MS. GERALDINE WILDE


Address: 877 Stewart Ave, Suite 33, Garden City, NY 11530-4803
Phone: 5167455621

MS. GERALDINE WILDE (NPI# 1841338522) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1841338522
Entity Type Individual
Full Name MS. GERALDINE WILDE
Credential CPNP
Practice Address 877 Stewart Ave
Suite 33
Garden City
NY 11530-4803
Practice Telephone 5167455621
Practice Fax Number 5162272544
Mailing Telephone 5167455621
Mailing Fax Number 5162272544
Enumeration Date 2007-02-02
Last Update Date 2014-05-01
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP0200X Nurse Practitioner
Specialization: Pediatrics
F381849-1 NY Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
NY 02941293 05

Office Location

Street Address 877 STEWART AVE
SUITE 33
City GARDEN CITY
State NY
Zip Code 11530-4803

Providers in the same location

NPI Name Taxonomy Address Enumeration
1427056613 Yosef Soleymani Allergy & Immunology 877 Stewart Ave, Suite 5, Garden City, NY 11530-4803 2005-07-12
1144646498 Derek Lieberman Physician Assistant 877 Stewart Ave, Garden City, NY 11530-4803 2014-03-11
1629494349 Maudeline Michel Physician Assistant 877 Stewart Ave, Garden City, NY 11530-4803 2014-03-06
1346663440 D'aprile Audiology Pllc Audiologist 877 Stewart Ave, Suite 8, Garden City, NY 11530-4803 2014-01-24
1609206044 Andrea Orbon Nurse Practitioner 877 Stewart Ave, Suite 33, Garden City, NY 11530 2013-11-21
1780022772 North Shore Lij Ob Gyn At Garden City PC Obstetrics & Gynecology 877 Stewart Ave, Suite 7, Garden City, NY 11530-4803 2013-06-12
1235470535 Chs Physician Partners, PC Orthopaedic Surgery 877 Stewart Ave, Suite 1, Garden City, NY 11530-4803 2013-03-12
1285971499 Christopher R. Sellars, D.o., P.C. Physical Medicine & Rehabilitation 877 Stewart Ave, Suite 28, Garden City, NY 11530-4803 2013-01-08
1821344078 Li Hearing Services Inc Hearing Aid Equipment 877 Stewart Ave, Suite 2, Garden City, NY 11530-4803 2012-07-25
1285933630 Julie S.r. Gonzalez Obstetrics & Gynecology 877 Stewart Ave, Suite 7, Garden City, NY 11530-4803 2011-03-24
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1144850207 Ellen Jay Palacio Mabatid Physical Therapist 66 New Hyde Park, Garden City, NY 11530 2020-01-16
1255991022 Rubin Anesthesia Pain Management, Pllc Anesthesiology 1103 Stewart Avenue, Suite 300, Garden City, NY 11530 2019-06-14
1144793720 Jack Doby Garden City, LLC Eyewear Supplier (Equipment, not the service) Jack Doby Garden City, LLC, 928 Old Country Road, Garden City, NY 11530 2019-01-07
1386135051 Granger & Sahasra Dentist 1103 Stewart Avenue Suite 104, Garden City, NY 11530 2018-05-29
1598262537 Suzanne P. Reid-bradshaw Specialist Kidz Therapy, 300 Garden City Plaza, Garden City, NY 11530 2018-04-06
1972021129 Nicole Maria Gaudino Nurse Practitioner One South Avenue, Waldo Hall, Garden City, NY 11530 2017-09-07
1619495645 Christine Scheppa Registered Nurse 225 Brompton Rd South, Garden City South, NY 11530 2017-08-30
1699290981 Deborah Ann Pontosky Registered Nurse 104 Fifth Street, Garden City, NY 11530 2017-08-08
1932648748 Tahmina Jahir Student in an Organized Health Care Education/Training Program 15 Hilton Ave, Garden City, NY 11530 2017-02-14
1598209173 Dino Michelli Specialist 300 Garden City Plaza, Ste 350, Kidz Therapy/ Gayle E. Kligman Therapeutic Resources, Garden City, NY 11530 2016-12-15
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Taxonomy Information

Taxonomy Code 363LP0200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Pediatrics

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1336629237 Victoria Marie Noonan Nurse Practitioner 123 Stratford Ave, Garden City, NY 11530-2631 2018-08-20
1073854709 Arianna Lanzetta Nurse Practitioner 1000 Franklin Ave, Suite 100, Garden City, NY 11530-2926 2013-03-05

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1932709821 Shu-heng Wang Nurse Practitioner 7324 18th Ave, Brooklyn, NY 11204-5678 2020-10-29
1952909012 Marina Byshovets Nurse Practitioner 164 Admiralty Loop, Staten Island, NY 10309-3964 2020-10-12
1700483799 Dmitry Pediatrics, Pediatric Nurse Practitioner PC Nurse Practitioner 10 Shore Blvd Apt 1g, Brooklyn, NY 11235-4022 2020-10-03
1427664572 Leigh Ann Cohen Nurse Practitioner 2 Lincoln Ave Ste 301, Rockville Centre, NY 11570-5775 2020-09-23
1295341436 Tatiana Margaret Masone Nurse Practitioner 3142 Victory Blvd, Staten Island, NY 10314-6717 2020-09-22
1992311567 Jyneva W Pickel Nurse Practitioner 3959 Broadway Rm 722, New York, NY 10032-1559 2020-09-19
1902410186 Katie Elise Boyd Nurse Practitioner 725 Irving Ave Ste 504, Syracuse, NY 13210-1683 2020-09-03
1437763877 Tiffany Yu Nurse Practitioner 1746 W 12th St, Brooklyn, NY 11223-1101 2020-09-02
1134733710 Khristan Heagle Haller Nurse Practitioner 20 Locust Ln, Bronxville, NY 10708-4933 2020-09-01
1831703412 Marijana Waite Nurse Practitioner 6544 Saunders St Apt A7, Rego Park, NY 11374-4209 2020-09-01
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Competitor

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City GARDEN CITY
Zip Code 11530

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Dataset Information

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.

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