JAIME CEPEDA (NPI# 1811932965) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811932965 |
| Entity Type | Individual |
| Full Name | JAIME CEPEDA |
| Credential | MD |
| Practice Address |
161 E Main St Suite 301 Port Jervis NY 12771-2113 |
| Mailing Address |
20 Grand St 3rd Floor Warwick NY 10990-1035 |
| Practice Telephone | 8458563812 |
| Practice Fax Number | 8458563820 |
| Mailing Telephone | 8459873972 |
| Mailing Fax Number | 8459875979 |
| Enumeration Date | 2006-06-20 |
| Last Update Date | 2010-03-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | 229029 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | MEDICARE GROUP PTAN | W33231 | 01 |
| NY | 02791564 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225668320 | Jaime Cepeda | Physical Therapist | 240 E 38th St, New York, NY 10016-2708 | 2020-01-17 |
| Street Address |
161 E MAIN ST SUITE 301 |
| City | PORT JERVIS |
| State | NY |
| Zip Code | 12771-2113 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083609366 | Walter Ernst Kaufmann | Internal Medicine | 161 E Main St, Community Medical Care, Port Jervis, NY 12771-2113 | 2005-09-13 |
| 1356847545 | Kelly Yorke | Nurse Practitioner | 161 E Main St, Port Jervis, NY 12771-2113 | 2018-04-05 |
| 1750836144 | Karen Ann Pollidore | Nurse Practitioner | 161 E Main St, Port Jervis, NY 12771-2113 | 2016-08-16 |
| 1205170057 | Joan Schwegler | Dietitian, Registered | 161 E Main St, 200, Port Jervis, NY 12771-2113 | 2012-11-18 |
| 1750695391 | Cynthia Marsilio | Nurse Practitioner | 161 E Main St, Suite 301, Port Jervis, NY 12771-2113 | 2010-08-05 |
| 1578882981 | Michele Amundson | Nurse Practitioner | 161 E Main St, Suite 301, Port Jervis, NY 12771-2113 | 2010-05-25 |
| 1619919552 | Herbert M Green | Internal Medicine | 161 E Main St, Suite 300, Port Jervis, NY 12771-2113 | 2006-06-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164045571 | Mary Ann Ricci | Counselor | 155 West Main, Port Jervis, NY 12771 | 2020-05-20 |
| 1982236022 | Jylian Ann Jackson | Social Worker | 146 Pike Street Outpatient Clinic, Port Jervis, NY 12771 | 2020-02-06 |
| 1336605591 | Dominic James Costantino | Physical Therapist | 17 Franklin Street, Port Jervis, NY 12771 | 2019-02-13 |
| 1871011775 | Pamela Ann Gluck | Counselor | 17 Sussex Street, Port Jervis, NY 12771 | 2017-08-31 |
| 1891211868 | Jamie Muller | Home Health Aide | 12 Mt William St, Port Jervis, NY 12771 | 2017-08-21 |
| 1922456649 | Greenville Township Volunteer Ambulance Corps Inc | Ambulance | 1495 Greenville Turnpike, Port Jervis, NY 12771 | 2016-06-03 |
| 1659702363 | Agnes Timberger | Social Worker | 626 Eatontown Road, Port Jervis, NY 12771 | 2013-12-05 |
| 1962795708 | Olga I Murray | Registered Nurse | 125 E. Main St., Port Jervis, NY 12771 | 2011-05-26 |
| 1407089444 | Daniel David Gersten | Counselor | 17-19 Sussex Street, Port Jervis, NY 12771 | 2009-08-25 |
| 1447404736 | Ann Marie Brown | Counselor | 136 Jersey Avenue, Suite 1, Port Jervis, NY 12771 | 2008-11-13 |
| Find all providers in zip 12771 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093321168 | Fernando Andres Angarita Celis | Surgery | Rosuell Park Comprehensive Cancer Center / Elm & Carlto, Streets / Scott Bieler Clinical Services Center 6th Fl, Buffalo, NY 14263 | 2020-09-23 |
| 1174147979 | North Shore-lij Medical Group At Huntington PC | Surgery | 2001 Marcus Ave Ste S50, New Hyde Park, NY 11042-1039 | 2020-06-08 |
| 1679194468 | Sowmya Sreekanth | Surgery | 124 Hutchinson Blvd, Mount Vernon, NY 10552-2510 | 2020-05-03 |
| 1558997015 | Health Quest Medcial Practice, PC | Surgery | 1240 Ulster Ave, Kingston, NY 12401-1517 | 2020-03-17 |
| 1184264764 | Girma Moges Gamme | Surgery | 625 Belle Terre Rd, Suite 203 Mather Hospital, Port Jefferson, NY 11777 | 2020-01-10 |
| 1558909234 | St. Peter's Health Partners Medical Associates, P.C. | Surgery | 319 South Manning Blvd Suite 310, Capital Region Colon & Rectal Surgery, Albany, NY 12208 | 2019-12-13 |
| 1669014213 | Jason Euseph Copeland | Surgery | 665 Elm and Carlton Street Elm and Carlton Street, Buffalo, NY 14263-0001 | 2019-10-16 |
| 1023678984 | Core Surgical | Surgery | 133 E 58th St Ste 703, New York, NY 10022-1138 | 2019-06-13 |
| 1568923134 | Thompson Surgical Pllc | Surgery | 77 Alpine Way, South Huntington, NY 11746-4610 | 2019-03-27 |
| 1851863377 | Alice Chia-chi Wei | Surgery | 1275 York Ave Ste C-866a, New York, NY 10065-6007 | 2018-12-21 |
| Find all providers with the same taxonomy | ||||
| City | PORT JERVIS |
| Zip Code | 12771 |
Please comment or provide details below to improve the information on JAIME CEPEDA.
| 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.