JUDY PORTELLI (NPI# 1942507900) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942507900 |
| Entity Type | Individual |
| Full Name | JUDY PORTELLI |
| Credential | NP-C |
| Practice Address |
2380 Rockville Centre Pkwy Oceanside NY 11572-1621 |
| Practice Telephone | 5167649501 |
| Mailing Telephone | 5167649501 |
| Enumeration Date | 2011-02-26 |
| Last Update Date | 2011-12-15 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 436331 | NY | Nursing Service Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
F335989-1 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2380 ROCKVILLE CENTRE PKWY |
| City | OCEANSIDE |
| State | NY |
| Zip Code | 11572-1621 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215915145 | Timothy Mailloux | Internal Medicine | 2380 Rockville Centre Pkwy, Oceanside, NY 11572-1621 | 2005-12-30 |
| 1518261346 | Madeline Catherine Cozzi-gottlieb | Nurse Practitioner | 2380 Rockville Centre Pkwy, Oceanside, NY 11572-1621 | 2011-01-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376152868 | True North Dialysis Center LLC | Clinic/Center | 3005 Long Beach Rd, Oceanside, NY 11572 | 2020-07-30 |
| 1508493560 | Mercedes Andreina Cardenas Pena | Student in an Organized Health Care Education/Training Program | 196 South Nassau, Oceanside, NY 11572 | 2020-03-26 |
| 1275170219 | Prohealth Dental Pllc | Dentist | 2870 Long Beach Road, Oceanside, NY 11572 | 2019-12-10 |
| 1982252409 | Fe Jaurigue | Nurse Practitioner | 2391 Washington Ave, Oceanside, NY 11572 | 2019-08-28 |
| 1689160749 | Emil A Tocci, Dc, PC | Chiropractor | 3091 Lawson Blvd, Oceanside, NY 11572 | 2018-07-02 |
| 1336652726 | Jennifer L Rodgers | Nurse Practitioner | 435 Kinsley Ct, Oceanside, NY 11572 | 2017-11-08 |
| 1205387859 | Joanne Hudkins | Nurse Practitioner | 3353 5th St, Oceanside, NY 11572 | 2016-10-19 |
| 1346693595 | Michelle Coletta-guadagno | Case Manager/Care Coordinator | 400 Oceanside Pkwy, Oceanside, NY 11572 | 2016-07-22 |
| 1831543271 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 3705 Hampton Rd, Oceanside, NY 11572 | 2016-04-22 |
| 1598170474 | Amy Daleo | Licensed Practical Nurse | 299 Waukena Ave, Oceanside, NY 11572 | 2014-06-30 |
| Find all providers in zip 11572 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255970901 | Michael Britton | Nurse Practitioner | 3047 Fortesque Ave, Oceanside, NY 11572-3443 | 2019-12-28 |
| 1679123418 | Stacy Nicole Olson | Nurse Practitioner | 1466 Stewart St, Oceanside, CA 92054-5450 | 2019-09-13 |
| 1215496880 | Theresa Ulloa Solberg | Nurse Practitioner | 1776 Avenida Sevilla, Oceanside, CA 92056-6209 | 2019-03-13 |
| 1760973952 | Michelle Alamo Domingo | Nurse Practitioner | 4330 Silver Spring Way, Oceanside, CA 92057 | 2018-05-23 |
| 1619470838 | Kimberly A Weiss | Nurse Practitioner | 2532 Fortesque Ave, Oceanside, NY 11572-2410 | 2018-03-14 |
| 1023517711 | Terry Day | Nurse Practitioner | 328 Rimhurst Ct, Oceanside, CA 92058-7032 | 2018-02-07 |
| 1336652726 | Jennifer L Rodgers | Nurse Practitioner | 435 Kinsley Ct, Oceanside, NY 11572 | 2017-11-08 |
| 1396254058 | Alison Schurman | Nurse Practitioner | 200 Mercy Circle Dr, Department of Pediatrics, Oceanside, CA 92056 | 2017-09-26 |
| 1548703424 | Ayelet Galanti | Nurse Practitioner | 3457 Turf Rd, Oceanside, NY 11572-5631 | 2016-11-28 |
| 1518369156 | Robyn White | Nurse Practitioner | 633 Mccawley St, Oceanside, CA 92058-8366 | 2014-09-25 |
| Find all providers in OCEANSIDE | ||||
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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.