NES MEDICAL SERVICES OF NEW YORK PC (NPI# 1831742816) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831742816 |
| Entity Type | Organization |
| Organization Name | NES MEDICAL SERVICES OF NEW YORK PC |
| Practice Address |
555 Saint Josephs Blvd Elmira NY 14901-3223 |
| Mailing Address |
Po Box 936432 Atlanta GA 31193-6432 |
| Practice Telephone | 6077377806 |
| Mailing Telephone | 8003778721 |
| Enumeration Date | 2019-07-19 |
| Last Update Date | 2019-07-19 |
| Authorized Official Name | JENNIFER ANN MOORE (CEO) |
| Authorized Official Telephone | 4154354591 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538141791 | Nes Medical Services of New York PC | Emergency Medicine | 455 E Bay Dr, Long Beach, NY 11561-2301 | 2005-11-15 |
| 1215455191 | Nes Medical Services of New York PC | Emergency Medicine | 7571 State Route 54, Bath, NY 14810-9504 | 2017-08-31 |
| 1134463151 | Nes Medical Services of New York PC | Emergency Medicine | 7785 N State St, Lowville, NY 13367-1229 | 2012-11-15 |
| 1417939687 | Nes Medical Services of New York PC | Emergency Medicine | 150 55th St, Brooklyn, NY 11220-2559 | 2005-11-15 |
| Street Address |
555 SAINT JOSEPHS BLVD |
| City | ELMIRA |
| State | NY |
| Zip Code | 14901-3223 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740256809 | Sydney Welt | Internal Medicine | 555 Saint Josephs Blvd, Elmira, NY 14901-3223 | 2006-02-27 |
| 1467092452 | Madison Kathryn Gluck | Physical Therapist | 555 Saint Josephs Blvd, Elmira, NY 14901-3256 | 2020-01-08 |
| 1992345003 | Rachel Bush | Physical Therapist | 555 Saint Josephs Blvd, Elmira, NY 14901-3223 | 2020-01-07 |
| 1841759529 | Amanda M Northrop | Occupational Therapist | 555 Saint Josephs Blvd, Elmira, NY 14901-3223 | 2019-03-13 |
| 1245708056 | Emily Pauline Clark | Physical Medicine & Rehabilitation | 555 Saint Josephs Blvd, Elmira, NY 14901-3223 | 2018-11-09 |
| 1821563347 | Tarah Marie Babcock | Physical Therapist | 555 Saint Josephs Blvd, Elmira, NY 14901-3223 | 2018-10-11 |
| 1992289888 | Sarah Jessica Osburn | Physical Therapy Assistant | 555 Saint Josephs Blvd, Elmira, NY 14901-3223 | 2018-09-18 |
| 1770069536 | St. Joseph's Hospital | Clinic/Center | 555 Saint Josephs Blvd, Elmira, NY 14901-3223 | 2018-07-16 |
| 1942707583 | Andrey Takhtovich | Student in an Organized Health Care Education/Training Program | 555 Saint Josephs Blvd, Elmira, NY 14901-3223 | 2018-04-10 |
| 1982100186 | David Frederick Bayne | Speech-Language Pathologist | 555 Saint Josephs Blvd, Elmira, NY 14901-3223 | 2018-04-05 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447818182 | Davida Reane Moss | Case Manager/Care Coordinator | 310 Pensyvania Avenue, Elmira, NY 14901 | 2019-05-29 |
| 1316504889 | Jessica Leigh Badilla | Counselor | 1013 Water St, Elmira, NY 14901 | 2019-05-21 |
| 1427508811 | Cynthia Ann Sullivan | Counselor | 1019 E. Water Street, Elmira, NY 14901 | 2016-10-10 |
| 1508313362 | Kim Burlew | Case Manager/Care Coordinator | 1019 W. Water Street Family Services of Chemung County, Elmire, NY 14901 | 2016-09-08 |
| 1396195095 | State of New York Comptrollers Office | Clinic/Center | 164 Sullivan Street, Elmira, NY 14901 | 2016-06-14 |
| 1285089581 | Tasha R Miller | Licensed Practical Nurse | 426 Woodawn Ct, Elmira, NY 14901 | 2016-04-25 |
| 1750628111 | Kelly E Bartle-bush | Social Worker | 711 Sullivan St., Elmira, NY 14901 | 2013-01-04 |
| 1144594946 | Brian Mustico | Occupational Therapist | 512 West Clinton Street, Apartment B, Elmira, NY 14901 | 2012-02-27 |
| 1063780880 | Deidre Ann Callaghan | Physical Therapy Assistant | 555 St.josephs Blvd, Elmira, NY 14901 | 2011-12-07 |
| 1972889467 | Arnot Health | General Acute Care Hospital | 1 St.joseph's Blvd., Elmira, NY 14901 | 2011-10-27 |
| Find all providers in zip 14901 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417967712 | Marc Immerman | Emergency Medicine | 1003 Walnut St, Elmira, NY 14901-1007 | 2006-08-09 |
| 1336672492 | James L Distin | Emergency Medicine | 600 Roe Ave, Elmira, NY 14905-1629 | 2017-04-06 |
| 1346694593 | Marisa Look | Emergency Medicine | 600 Roe Ave, Elmira, NY 14905-1629 | 2016-04-13 |
| 1659758993 | Stevley Koshy | Emergency Medicine | 600 Roe Ave, Elmira, NY 14905-1629 | 2015-05-06 |
| 1629465208 | Nicholas Gallagher | Emergency Medicine | 600 Roe Ave, Elmira, NY 14905-1629 | 2015-04-21 |
| 1982096673 | Kirsten Walton | Emergency Medicine | 600 Roe Ave, Elmira, NY 14905-1629 | 2015-03-04 |
| 1538572847 | Timothy Beau Stokes | Emergency Medicine | 600 Roe Ave, Elmira, NY 14905 | 2014-06-04 |
| 1699111245 | Vincent Call | Emergency Medicine | 600 Roe Ave, Elmira, NY 14905-1629 | 2013-05-21 |
| 1437495421 | Robert Wicelinski Jr. | Emergency Medicine | 600 Roe Ave, Elmira, NY 14905-1629 | 2012-12-18 |
| 1730455767 | Dylan Sean Kellogg | Emergency Medicine | 600 Roe Ave, Elmira, NY 14905-1629 | 2012-03-23 |
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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.