MS. MICHELLE LEE ADAMS (NPI# 1790957165) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790957165 |
| Entity Type | Individual |
| Full Name | MS. MICHELLE LEE ADAMS |
| Credential | P.A |
| Practice Address |
601 Suffolk Ave Brentwood NY 11717-4309 |
| Practice Telephone | 6312314455 |
| Practice Fax Number | 6312575098 |
| Mailing Telephone | 6312314455 |
| Mailing Fax Number | 6312575098 |
| Enumeration Date | 2008-03-26 |
| Last Update Date | 2017-01-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
012483 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SUFFOLK HEALTH PLAN | P4752401 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801347307 | Michelle Adams | Social Worker | 2930 W. Imperial Hwy., Ste. 310, Inglewood, CA 90303 | 2016-10-19 |
| 1740677335 | Michelle Adams | Psychologist | 10866 Washington Blvd #718, Culver City, CA 90232 | 2015-04-21 |
| 1891108411 | Michelle Adams | Social Worker | 3150 Custer Dr Ste 103, Lexington, KY 40517-4010 | 2014-06-11 |
| 1245678960 | Michelle Adams | Registered Nurse | 2275 45th St, Sacramento, CA 95817 | 2013-06-05 |
| 1831417443 | Michelle Bryant Adams | Speech-Language Pathologist | 336 Milestone Dr, Tallahassee, FL 32312-3574 | 2010-05-06 |
| 1649439704 | Michelle Lynn Adams | Counselor | 399 Boylston Street, Boston, MA 02116 | 2008-06-04 |
| 1598946360 | Michelle Adams | Hearing Instrument Specialist | 11089 E Mississippi Ave, Aurora, CO 80012-3104 | 2007-11-20 |
| 1093931313 | Michelle Christy Adams | Radiology | 14239 Nighthawk Ter, Lakewood Ranch, FL 34202-6352 | 2007-04-17 |
| 1568588614 | Michelle L Adams | Occupational Therapist | 8023 36th Street Cir E, Sarasota, FL 34243-6309 | 2007-03-21 |
| 1326058991 | Michelle Dawn Adams | Obstetrics & Gynecology | Oakcare Medical Group, Inc., 1411 East 31st Street, Oakland, CA 94602 | 2006-08-08 |
| Street Address |
601 SUFFOLK AVE |
| City | BRENTWOOD |
| State | NY |
| Zip Code | 11717-4309 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194707570 | Catherine Carmela Scandiffio | Optometrist | 601 Suffolk Ave, Brentwood, NY 11717-4309 | 2005-11-18 |
| 1073164836 | Anthony Martinez | Optometrist | 601 Suffolk Ave, Brentwood, NY 11717-4309 | 2019-09-24 |
| 1497040422 | Albert A Marcantonio | Optometrist | 601 Suffolk Ave, Brentwood, NY 11717-4309 | 2011-06-17 |
| 1477784718 | Barry Richard Stabiner | Technician/Technologist | 601 Suffolk Ave, Ste1, Brentwood, NY 11717-4389 | 2009-08-04 |
| 1114140266 | Neil Scott Nichols | Ophthalmology | 601 Suffolk Ave, Brentwood, NY 11717-4309 | 2007-04-10 |
| 1427177930 | Long Island Eye Refractive Care, PC | Ophthalmology | 601 Suffolk Ave, Brentwood, NY 11717-4309 | 2007-03-28 |
| 1295896033 | Debbie G Wende | Optometrist | 601 Suffolk Ave, Brentwood Vision Center, Brentwood, NY 11717 | 2006-12-13 |
| 1518057546 | Long Island Ambulatory Surgery Center, LLC | Clinic/Center | 601 Suffolk Ave, Brentwood, NY 11717-4309 | 2006-10-13 |
| 1013006576 | Long Island Eye Surgical Care, PC | Ophthalmology | 601 Suffolk Ave, Brentwood, NY 11717-4309 | 2006-10-12 |
| 1285720789 | Daniel Farkas | Optometrist | 601 Suffolk Ave, Brentwood, NY 11717 | 2006-10-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265998827 | Lauretta Elaine Murdock | Behavioral Analyst | C/o The Mosaic Foundation for Autism, Inc., 1725 Brentwood Rd., Brentwood, NY 11717 | 2019-02-19 |
| 1811467467 | Benjamin D. Thompkins Jr. | Social Worker | 164 3rd Avenue, Brentwood, NY 11717 | 2018-11-27 |
| 1114496262 | Timothy Eisemann | Registered Nurse | 52 Third Ave, Brentwood, NY 11717 | 2018-11-19 |
| 1245710490 | Lauren Linker | Occupational Therapist | Brentwood Union Free School District, 52 Third Avenue, Brentwood, NY 11717 | 2018-08-17 |
| 1558849786 | Anila Thomas | Registered Nurse | Pilgrims Psychiatric Center, 998 Crooked Hill Road, Brentwood, NY 11717 | 2018-07-31 |
| 1306330857 | Rhina Aguila | Licensed Practical Nurse | 162 Studley St, Brentwood, NY 11717 | 2018-06-19 |
| 1659863595 | Steven Edward Szydziak | Registered Nurse | Pilgrim State Psychiatric Center, 998crooked Hil Rd, Brentwood, NY 11717 | 2018-06-06 |
| 1881103570 | Shatevia Simpson Hickson | Behavioral Analyst | 56 Swallow Ln, Brentwood, NY 11717 | 2017-09-25 |
| 1306375753 | Shavona Layne | Behavioral Analyst | 8 Strum Streeet, Brentwood, NY 11717 | 2017-06-08 |
| 1669921334 | David Ramirez | Licensed Practical Nurse | 27 Bruce Lane, Brentwood, NY 11717 | 2016-09-23 |
| Find all providers in zip 11717 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720245566 | Antoinette Gandionco-sabatino | Physician Assistant | 600 Suffolk Ave Ste C, Brentwood, NY 11717-4311 | 2008-05-20 |
| 1235180191 | Misty Dawn Ward | Physician Assistant | 1607 Westgate Cir, Brentwood, TN 37027-8077 | 2006-05-15 |
| 1548894009 | Susan Van Hook | Physician Assistant | 210 Franklin Rd Ste 4-b, Brentwood, TN 37027-3219 | 2020-02-24 |
| 1972083780 | Hanna C Myers | Physician Assistant | 1605 Westgate Cir, Brentwood, TN 37027-8395 | 2018-08-21 |
| 1134667090 | Claudia Salazar | Physician Assistant | 160 4th St, Brentwood, NY 11717-4658 | 2017-02-10 |
| 1346639671 | Julie Lam | Physician Assistant | 2221 Balfour Rd Ste A, Brentwood, CA 94513-4932 | 2015-01-09 |
| 1205234606 | Timothy Ray | Physician Assistant | 2221 Balfour Rd, Suite A, Brentwood, CA 94513-4932 | 2014-12-17 |
| 1679715205 | Michael Francis Sommer | Physician Assistant | 1235 Suffolk Ave, Brentwood, NY 11717-4511 | 2009-03-27 |
| 1972776599 | Heather R Dooley | Physician Assistant | 1622 Westgate Cir, Brentwood, TN 37027-8019 | 2008-04-03 |
| 1881873560 | Rebecca Lynn Sommers | Physician Assistant | 1195 Old Hickory Blvd, Suite 103, Brentwood, TN 37027-4239 | 2007-10-30 |
| Find all providers in BRENTWOOD | ||||
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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.