MRS. SHERLY T CHAMAKALA


Address: 200 Belle Terre Road, St Charles Hospital, Port Jefferson, NY 11777-1928
Phone: 6314746000

MRS. SHERLY T CHAMAKALA (NPI# 1801076294) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1801076294
Entity Type Individual
Full Name MRS. SHERLY T CHAMAKALA
Credential N.P
Practice Address 200 Belle Terre Road
St Charles Hospital
Port Jefferson
NY 11777-1928
Mailing Address 1055 Coates Ave
Holbrook
NY 11741-6023
Practice Telephone 6314746000
Mailing Telephone 6316487918
Enumeration Date 2007-11-14
Last Update Date 2007-11-14
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LA2200X Nurse Practitioner
Specialization: Adult Health
F303330 NY Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 200 BELLE TERRE ROAD
ST CHARLES HOSPITAL
City PORT JEFFERSON
State NY
Zip Code 11777-1928

Providers in the same location

NPI Name Taxonomy Address Enumeration
1104820018 Mark J. Kropf Internal Medicine 200 Belle Terre Road, Suite 100, Port Jefferson, NY 11777-1928 2005-06-08
1013389881 Jesse Mccarthy Physician Assistant 200 Belle Terre Road, Port Jefferson, NY 11777 2015-10-20
1457660094 Mohammad Mostafa Amin Physician, Pllc Internal Medicine 200 Belle Terre Road, Sleep Lab, Port Jefferson, NY 11777 2010-09-30
1033358841 Joanne F Angstadt Nurse Practitioner 200 Belle Terre Road, Port Jefferson, NY 11733 2009-02-18
1972753812 Kathleen Galway Speech-Language Pathologist 200 Belle Terre Road, Port Jefferson, NY 11777 2008-09-29
1720123474 Darcy K Upton Registered Nurse 200 Belle Terre Road, St Charles Hospital, Port Jefferson, NY 11777 2007-02-20
1861562704 Juliette Avigdor Trope Pediatrics 200 Belle Terre Road, Port Jefferson, NY 11777 2006-11-08
1518970789 Keri A Logan Dentist 200 Belle Terre Road, St. Charles Hospital, Port Jefferson, NY 11777 2006-08-15
1467464297 Joseph Peter Boglia Internal Medicine 200 Belle Terre Road, Ste 110, Port Jefferson, NY 11777-1928 2006-08-12
1649291451 Kenneth Irwin Fishberger Internal Medicine 200 Belle Terre Road, Suite #110, Port Jefferson, NY 11777 2006-07-21
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1568088615 Aqsa Ashraf Student in an Organized Health Care Education/Training Program 75 N Country Road Mather Hospital Internal Medicine Res, Port Jefferson, NY 11777 2020-06-24
1366068975 Manal Ahmad Student in an Organized Health Care Education/Training Program 75 N County Rd, Level 2 Cmo Suite, Internal Medicine Re, Mather Hospital, Port Jefferson, NY 11777 2020-06-19
1639794555 Umair Ahmad Ansari Student in an Organized Health Care Education/Training Program 75 N Country Road Mother Hospital, Internal Medicine Re, Level 2 - Cmd Suite, Port Jefferson, NY 11777 2020-06-16
1578188132 Manasi Sule Student in an Organized Health Care Education/Training Program 75 N Country Rd, Mather Hospital, Internal Medicine Res, Port Jefferson, NY 11777 2020-06-10
1508480716 Imona Subedi Student in an Organized Health Care Education/Training Program 75 N Country Road, Level 2 - Cmo Suite, Mather Hospital Internal Medicine Residency Program, Port Jefferson, NY 11777 2020-06-03
1184252108 Romana Imtiaz Syed Student in an Organized Health Care Education/Training Program Liza M Dominioni,mather Hospital,internal Medicine, Residency Program,level 2-cmo Suite,75 N Country Rd, Port Jefferson, NY 11777 2020-03-27
1649807348 Mustafa Mohammed Abdulsada Student in an Organized Health Care Education/Training Program 75 N Country Rd, Ny, Level 2 - Cmo Suite, Port Jefferson, NY 11777 2020-03-24
1184264764 Girma Moges Gamme Surgery 625 Belle Terre Rd, Suite 203 Mather Hospital, Port Jefferson, NY 11777 2020-01-10
1811554637 Kausar Ali Nurse Practitioner 408 Thompson Street, Port Jefferson, NY 11777 2019-05-28
1073097531 Ministry for Hope, Inc. Montfort Therapeutic Residence Residential Treatment Facility, Physical Disabilities 100 Stonyhill Road, Port Jefferson, NY 11777 2018-09-20
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Taxonomy Information

Taxonomy Code 363LA2200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Adult Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1003060229 Janice Fleischman Eaton Nurse Practitioner 23 Old Post Road East, Port Jefferson, NY 11777-1957 2008-11-14
1902974330 Cynthia A Price Nurse Practitioner 125 Oakland Ave, Port Jefferson, NY 11777-2130 2006-12-01
1346243987 Stacey Luise Tursi Nurse Practitioner 200 Belle Terre Rd, Dept. of Nursing Education, Port Jefferson, NY 11777 2005-05-27
1952940942 Katherine Rosangela Quezada Nurse Practitioner 625 Belle Terre Rd, Port Jefferson, NY 11777-2316 2019-12-23
1134760648 Margaret Mary Cherpak Nurse Practitioner 66 Cliff Rd, Port Jefferson, NY 11777-1033 2019-10-05
1679120679 Karin Merrins Nurse Practitioner 635 Belle Terre Rd Ste 209, Port Jefferson, NY 11777-1987 2019-08-23
1629625116 Joann Lynn Brazil Nurse Practitioner 1500 Route 112, Building #2 Suite B, Port Jefferson, NY 11777 2019-08-20
1760994248 Maria Susan Rubino Nurse Practitioner 75 N Country Rd, Port Jefferson, NY 11777-2119 2017-10-24
1386096881 Theresa Aiello Nurse Practitioner 70 N Country Rd, Port Jefferson, NY 11777-2161 2016-07-07
1194107961 Kristen Ann Klein Nurse Practitioner 635 Belle Terre Rd Ste 209, Port Jefferson, NY 11777 2015-06-29
Find all providers in PORT JEFFERSON

Competitor

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City PORT JEFFERSON
Zip Code 11777

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Dataset Information

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.

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