MS. MARY GUNDERSEN (NPI# 1932436854) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932436854 |
| Entity Type | Individual |
| Full Name | MS. MARY GUNDERSEN |
| Other Name | MARY KAMIN |
| Credential | RN, CDE |
| Practice Address |
242 Mason Ave Diabetes Education - 1st Floor Staten Island NY 10305-3408 |
| Practice Telephone | 7182261547 |
| Practice Fax Number | 7182261438 |
| Mailing Telephone | 7182261547 |
| Mailing Fax Number | 7182261438 |
| Enumeration Date | 2009-11-13 |
| Last Update Date | 2009-11-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163WD0400X |
Registered Nurse Specialization: Diabetes Educator |
0942-0278 | NY | Nursing Service Providers |
| Y | 163WD0400X |
Registered Nurse Specialization: Diabetes Educator |
385302-1 | NY | Nursing Service Providers |
| Street Address |
242 MASON AVE DIABETES EDUCATION - 1ST FLOOR |
| City | STATEN ISLAND |
| State | NY |
| Zip Code | 10305-3408 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124001599 | Giovannie Jean-baptiste | Internal Medicine | 242 Mason Ave, Staten Island, NY 10305-3408 | 2005-11-21 |
| 1861058372 | Gautam Bhasin | Psychologist | 242 Mason Ave, Staten Island, NY 10305-3408 | 2019-05-10 |
| 1982018107 | Anna Shapiro | Audiologist | 242 Mason Ave, 1 Floor, Staten Island, NY 10305-3408 | 2014-06-16 |
| 1417254160 | Lydia Tripolsky | Pediatrics | 242 Mason Ave, Suite 1, Staten Island, NY 10305-3408 | 2011-02-15 |
| 1245545698 | Barry Lei | Occupational Therapist | 242 Mason Ave, Staten Island, NY 10305-3408 | 2010-08-10 |
| 1669783536 | Kimberly E Collins | Occupational Therapist | 242 Mason Ave, Staten Island, NY 10305-3408 | 2010-06-25 |
| 1306172689 | Jonathan Jacob Goldenthal | Pediatrics | 242 Mason Ave, Staten Island, NY 10305-3408 | 2009-10-21 |
| 1932343936 | Lydia Marty-meyerson | Nurse Practitioner | 242 Mason Ave, Staten Island, NY 10305-3408 | 2009-04-22 |
| 1023266111 | Judith Saltiel | Audiologist-Hearing Aid Fitter | 242 Mason Ave, Staten Island, NY 10305-3408 | 2008-09-03 |
| 1225286313 | Liat Azoulay | Audiologist-Hearing Aid Fitter | 242 Mason Ave, Staten Island, NY 10305-3408 | 2008-09-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972101517 | Gina Sinchi | Specialist | 120 Hylan Blvd Suite 9b1, Staten Island, NY 10305 | 2020-10-15 |
| 1003436783 | Ali Kassem | Student in an Organized Health Care Education/Training Program | 475 Seaview University, Staten Island, New York, Staten Island University Hospital, Department of Intern, Staten Island, Nyc, NY 10305 | 2020-04-22 |
| 1174183982 | Mohammad Ass'ad Alshami | Student in an Organized Health Care Education/Training Program | 475 Seaview Avenue Ht-257(back), Staten Island-nyc, NY 10305 | 2019-06-14 |
| 1639632508 | Abdullah Jahangir | Student in an Organized Health Care Education/Training Program | 475 Seaview Avenue Staten Island, Staten Island Univers, New York City, NY 10305 | 2019-04-09 |
| 1922593813 | Ifeyinwa Mary Asuzu | Student in an Organized Health Care Education/Training Program | 1 Edgewater Plaza Staten Island, New York, NY 10305 | 2018-06-25 |
| 1700377652 | Celeste Jude Chow | Speech-Language Pathologist | 841 Father Capodanno Blvd, Staten Island, NY 10305 | 2018-05-27 |
| 1972094878 | Mahmoud Shadi | Student in an Organized Health Care Education/Training Program | 475 Seaview Avenue; Staten Island Univeristy Hospital, Staten Island, NY 10305 | 2018-05-25 |
| 1396235131 | Samyak Hiteshkumar Dhruv | Student in an Organized Health Care Education/Training Program | 475 Seaview Avenue, Staten Island, NY 10305 | 2018-05-17 |
| 1720583404 | Michele Corrado | Nurse Practitioner | 27 Xenia St, Staten Island, NY 10305 | 2018-03-26 |
| 1861995912 | Erika Renick | Dietitian, Registered | 256 Mason Avenue, Building C - 3rd Floor, Staten Island, NY 10305 | 2018-03-15 |
| Find all providers in zip 10305 | ||||
| Taxonomy Code | 163WD0400X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Diabetes Educator |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336454610 | Caryl Ann Oreilly | Registered Nurse | 85 Longfellow Ave, Staten Island, NY 10301-4615 | 2010-08-11 |
| 1144636713 | James Steven Cohen | Registered Nurse | 4771 Hylan Blvd, Staten Island, NY 10312-6315 | 2014-07-03 |
| 1174746499 | Dawn Fairlie | Registered Nurse | 4771 Hylan Blvd, Staten Island, NY 10312-6315 | 2007-04-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720544612 | Nancy A Rodrigues | Registered Nurse | Ryan Chelsea Clinton Clinic, 645 10th Ave, New York, NY 10036-1003 | 2019-02-15 |
| 1366910895 | Charlotte Marie Mcloughlin | Registered Nurse | 3531 168th St, Flushing, NY 11358-1732 | 2018-11-02 |
| 1326529736 | Diabetes & You, LLC | Registered Nurse | 30 Reade Pl, Poughkeepsie, NY 12601-3946 | 2018-08-23 |
| 1033609458 | Simnutrition Inc. | Registered Nurse | 34 Rowan St, Smithtown, NY 11787-1057 | 2018-05-10 |
| 1245727437 | Teresa A Cichosz | Registered Nurse | 17415 Horace Harding Expy # 2f, Fresh Meadows, NY 11365-1527 | 2018-04-13 |
| 1891293452 | Adam Edward Kessler | Registered Nurse | 25 Hackett Blvd Fl 3, Albany, NY 12208-3462 | 2018-01-30 |
| 1972036333 | Jaclyn Defranco | Registered Nurse | 3400 Nesconset Hwy Ste 104, East Setauket, NY 11733-3327 | 2017-04-04 |
| 1588196067 | Lorraine K. Porcaro | Registered Nurse | 707 E Main Street, Diabetes Room 2225e, Middletown, NY 10940 | 2017-04-03 |
| 1063964179 | Ramona Nowak | Registered Nurse | 194 Wycliff Dr, Webster, NY 14580-2824 | 2016-10-25 |
| 1699162792 | Sara L Mcmillan | Registered Nurse | 356 Sunrise Blvd, Williamsville, NY 14221-3127 | 2015-04-16 |
| Find all providers with the same taxonomy | ||||
| City | STATEN ISLAND |
| Zip Code | 10305 |
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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.