RESTORATION MEDICAL CENTER (NPI# 1922634674) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922634674 |
| Entity Type | Organization |
| Organization Name | RESTORATION MEDICAL CENTER |
| Practice Address |
4 Jefferson Plz Poughkeepsie NY 12601-4035 |
| Practice Telephone | 8452325004 |
| Practice Fax Number | 8452325093 |
| Mailing Telephone | 8452325004 |
| Enumeration Date | 2020-03-13 |
| Last Update Date | 2020-03-13 |
| Authorized Official Name | DR. SHAMAR WILLIAMS (CEO) |
| Authorized Official Telephone | 8452325004 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 172P00000X | Naprapath | Other Service Providers |
| Other Name | Type Code |
|---|---|
| Doctors Health Restoration Center | Doing Business As Name - Organization |
| Street Address |
4 JEFFERSON PLZ |
| City | POUGHKEEPSIE |
| State | NY |
| Zip Code | 12601-4035 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336305770 | Marion Primiano | Registered Nurse | 4 Jefferson Plz, Suite 201, Poughkeepsie, NY 12601-4035 | 2008-08-05 |
| 1295362861 | Restoration Medical Transportation | Clinic/Center | 4 Jefferson Plz, Poughkeepsie, NY 12601-4035 | 2020-03-24 |
| 1821620949 | Seion Scott-jackson | Licensed Practical Nurse | 4 Jefferson Plz, Poughkeepsie, NY 12601-4035 | 2020-02-06 |
| 1811559545 | Catrina Williams | Nurse Practitioner | 4 Jefferson Plz, Poughkeepsie, NY 12601-4035 | 2019-07-02 |
| 1780241281 | Eileen Mills | Licensed Practical Nurse | 4 Jefferson Plz, Poughkeepsie, NY 12601-4035 | 2019-05-21 |
| 1104481811 | Debbie Galvin | Licensed Practical Nurse | 4 Jefferson Plz, Poughkeepsie, NY 12601-4035 | 2019-05-08 |
| 1801359328 | Nancy Swart | Registered Nurse | 4 Jefferson Plz, Poughkeepsie, NY 12601-4035 | 2019-04-11 |
| 1679037014 | Nicole Pittman | Licensed Practical Nurse | 4 Jefferson Plz, Poughkeepsie, NY 12601-4035 | 2019-01-30 |
| 1548730948 | Michelle Annastas | Licensed Practical Nurse | 4 Jefferson Plz, Poughkeepsie, NY 12601-4035 | 2018-11-28 |
| 1609342823 | Winny T Mckinnon | Licensed Practical Nurse | 4 Jefferson Plz, Poughkeepsie, NY 12601-4035 | 2018-10-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194348425 | Hudson Valley Radiologists, PC | Radiology | 57 Kingwood Park, Poughkeepsie, NY 12601 | 2020-05-21 |
| 1063049088 | Jaquellah Taylor | Student in an Organized Health Care Education/Training Program | Vassar Brother Medical Center 45 Reade Place, Poughkeepsie, NY 12601 | 2020-03-27 |
| 1053957050 | Jasmine Syin-lan Miller | Student in an Organized Health Care Education/Training Program | 3399 North Road, Marist College Msc 12617, Poughkeepsie, NY 12601 | 2019-11-25 |
| 1144864224 | Kim Beverly | Technician | 16 Tamidan Road, Poughkeepsle, NY 12601 | 2019-11-01 |
| 1851852768 | Marwa H Abdalla | Student in an Organized Health Care Education/Training Program | Vassar Brother Medical Center, 45 Reade Place, Poughkeepsie, NY 12601 | 2019-03-26 |
| 1619459047 | Victoria Bozydaj | Occupational Therapy Assistant | 50 Rinaldi Boulevard Apt 7r, Poughkeepsie, NY 12601 | 2018-09-01 |
| 1821589953 | Avo Gregory Serafino | Physician Assistant | 228 Donnelly, Poughkeepsie, NY 12601 | 2018-05-24 |
| 1649771486 | Raewyn Kalisha Clayton | Registered Nurse | 31 Forbus Street Apt C2, Poughkeepsie, NY 12601 | 2018-02-27 |
| 1780108761 | Ronica Dorothy White | Licensed Practical Nurse | 7c Muldowney Circle, Poughkeepsie, NY 12601 | 2017-08-01 |
| 1336662048 | Ashley Elizabeth Travers | Licensed Practical Nurse | 100 Innis Ave, Poughkeepsie, NY 12601 | 2017-07-25 |
| Find all providers in zip 12601 | ||||
| Taxonomy Code | 172P00000X |
| Grouping | Other Service Providers |
| Classification | Naprapath |
| Naprapathy means a branch of medicine that focuses on the evaluation and treatment of neuron-muscular conditions. Doctors of naprapathy are connective tissue specialists. Education and training are defined through individual states’ licensing/certification requirements. |
| Notes: Source: National Uniform Claim Committee [1/1/2007: new] |
| City | POUGHKEEPSIE |
| Zip Code | 12601 |
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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.