohammad Alam | Pharmacist | 26901 76th Ave, New Hyde Park, NY 11040-1433 | 2020-09-08 |
| 1346863065 | Krista Ann Garriepy | Physician Assistant | 26901 76th Ave, New Hyde Park, NY 11040-1433 | 2020-05-28 |
| 1730701574 | Justine Davies | Nurse Practitioner | 26901 76th Ave, New Hyde Park, NY 11040-1433 | 2020-05-14 |
| 1932729407 | Kelly Yan | Pharmacist | 26901 76th Ave, New Hyde Park, NY 11040-1433 | 2020-04-24 |
| 1528688579 | Emily Leung | Pharmacist | 26901 76th Ave, New Hyde Park, NY 11040-1433 | 2020-04-20 |
| 1215557590 | Christie Marie Traynor | Registered Nurse | 26901 76th Ave, New Hyde Park, NY 11040-1433 | 2020-04-16 |
| 1184250664 | Miranda Asha Katwaru | Pharmacist | 26901 76th Ave, New Hyde Park, NY 11040-1433 | 2020-03-17 |
| 1629604160 | Ammara Tanweer | Pharmacist | 26901 76th Ave, New Hyde Park, NY 11040-1433 | 2020-03-17 |
| 1922639764 | Daniel Vincent Anthony Demarco | Physician Assistant | 26901 76th Ave, New Hyde Park, NY 11040-1433 | 2020-01-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598366734 | Naurin Shaki | Case Management | 108 Bryant Ave, New Hyde Park, NY 11040 | 2020-11-04 |
| 1326645920 | Oksana Isakharov | Marriage & Family Therapist | Remote Telehealth Due To Pandemic, Remote Telehealth Due To Pandemic, NY 11040 | 2020-10-06 |
| 1639784036 | Michelle Edith Narain | Nurse Practitioner | 270-05 76th Aveune, New Hyde Park, NY 11040 | 2020-09-11 |
| 1124636188 | Shannon Maureen O'connell | Physician Assistant | 270-05 270th Ave, New Hyde Park, NY 11040 | 2020-07-16 |
| 1851929384 | Hollie Brown | Student in an Organized Health Care Education/Training Program | 45 Lakeville Rd Ste M41, New Hyde Park, NY 11040 | 2020-03-30 |
| 1780211797 | Miriam Tarrash | Student in an Organized Health Care Education/Training Program | Lijmc, 270-05 76th Avenue, New Hyde Park, NY 11040 | 2020-03-27 |
| 1902438971 | Kristina Petrich | Student in an Organized Health Care Education/Training Program | Long Island Jewish Medical Center, 270-05 76th Avenue, New Hyde Park, NY 11040 | 2020-02-07 |
| 1528622735 | David Olatunji Omole | Dentist | 270-05 76th Avenue Dept. of Dental Medicine / Oral And, Surgery New Hyde Park, Ny, Ny 11040, New Hyde Park, NY 11040 | 2019-04-24 |
| 1720642093 | Thanzina Chowdhury | Pharmacy | 271-11 76th Ave, Queens, NY 11040 | 2019-04-23 |
| 1427519834 | Connor William Crowley | Student in an Organized Health Care Education/Training Program | Office of Surgical Education Victoria M. Waithe, 270-05 76th Avenue. Research Bldg - C Level Room 039ab, New Hyde Park, NY 11040 | 2019-03-28 |
| Find all providers in zip 11040 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902440647 | Tara English Gimeli | Nurse Practitioner | 1991 Marcus Ave Ste 302, New Hyde Park, NY 11042-2058 | 2019-11-06 |
| 1023664356 | Jodi Riggs | Nurse Practitioner | 1 Hollow Ln Ste 301, New Hyde Park, NY 11042-1215 | 2019-08-13 |
| 1366807943 | Molly Rubinoff | Nurse Practitioner | 1215 One Hollow Lane, #301, New Hyde Park, NY 11042 | 2015-12-23 |
| 1740673045 | Sheela Thomas | Nurse Practitioner | 76 5th St, New Hyde Park, NY 11040-4108 | 2015-03-10 |
| 1023186194 | Mary Yajen Huang | Nurse Practitioner | 410 Lakeville Rd Suite 105, Ns-lij Cohen Children's Medical Center of Ny, New Hyde Park, NY 11042 | 2006-11-30 |
| 1932194305 | Sharon Goodman | Nurse Practitioner | 410 Lakeville Rd Ste 105, New Hyde Park, NY 11042-1102 | 2005-09-13 |
| 1649885336 | Kaitlin Rose Kolb | Nurse Practitioner | 269-01 76th Ave, Rm Ch 222, New Hyde Park, NY 11040 | 2020-09-10 |
| 1285267971 | Jessica Leonora Navarrette | Nurse Practitioner | 2001 Marcus Ave Ste W290, New Hyde Park, NY 11042-1098 | 2020-02-20 |
| 1740820943 | Samantha Marie Cholewa | Nurse Practitioner | 26901 76th Ave, New Hyde Park, NY 11040-1433 | 2020-01-15 |
| 1225505233 | Michelle Leigh Ramos | Nurse Practitioner | 1991 Marcus Ave Ste M100, New Hyde Park, NY 11042-2062 | 2018-10-28 |
| Find all providers in NEW HYDE PARK | ||||
| City | NEW HYDE PARK |
| Zip Code | 11040 |
Please comment or provide details below to improve the information on JESSICA STILES.
| 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.