DR. JEFFREY MARK WALTERS (NPI# 1942298062) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942298062 |
| Entity Type | Individual |
| Full Name | DR. JEFFREY MARK WALTERS |
| Credential | DMD |
| Practice Address |
116 Broadway Amityville NY 11701-2797 |
| Mailing Address |
881 Gardiner Dr Bay Shore NY 11706-7602 |
| Practice Telephone | 6312642610 |
| Mailing Telephone | 6316666367 |
| Enumeration Date | 2005-10-12 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
028643 | NY | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659479772 | Jeffrey Richard Walters | Chiropractor | 3583 Gatwick Manor Ln, Viera, FL 32940-8408 | 2006-09-20 |
| 1922105519 | Jeffrey William Walters | Dentist | 1585 Berdan St, Cumberland, WI 54829-8532 | 2006-09-17 |
| 1699753517 | Jeffrey L Walters | Chiropractor | 97 S Pioneer Rd, Suite 100, Fond Du Lac, WI 54935-3873 | 2006-01-03 |
| 1306280854 | Jeffrey Robert Walters | Surgery | 1400 E 2nd St, Defiance, OH 43512 | 2013-04-26 |
| 1174567275 | Jeffrey Charles Walters | Podiatrist | 425 Huehl Rd, #13 Preferred Podiatry Group PC, Northbrook, IL 60062-2319 | 2006-06-16 |
| 1235109141 | Jeffrey Michael Walters | Psychologist | 2091 E High St, Pottstown, PA 19464-3211 | 2006-01-24 |
| Street Address |
116 BROADWAY |
| City | AMITYVILLE |
| State | NY |
| Zip Code | 11701-2797 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013420306 | Long Island Medical of Amityville PC | Pediatrics | 116 Broadway, Amityville, NY 11701-2797 | 2017-11-09 |
| 1548692825 | Amity Shuttle Inc | Non-emergency Medical Transport (VAN) | 116 Broadway, Suite-7, Amityville, NY 11701-2797 | 2013-08-08 |
| 1275735185 | Geetha Balamurugan,d.d.s.,p.c. | Dentist | 116 Broadway, Amityville, NY 11701-2797 | 2007-06-03 |
| 1417164799 | Piya Ghoshal | Internal Medicine | 116 Broadway, Suite 6, Amityville, NY 11701-2797 | 2007-05-17 |
| 1124191036 | Patricia Kampfer | Chiropractor | 116 Broadway, Suite 3, Amityville, NY 11701 | 2006-11-16 |
| 1952361644 | Geetha Balamurugan | Dentist | 116 Broadway, Amityville, NY 11701-2797 | 2006-03-25 |
| 1316927049 | Piya Ghoshal, M.d.,p.c. | Internal Medicine | 116 Broadway, Suite 6, Amityville, NY 11701-2797 | 2006-01-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013427400 | Katya Cabrera | Licensed Practical Nurse | 8 Coolidge Ave, North Amityville, NY 11701 | 2017-10-11 |
| 1750800405 | Laura M Sabatino-jan | Nurse Practitioner | 65 S. Emerson Avenue, Amity Harbor, NY 11701 | 2017-09-13 |
| 1104355536 | Massapequa Center LLC | Skilled Nursing Facility | 101 Louden Ave., Amityville, NY 11701 | 2017-06-08 |
| 1588193874 | Allison Herzog | Specialist | 41 Terry Avenue, Amityville, NY 11701 | 2017-06-08 |
| 1962949677 | Sherlin Golbari | Physician Assistant | 317 Broadway Suite A, Amytyville, NY 11701 | 2017-01-20 |
| 1598129710 | Yoko Shiraiwa | Nurse Practitioner | 78 Ocean Avenue, Amityville, NY 11701 | 2016-04-13 |
| 1891158820 | Grace Ann Budde | Health Educator | 30 S Ireland Pl, Amityville, NY 11701 | 2016-03-29 |
| 1720445497 | Sabrina A Rahman | Pharmacist | 355 A Broadway, Amityville, NY 11701 | 2016-01-26 |
| 1902245335 | Darlene Marie Mccurty | Specialist | 125 Larsen Dr, Amityville, NY 11701 | 2013-06-19 |
| 1457613507 | Edria Parks | Specialist | 14 Wanser Pl, Amityville, NY 11701 | 2012-06-14 |
| Find all providers in zip 11701 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871649194 | Kashmira Demeireles | Dentist | 71 Ireland Pl, Amityville, NY 11701-2955 | 2007-01-27 |
| 1053495606 | Franklyn P. Ianno | Dentist | 151 Merrick Rd., Amityville, NY 11701-3416 | 2006-10-24 |
| 1619955564 | Sasha Daniel Cekada | Dentist | 193 Broadway, Amityville, NY 11701-2761 | 2006-01-02 |
| 1215926159 | Parinda Sanjay Dave | Dentist | 357 Broadway, Suite 3, Amityville, NY 11701-2748 | 2005-10-13 |
| 1861841983 | Kasim Sayed | Dentist | 193 Broadway, Amityville, NY 11701-2761 | 2016-06-09 |
| 1114230596 | Melissa Lynn Perrino | Dentist | 193 Broadway, Amityville, NY 11701-2761 | 2010-07-14 |
| 1275735185 | Geetha Balamurugan,d.d.s.,p.c. | Dentist | 116 Broadway, Amityville, NY 11701-2797 | 2007-06-03 |
| 1679774087 | Stephen G Frank | Dentist | 193 Broadway, Amityville, NY 11701 | 2007-05-31 |
| 1043428808 | David Neil Abramowitz | Dentist | 153 Broadway, Amityville, NY 11701-2729 | 2007-05-17 |
| 1952430654 | Sherese Tonette Sweeney | Dentist | 193 Broadway, Amityville, NY 11701-2761 | 2007-03-06 |
| Find all providers in AMITYVILLE | ||||
| City | AMITYVILLE |
| Zip Code | 11701 |
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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.