JENNIFER THAKUR (NPI# 1821248949) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821248949 |
| Entity Type | Individual |
| Full Name | JENNIFER THAKUR |
| Other Name | JENNIFER AYOTTE |
| Credential | N.P. |
| Practice Address |
4870 Broad Rd Pob North Suite 3q Syracuse NY 13215-2206 |
| Practice Telephone | 3154925292 |
| Practice Fax Number | 3157010544 |
| Mailing Telephone | 3154925292 |
| Mailing Fax Number | 3157010544 |
| Enumeration Date | 2008-09-25 |
| Last Update Date | 2012-10-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
306245 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | NYS LICENSE | PENDING | 01 |
| Street Address |
4870 BROAD RD POB NORTH SUITE 3Q |
| City | SYRACUSE |
| State | NY |
| Zip Code | 13215-2206 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083634109 | Michael A Fitzgerald | Internal Medicine | 4870 Broad Rd, Suite 3q, Syracuse, NY 13215-2206 | 2006-07-20 |
| 1851305437 | David Heisig | Internal Medicine | 4870 Broad Rd, Suite 3q, Syracuse, NY 13215-2206 | 2006-07-28 |
| 1972517589 | Barbara M Kane | Nurse Practitioner | 4870 Broad Rd, Suite 3q, Syracuse, NY 13215-2206 | 2006-07-28 |
| 1710991328 | Karen Alcott | Nurse Practitioner | 4870 Broad Rd, Suite 3q, Syracuse, NY 13215-2206 | 2006-07-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396367785 | Jeffrey Alan Gaulrapp | Registered Nurse | Upstate University Hospital Community General Campus, 4900 Broad Road, Syracuse, NY 13215 | 2020-05-08 |
| 1134752454 | Crystal Elizabeth Hoban | Marriage & Family Therapist | 4922 W. Seneca Turnpike, Syracuse, NY 13215 | 2020-02-14 |
| 1083004907 | Roger G Levine Md | Psychiatric Residential Treatment Facility | 4914 West Seneca Turnpkie, Syracuse, NY 13215 | 2015-01-30 |
| 1558771071 | Edleanna Robinson | Licensed Practical Nurse | 5075 W Seneca Turnpike, Syracuse, NY 13215 | 2014-05-06 |
| 1689013450 | Rhonda Lee Philopena | Emergency Medicine | 4900 Broad Rd 1st Fl, Syracuse, NY 13215 | 2013-06-14 |
| 1962778498 | Marie Anne Stevens | Licensed Practical Nurse | 4057 Seneca Tpk, Van Duyn Home and Hospital, Syracuse, NY 13215 | 2012-03-29 |
| 1033439088 | Anna-marie Simpson | Chiropractor | 4922 W Seneca Tpke, Syracuse, NY 13215 | 2010-06-01 |
| 1992028690 | A John Wylie | Pharmacist | 4840 Sherwood Dr., Syracuse, NY 13215 | 2010-03-09 |
| 1669616512 | Asalim A Thabet | Emergency Medicine | 4900 Braod Rd, 1st Fl, Syracuse, NY 13215 | 2009-04-22 |
| 1992948707 | Jesse Reed Gutnick | Surgery | 4900 Borad Rd, Suite 23 North, Syracuse, NY 13215 | 2009-04-08 |
| Find all providers in zip 13215 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023520038 | Michaela Marie Murphy | Nurse Practitioner | 104 Union Ave Ste 901, Syracuse, NY 13203-1845 | 2017-10-31 |
| 1699299438 | Mary H Ryan | Nurse Practitioner | 302 Ludden Pkwy, Syracuse, NY 13219-3024 | 2017-08-02 |
| 1619302619 | Jennie Marie Doane | Nurse Practitioner | 236 Belle Ave, Syracuse, NY 13205-1938 | 2013-09-09 |
| 1376852129 | Pamela Wilcox Salisbury | Nurse Practitioner | 413 Breakspear Rd, Syracuse, NY 13219-2315 | 2010-09-28 |
| 1295975159 | Carol Ann Carioti | Nurse Practitioner | 101 Hamden Dr, Syracuse, NY 13208-1936 | 2009-03-04 |
| 1720206352 | Mary L. Salerno | Nurse Practitioner | 1007 Court St, Syracuse, NY 13208-1708 | 2007-04-20 |
| 1811030828 | Donna Ann Gillette | Nurse Practitioner | St. Camillus Health & Rehabilitation Center, 813 Fay Rd, Syracuse, NY 13219 | 2007-02-15 |
| 1225186588 | Marguerite H Mallia | Nurse Practitioner | 5075 W Senecatpke, Van Duyn Home & Hospital, Syracuse, NY 13215-2292 | 2007-01-05 |
| 1194837526 | Gail Mccue Donnery | Nurse Practitioner | 1000 E Genesee St Ste 403, Hill Medical Center, Syracuse, NY 13210-1840 | 2006-08-31 |
| 1750384004 | Brenda A Baker | Nurse Practitioner | 739 Irving Ave, Ste 520, Syracuse, NY 13210-1663 | 2005-05-31 |
| Find all providers in SYRACUSE | ||||
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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.