ELIZABETH PERRY (NPI# 1912542044) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912542044 |
| Entity Type | Individual |
| Full Name | ELIZABETH PERRY |
| Credential | FNP |
| Practice Address |
410 Hallock Ave Port Jefferson Station NY 11776-1232 |
| Practice Telephone | 6316421100 |
| Enumeration Date | 2019-11-13 |
| Last Update Date | 2019-11-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
344793 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467086736 | Elizabeth A. Perry | Technician | 1220 Marrie St, Hattiesburg, MS 39402 | 2020-02-26 |
| 1275004921 | Elizabeth Anne Perry | Acupuncturist | 12300 Alt A1a Ste 115, Palm Beach Gardens, FL 33410-2206 | 2018-12-06 |
| 1205389954 | Elizabeth Perry | Social Worker | 239 Barberry Rd, Southport, CT 06890-3035 | 2016-07-29 |
| 1215158654 | Elizabeth Henderson Perry | Psychiatry & Neurology | 220 Trace Colony Park Dr, Suite B, Ridgeland, MS 39157-8810 | 2007-05-02 |
| 1932184819 | Elizabeth A Perry | Physical Therapist | 44025 Jefferson St, Ste 104, La Quinta, CA 92253-4874 | 2005-12-13 |
| 1245831494 | Elizabeth Perry | Technician | 1701 N Green Valley Pkwy Ste 9a, Henderson, NV 89074-5991 | 2020-11-04 |
| 1114568458 | Elizabeth Marie Perry | Behavior Technician | 1050 Fulton Ave Ste 235, Sacramento, CA 95825-4299 | 2019-10-07 |
| 1669035523 | Elizabeth Eleni Perry | Student in an Organized Health Care Education/Training Program | 975 Sereno Drive, Family Medicine Residency, Vallejo, CA 94589 | 2019-04-17 |
| 1003374281 | Elizabeth Perry | Counselor | 100 N Court St, Frederick, MD 21701-5416 | 2019-03-07 |
| 1215420088 | Elizabeth Rose Perry | Pharmacist | Old N. Carolina Hwy 75, Butner, NC 27509 | 2018-06-07 |
| Street Address |
410 HALLOCK AVE |
| City | PORT JEFFERSON STATION |
| State | NY |
| Zip Code | 11776-1232 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306816129 | Robert Mormando | Internal Medicine | 410 Hallock Ave, Port Jefferson Station, NY 11776-1232 | 2006-01-24 |
| 1306325477 | Andrea Gomez Pereira | Physician Assistant | 410 Hallock Ave, Port Jefferson Station, NY 11776 | 2018-08-09 |
| 1912369935 | Deborah Boktor | Internal Medicine | 410 Hallock Ave, Port Jefferson Station, NY 11776-1232 | 2016-03-28 |
| 1326388695 | Johanna M Smith | Nurse Practitioner | 410 Hallock Ave, Port Jefferson Station, NY 11776-1232 | 2013-02-25 |
| 1215952072 | Port Jeff Medical Care, PC | Internal Medicine | 410 Hallock Ave, Port Jefferson Station, NY 11776-1232 | 2006-07-13 |
| 1316915523 | Michael Philip Rodriguez | Internal Medicine | 410 Hallock Ave, Port Jefferson Station, NY 11776-1232 | 2006-03-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205304219 | Melissa E Germano | Acupuncturist | 5225 Nesconset Highway Rte 347, Davis Professional Park Building 1 Suite 1, Port Jefferson Station, NY 11776 | 2018-11-07 |
| 1366962185 | Michael Louis Scicchitano Sr. | Physical Therapist | 3 Colgate Street, Port Jefferson Station, NY 11776 | 2017-06-22 |
| 1063969517 | Dana Adamkiewicz | Acupuncturist | 432 North Bicycle Path, Port Jefferson Station, NY 11776 | 2016-09-01 |
| 1538531819 | Jacqueline Rambo | Specialist | 5225 Nesconset Highway Suite 30, Port Jefferson Station, NY 11776 | 2015-10-26 |
| 1821474297 | Michael Leuci | Social Worker | 3 Premier Court, Port Jefferson Station, NY 11776 | 2015-08-07 |
| 1578978078 | Carol A. Palmer I | Acupuncturist | 34 Champlain St, Port Jefferson Station, NY 11776 | 2014-06-24 |
| 1659783371 | Janette M Sperandeo | Nurse Practitioner | 5 Roosevelt Avenue, Port Jefferson Station, NY 11776 | 2014-05-29 |
| 1578973079 | James Buchrieser | Specialist | 525 Nesconset Highway Suite 30, Port Jefferson Station, NY 11776 | 2014-05-06 |
| 1871923227 | Duran Thomas Murphy | Licensed Practical Nurse | 8 Carolyn Road, Port Jefferson Station, NY 11776 | 2013-11-22 |
| 1699104562 | Julio Genao | Massage Therapist | 213 Jayne Blvd, Portjefferson Station, NY 11776 | 2013-11-01 |
| Find all providers in zip 11776 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881963502 | Jennifer M Samghabadi | Nurse Practitioner | 15 Gary St, Port Jefferson Station, NY 11776-2805 | 2011-12-27 |
| 1891898003 | Folashade J Akande | Nurse Practitioner | 8 Sullivan Ave, Port Jefferson Station, NY 11776 | 2006-09-06 |
| 1154331346 | Tiney Elizabeth Ray | Nurse Practitioner | 19 Mercer St, Port Jefferson Station, NY 11776-6106 | 2006-08-09 |
| 1144841305 | Patty Sainval | Nurse Practitioner | 384 Broadway, Port Jefferson Station, NY 11776-2637 | 2020-04-29 |
| 1639573769 | Vincent Sperandeo Np In Family Health Pllc | Nurse Practitioner | 1174 Route 112, Suite C, Port Jefferson Station, NY 11776-8033 | 2014-10-17 |
| 1134373335 | Deborah Ann Kacherski | Nurse Practitioner | 815 Hallock Ave, Suite B, Port Jefferson Station, NY 11776-1244 | 2008-11-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184225880 | Aleksandr Gurgov | Nurse Practitioner | 740 E 9th St, Brooklyn, NY 11230-2202 | 2020-11-08 |
| 1437750171 | Dana Alberico Lonis | Nurse Practitioner | 246 Waldorf Pkwy, Syracuse, NY 13224-2118 | 2020-11-07 |
| 1396346136 | Amarachukwu U Egbujor | Nurse Practitioner | 565 Pine St, Brooklyn, NY 11208-3901 | 2020-11-06 |
| 1568063378 | Valerie Cantave | Nurse Practitioner | 152 Somerset Dr, Suffern, NY 10901-6904 | 2020-11-06 |
| 1366043259 | Lora Hong | Nurse Practitioner | 55 Underhill Rd, Scarsdale, NY 10583-1040 | 2020-11-05 |
| 1235730102 | Lane Marie Knight | Nurse Practitioner | 8145 Rapallo Way, Clay, NY 13041-8893 | 2020-11-05 |
| 1073114112 | Karen Liu | Nurse Practitioner | 154 Bay 35th St, Brooklyn, NY 11214-5308 | 2020-11-04 |
| 1871194027 | Wai Ying Chan | Nurse Practitioner | 659 Britton Ave, Staten Island, NY 10304-4463 | 2020-11-04 |
| 1063013258 | Iris Massiel Garcia | Nurse Practitioner | 2206 Dr Martin L King Jr Blvd, Bronx, NY 10453-1307 | 2020-11-04 |
| 1104427525 | Jeanine R Williams | Nurse Practitioner | 4213 Foster Ave, Brooklyn, NY 11203-5711 | 2020-11-03 |
| Find all providers with the same taxonomy | ||||
| City | PORT JEFFERSON STATION |
| Zip Code | 11776 |
Please comment or provide details below to improve the information on ELIZABETH PERRY.
| 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.