NORTHPORT VAMC (NPI# 1841238862) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841238862 |
| Entity Type | Organization |
| Organization Name | NORTHPORT VAMC |
| Other Organization Name | RIVERHEAD VA CBOC |
| Practice Address |
300 Center Dr Riverhead NY 11901-3393 |
| Mailing Address |
Po Box 3023 Lebanon PA 17042-3023 |
| Practice Telephone | 7172776565 |
| Mailing Telephone | 7172776565 |
| Enumeration Date | 2006-06-03 |
| Last Update Date | 2017-03-08 |
| Authorized Official Name | ERIN POTTER (NPI TEAM MEMBER) |
| Authorized Official Telephone | 2023822579 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QV0200X |
Clinic/Center Specialization: VA |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Riverhead VA CBOC | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821044116 | Northport Vamc | Clinic/Center | 99 S Central Ave, Valley Stream, NY 11580-5409 | 2006-05-26 |
| 1215982897 | Northport Vamc | Clinic/Center | 132 E Main St, Bay Shore, NY 11706-8302 | 2006-05-23 |
| 1508264151 | Northport Vamc | Clinic/Center | 79 Middleville Rd, Northport, NY 11768-2200 | 2014-12-15 |
| 1326446972 | Northport Vamc | Clinic/Center | 79 Middleville Rd, Northport, NY 11768-2200 | 2014-12-15 |
| 1164519484 | Northport Vamc | General Acute Care Hospital | 79 Middleville Rd, 116a, Northport, NY 11768-2200 | 2006-10-06 |
| 1700820438 | Northport Vamc | Clinic/Center | 4 Phyllis Dr, Patchogue, NY 11772-2900 | 2006-06-15 |
| 1013955566 | Northport Vamc | Clinic/Center | 2201 Hempstead Tpke, Building Q, East Meadow, NY 11554-1859 | 2006-06-04 |
| 1033169412 | Northport Vamc | General Acute Care Hospital | 79 Middleville Rd, Bldg 200, Northport, NY 11768-2200 | 2006-05-10 |
| 1659339265 | Northport Vamc | Department of Veterans Affairs (VA) Pharmacy | 79 Middleville Rd, Northport, NY 11768-2200 | 2006-05-03 |
| Street Address |
300 CENTER DR |
| City | RIVERHEAD |
| State | NY |
| Zip Code | 11901-3393 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366041741 | Katasha Watson | Registered Nurse | 300 Center Dr, Riverhead, NY 11901-3393 | 2020-10-18 |
| 1639715170 | Mary Alice Visnefsky | Registered Nurse | 300 Center Dr, Riverhead, NY 11901-3393 | 2019-11-19 |
| 1942868906 | Michelle Cambria | Registered Nurse | 300 Center Dr, Riverhead, NY 11901-3393 | 2019-06-04 |
| 1184155376 | Kenneth Martone | Registered Nurse | 300 Center Dr, Riverhead, NY 11901-3393 | 2017-03-21 |
| 1184094104 | Hudson River Healthcare, Inc. | Case Management | 300 Center Dr, Hrhcare Riverhead, Riverhead, NY 11901-3393 | 2015-10-02 |
| 1326430018 | Susan Lawlor | Counselor | 300 Center Dr, Riverhead, NY 11901-3393 | 2015-03-04 |
| 1255766846 | Julia K Distenfeld | Social Worker | 300 Center Dr, Riverhead, NY 11901-3393 | 2013-09-13 |
| 1760727226 | Mona Lorna Kerins | Registered Nurse | 300 Center Dr, Riverhead, NY 11901-3393 | 2012-12-10 |
| 1932462082 | Maureen Mc Guinness | Case Manager/Care Coordinator | 300 Center Dr, Riverhead, NY 11901-3393 | 2012-06-22 |
| 1144583212 | Jane A Dlhopolsky-hill | Case Manager/Care Coordinator | 300 Center Dr, Rm 206n, Riverhead, NY 11901-3393 | 2012-06-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578102786 | Michael Arthur Frangeskos | Physician Assistant | 1330 Roanoke Avenue, Riverhead, NY 11901 | 2020-01-06 |
| 1922569136 | Mjd Optical Corp | Optometrist | 1053 Route 58 Roanoke Ave, Riverhead, NY 11901 | 2019-03-29 |
| 1356837702 | Justin M Liu | Physician Assistant | 31 Main Rd Ste 3, Riverhead, NY 11901 | 2018-07-09 |
| 1467943522 | North Shore Hematology Oncology Associates PC | Clinic/Center | 750 Old Country Rd Bldg 2, Riverhead, NY 11901 | 2018-05-24 |
| 1063918688 | Riverhead Volunteer Ambulance Corps Inc | Ambulance | 111 Osborn Ave, Riverhead, NY 11901 | 2018-04-03 |
| 1669977906 | Joseph Cataldo | Student in an Organized Health Care Education/Training Program | 64 Ida Lane, Riverhead, NY 11901 | 2018-03-28 |
| 1861903056 | The Flanders Northampton Volunteer Ambulance Company Inc | Ambulance | 641 Flanders Road, Flanders, NY 11901 | 2017-10-16 |
| 1336676659 | Patricia Ann Leask | Registered Nurse | 300 Center Drive Suite 250, Methadone Clinic Department of Mental Health, Riverhead, NY 11901 | 2017-05-17 |
| 1922463447 | Diana Williams-burke | Counselor | 550 East Main St Suite 103, Riverhead, NY 11901 | 2015-12-29 |
| 1699155549 | Twin Forks Optometry, Pllc | Optometrist | 25 Cranberry Street, Riverhead, NY 11901 | 2015-06-05 |
| Find all providers in zip 11901 | ||||
| Taxonomy Code | 261QV0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | VA |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518519693 | Domingo Colon | Clinic/Center | 101 Pondfield Rd W, Bronxville, NY 10708-2100 | 2019-07-10 |
| 1033517602 | Buffalo Vamc | Clinic/Center | 910 Erie Boulevard East, 2nd Floor, Syracuse, NY 13210-1060 | 2014-12-15 |
| 1366840969 | Buffalo Vamc | Clinic/Center | 572 South Salina Street, Syracuse, NY 13202-3320 | 2014-12-12 |
| 1467649897 | Montrose Vamc | Clinic/Center | 2881 Church St, Route 199, Pine Plains, NY 12567-5545 | 2007-10-01 |
| 1538350616 | Vet Center | Clinic/Center | 17 Computer Dr W, Albany, NY 12205-1614 | 2007-08-05 |
| 1952339400 | Buffalo Vamc | Clinic/Center | 324 Plaza Road, Kingston, NY 12401 | 2006-06-30 |
| 1245270065 | Bronx Vamc | Clinic/Center | 23 S Broadway, White Plains, NY 10601-3503 | 2006-06-08 |
| 1184664567 | Buffalo Vamc | Clinic/Center | 295 River St, Troy, NY 12180-3215 | 2006-06-07 |
| 1174563548 | Soho Community Clinic | Clinic/Center | 245 W Houston St, Room 313, New York, NY 10014-4805 | 2006-06-07 |
| 1487693362 | New York Vamc | Clinic/Center | 1150 South Ave, 3rd Floor-suite 301, Staten Island, NY 10314-3404 | 2006-06-06 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on NORTHPORT VAMC.
| 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.