SUSAN DECOSTA (NPI# 1831454586) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831454586 |
| Entity Type | Individual |
| Full Name | SUSAN DECOSTA |
| Credential | LPN |
| Practice Address |
50 Broadway Lynbrook NY 11563-2519 |
| Mailing Address |
1576 Old Mill Rd Wantagh NY 11793-3237 |
| Practice Telephone | 5168871200 |
| Practice Fax Number | 5165932848 |
| Mailing Telephone | 5165725724 |
| Enumeration Date | 2012-07-09 |
| Last Update Date | 2012-07-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | 131461 | NY | Nursing Service Providers |
| Street Address |
50 BROADWAY |
| City | LYNBROOK |
| State | NY |
| Zip Code | 11563-2519 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396166757 | Gwendolyn Anne Kolomick | Registered Nurse | 50 Broadway, Lynbrook, NY 11563 | 2014-01-02 |
| 1548691082 | Janet Shields-gosley | Registered Nurse | 50 Broadway, Lynbrook, NY 11563-2519 | 2013-12-10 |
| 1306272513 | Barbara J Delannoy | Registered Nurse | 50 Broadway, Lynbrook, NY 11563-2519 | 2013-09-19 |
| 1306278684 | Beverly Whitaker | Licensed Practical Nurse | 50 Broadway, Lynbrook, NY 11563-2519 | 2013-08-08 |
| 1912341322 | Beverly Jones | Registered Nurse | 50 Broadway, Lynbrook, NY 11563-2519 | 2013-04-29 |
| 1134462005 | Rosal Adelaida Basa | Registered Nurse | 50 Broadway, Lynbrook, NY 11563-2519 | 2013-03-29 |
| 1174864185 | Suze Pierre | Registered Nurse | 50 Broadway, Lynbrook, NY 11563-2519 | 2013-03-15 |
| 1790026920 | Sita Ramharack | Registered Nurse | 50 Broadway, Lynbrook, NY 11563-2519 | 2013-03-13 |
| 1659618635 | Sharon L Cohen | Registered Nurse | 50 Broadway, Lynbrook, NY 11563-2519 | 2013-01-10 |
| 1649516915 | Lineth Baptiste Cupid | Licensed Practical Nurse | 50 Broadway, Lynbrook, NY 11563-2519 | 2012-12-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396392072 | Anisha O Jenkins | Social Worker | 33 Allen Street, Lynbrook, NY 11563 | 2019-08-19 |
| 1093377327 | Ivan Karl Levenson | Occupational Therapist | Sunrise of Lynbrook, 53 Frankling Ave, N Lynbrook, NY 11563 | 2019-07-08 |
| 1124583125 | Maria Theresa Fasano | Speech-Language Pathologist | 111 Atlantic Avenue Lynbrook School District, Lynbrook, NY 11563 | 2019-02-04 |
| 1720561509 | Marianne Muldoon | Social Worker | 326 Vincent Avenue, Lynbrook, NY 11563 | 2018-09-08 |
| 1134659972 | Jaclyn Gonsch | Specialist | 136 Stuart Street, Lynbrook, NY 11563 | 2017-06-14 |
| 1497294797 | Ryan James Doupe | Counselor | 42 Fowler Ave, Lynbrook, NY 11563 | 2017-02-20 |
| 1902261647 | Allegra Grace D'alo | Social Worker | 90 Driving Park Ave, Lynbrook, NY 11563 | 2015-12-23 |
| 1699106039 | Elizabeth Gaudet Physical Therapy, P.l.l.c. | Physical Therapist | 34 Whittier Street, Lynbrook, NY 11563 | 2013-12-11 |
| 1427496439 | Jennifer Breen | Psychologist | 303 Merrick Rd Ste 302, Lynbrook, NY 11563 | 2013-06-12 |
| 1588000640 | Kelly Patrice Gallagher | Speech-Language Pathologist | 40-20 235th St, Douglaston, NY 11563 | 2013-05-16 |
| Find all providers in zip 11563 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780285007 | Jarleyn Severino | Licensed Practical Nurse | 10 Waterview Pl, Lynbrook, NY 11563-1921 | 2020-11-03 |
| 1225662919 | Fedjah Laraque | Licensed Practical Nurse | 200 Atlantic Ave Ste 1, Lynbrook, NY 11563-3549 | 2020-03-03 |
| 1811408990 | Mala Anne Maranzano | Licensed Practical Nurse | 26 Franklin Ave, Lynbrook, NY 11563-1261 | 2017-10-17 |
| 1962752576 | Mary Lynne Mirville | Licensed Practical Nurse | 11 Wilson Avenue, Lynbrook, NY 11563 | 2012-09-12 |
| 1194084004 | Diane Benevent | Licensed Practical Nurse | 71 Langdon Pl, Lynbrook, NY 11563-2415 | 2012-05-11 |
| 1194047845 | Mario J Cameau | Licensed Practical Nurse | 252 Central Ave, Lynbrook, NY 11563-1456 | 2010-02-23 |
| 1245487750 | Rachele Berthoumieux | Licensed Practical Nurse | 51 Lafayette Ave, Lynbrook, Lynbrook, NY 11563-1740 | 2008-08-26 |
| 1104465368 | Marie Livingston | Licensed Practical Nurse | 243 Atlantic Ave, Lynbrook, NY 11563-3552 | 2020-01-04 |
| 1306278684 | Beverly Whitaker | Licensed Practical Nurse | 50 Broadway, Lynbrook, NY 11563-2519 | 2013-08-08 |
| 1649516915 | Lineth Baptiste Cupid | Licensed Practical Nurse | 50 Broadway, Lynbrook, NY 11563-2519 | 2012-12-14 |
| Find all providers in LYNBROOK | ||||
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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.