MINI KALLARACKAL (NPI# 1851541676) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851541676 |
| Entity Type | Individual |
| Full Name | MINI KALLARACKAL |
| Credential | NP |
| Practice Address |
375 White Plains Rd Eastchester NY 10709-2826 |
| Mailing Address |
160 Duryea Lane Nanuet NY 10954 |
| Practice Telephone | 8663892727 |
| Mailing Telephone | 8452155408 |
| Enumeration Date | 2008-09-29 |
| Last Update Date | 2017-02-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 476039-1 | NY | Nursing Service Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
F335662-1 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
375 WHITE PLAINS RD |
| City | EASTCHESTER |
| State | NY |
| Zip Code | 10709-2826 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124122981 | Cvs Albany LLC | Durable Medical Equipment & Medical Supplies | 375 White Plains Rd, Eastchester, NY 10709-2826 | 2006-09-12 |
| 1710505805 | Judith Adjei | Nurse Practitioner | 375 White Plains Rd, Eastchester, NY 10709-2826 | 2020-07-06 |
| 1184252298 | Roberto Bucci | Pharmacist | 375 White Plains Rd, Eastchester, NY 10709-2826 | 2020-04-01 |
| 1205326279 | Christina Stephenson | Nurse Practitioner | 375 White Plains Rd, Eastchester, NY 10709-2826 | 2018-05-15 |
| 1255709788 | Alexandra C Courtien | Nurse Practitioner | 375 White Plains Rd, Eastchester, NY 10709-2826 | 2015-09-15 |
| 1972855401 | Anissa Leeann Smith | Nurse Practitioner | 375 White Plains Rd, Eastchester, NY 10709-2826 | 2012-10-08 |
| 1750632816 | Maggin Mathew | Nurse Practitioner | 375 White Plains Rd, Eastchester, NY 10709-2826 | 2012-09-28 |
| 1578821559 | Glamilfi Adriana Gutierrez | Registered Nurse | 375 White Plains Rd, Eastchester, NY 10709-2826 | 2012-04-27 |
| 1760767750 | Jeannette Lasher | Nurse Practitioner | 375 White Plains Rd, Eastchester, NY 10709-2826 | 2011-10-21 |
| 1023331394 | Lisa Gierer | Pharmacist | 375 White Plains Rd, Eastchester, NY 10709-2826 | 2010-03-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568017317 | Trustees of Columbia University In The City of New York | Orthopaedic Surgery | 693 White Plains Rd, Eastchester, NY 10709 | 2019-08-08 |
| 1831615988 | Speech & Language Specialists, P.C. | Speech-Language Pathologist | 104 North Rd., Eastchester, NY 10709 | 2017-08-21 |
| 1780052761 | Lisa Ferrauto | Specialist | 266 White Plains Road, Suite 2a, Eastchester, NY 10709 | 2015-09-09 |
| 1285037317 | Michael Mccarthy | Pharmacist | 13 Huntley Rd., Eastchester, NY 10709 | 2014-10-03 |
| 1003159328 | David Paolo Trofa | Orthopaedic Surgery | 693 White Plains Road, Eastchester, NY 10709 | 2013-04-04 |
| 1912257114 | Jane Kopacki | Nurse Practitioner | 375 White Plains Road, Cvs Minuteclinic, Eastchester, NY 10709 | 2012-09-14 |
| 1427342575 | Radhika Sreeram | Internal Medicine | 440 Whiteplains Road, Eastchester, NY 10709 | 2011-06-07 |
| 1073823852 | Brittney Morgan Bernardini | Physician Assistant | 58 Ridge St, Eastchester, NJ 10709 | 2010-10-14 |
| 1669686176 | Bruce A Brandolin | Dentist | 274 White Plains Road, Eastchester, NY 10709 | 2007-05-10 |
| 1952449100 | Richard A Heide | Dentist | One Oakridge Place, Apt G, Eastchester, NY 10709 | 2007-02-01 |
| Find all providers in zip 10709 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255875894 | Dominique Cartica | Nurse Practitioner | 1215 California Rd, Eastchester, NY 10709-1018 | 2016-12-16 |
| 1912257114 | Jane Kopacki | Nurse Practitioner | 375 White Plains Road, Cvs Minuteclinic, Eastchester, NY 10709 | 2012-09-14 |
| 1326276049 | Mary E Baptiste | Nurse Practitioner | 1203 California Rd, Eastchester, NY 10709-1024 | 2009-07-01 |
| 1427023209 | Jayne Fanta Betts | Nurse Practitioner | 375 White Plains Rd., Minute Clinic of New York Inside Cvs Pharmacy, Eastchester, NY 10707 | 2006-02-23 |
| 1710505805 | Judith Adjei | Nurse Practitioner | 375 White Plains Rd, Eastchester, NY 10709-2826 | 2020-07-06 |
| 1205326279 | Christina Stephenson | Nurse Practitioner | 375 White Plains Rd, Eastchester, NY 10709-2826 | 2018-05-15 |
| 1255709788 | Alexandra C Courtien | Nurse Practitioner | 375 White Plains Rd, Eastchester, NY 10709-2826 | 2015-09-15 |
| 1972855401 | Anissa Leeann Smith | Nurse Practitioner | 375 White Plains Rd, Eastchester, NY 10709-2826 | 2012-10-08 |
| 1750632816 | Maggin Mathew | Nurse Practitioner | 375 White Plains Rd, Eastchester, NY 10709-2826 | 2012-09-28 |
| 1760767750 | Jeannette Lasher | Nurse Practitioner | 375 White Plains Rd, Eastchester, NY 10709-2826 | 2011-10-21 |
| Find all providers in EASTCHESTER | ||||
| City | EASTCHESTER |
| Zip Code | 10709 |
Please comment or provide details below to improve the information on MINI KALLARACKAL.
| 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.