NORTHEASTTELEMEDICINE (NPI# 1942829759) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942829759 |
| Entity Type | Organization |
| Organization Name | NORTHEASTTELEMEDICINE |
| Practice Address |
483 Coolidge Hill Rd Diamond Point NY 12824 |
| Practice Telephone | 5182601882 |
| Mailing Telephone | 5186856032 |
| Enumeration Date | 2020-04-11 |
| Last Update Date | 2020-04-11 |
| Authorized Official Name | THOMAS GAVIN (PHYSICIAN ASSISTANT) |
| Authorized Official Telephone | 5182601882 |
| Authorized Official Credential | PA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | Allopathic & Osteopathic Physicians |
| Street Address |
483 COOLIDGE HILL RD |
| City | DIAMOND POINT |
| State | NY |
| Zip Code | 12824 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790061554 | Sophie Elizabet Walczyk | Pediatrics | 4050 Lake Shore Dr., Diamond Pt., NY 12824 | 2011-10-25 |
| 1780701607 | Karen Gerber O'carroll | Speech-Language Pathologist | 4206 Lake Shore Dr, Diamond Point, NY 12824-1802 | 2007-03-24 |
| 1649390279 | Janice K Pfau | Dietitian, Registered | 28 Birch Dr, Diamond Point, NY 12824-1812 | 2007-03-29 |
| 1811149057 | Paula Danielle Higgins | Speech-Language Pathologist | 4472 Lake Shore Dr, Diamond Point, NY 12824-1904 | 2008-10-21 |
| 1699928028 | Beth Ann Callahan | Physical Therapist | 104 Dixon Hill Rd, Diamond Point, NY 12824-2518 | 2008-10-29 |
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003420472 | Theodean Smith-lawrence | General Practice | 7 Smoke Rise Ln, Wappingers Falls, NY 12590-1220 | 2020-09-03 |
| 1891304325 | Christopher R. Page, M.d., Pllc | General Practice | 46 Route 25a Ste 6, Setauket, NY 11733-2807 | 2020-07-30 |
| 1740804442 | Aliza Hakimian | General Practice | 15 Hill Park Ave Apt 2n, Great Neck, NY 11021-3709 | 2020-05-29 |
| 1962022152 | Lynnette Lallave - Cortes | General Practice | 2 Seaman Ave Apt 1d, New York, NY 10034-2904 | 2020-04-17 |
| 1578198826 | Online Care Medicine PC | General Practice | 26 Oldox Rd, Delmar, NY 12054-2943 | 2020-03-06 |
| 1821621301 | Donnet Andrea Riley | General Practice | 781 Palmer Rd Apt 3a, Bronxville, NY 10708-3309 | 2020-02-12 |
| 1104463652 | Ohad Shimshon Bentur | General Practice | 450 E 63rd St Apt 3g, New York, NY 10065-7957 | 2019-12-03 |
| 1285278291 | Echo Clinical Associates LLC | General Practice | 56 Echo Ave., Ste 1, Miller Place, NY 11764-2454 | 2019-11-01 |
| 1710528583 | Debra Heverly | General Practice | 2315 Whirlpool St # 415, Niagara Falls, NY 14305-2413 | 2019-10-03 |
| 1750939914 | Paul Clement Yonkers | General Practice | 13g Essex Pl, Yorktown Heights, NY 10598-1619 | 2019-08-30 |
| Find all providers with the same taxonomy | ||||
| City | DIAMOND POINT |
| Zip Code | 12824 |
Please comment or provide details below to improve the information on NORTHEASTTELEMEDICINE.
| 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.