MR. GERARD ANTHONY SQUITTIERE (NPI# 1952408395) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952408395 |
| Entity Type | Individual |
| Full Name | MR. GERARD ANTHONY SQUITTIERE |
| Credential | PA-C |
| Practice Address |
50 Route 25a Smithtown NY 11787-1348 |
| Mailing Address |
Saint Catherine of Siena Medical Center 50 Route 25 A Smithtown NY 11787 |
| Practice Telephone | 6318623890 |
| Mailing Telephone | 6318623890 |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
004797-1 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
50 ROUTE 25A |
| City | SMITHTOWN |
| State | NY |
| Zip Code | 11787-1348 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720085061 | Dmitry Konsky | Internal Medicine | 50 Route 25a, Smithtown, NY 11787 | 2005-07-01 |
| 1609232883 | Patrick Fritz Greger | Physician Assistant | 50 Route 25a, Surgical Pa Services, Smithtown, NY 11787-1348 | 2016-01-04 |
| 1447624655 | Kimberly Finnegan | Nurse Practitioner | 50 Route 25a, Smithtown, NY 11787-1348 | 2015-11-25 |
| 1346626868 | Marilyn Verna | Registered Nurse | 50 Route 25a, Smithtown, NY 11787-1348 | 2015-08-06 |
| 1033540059 | Salma Sanzida Islam | Internal Medicine | 50 Route 25a, Smithtown, NY 11787-1348 | 2013-12-02 |
| 1922449511 | Michael Simon Cucci | Pharmacist | 50 Route 25a, St Catherine of Siena Medical Center - Dept of Pharmacy, Smithtown, NY 11787-1348 | 2013-07-10 |
| 1902245632 | Kate Aileen Lindstadt | Nurse Practitioner | 50 Route 25a, Smithtown, NY 11787 | 2013-06-15 |
| 1154764819 | St. Catherine of Siena Medical Center | General Acute Care Hospital | 50 Route 25a, Smithtown, NY 11787-1348 | 2013-04-12 |
| 1841549912 | Philip Edwin Veith | Internal Medicine | 50 Route 25a, Smithtown, NY 11787-1348 | 2012-09-05 |
| 1356612717 | Peter Soltani | Internal Medicine | 50 Route 25a, Smithtown, NY 11787-1348 | 2012-01-17 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558962779 | Gwendolyn Burris | Counselor | 20 Gilbert Avenue, Suite 107-a, Smithtown, NY 11787 | 2020-11-04 |
| 1467051193 | Karin M Caro | Adult Companion | 9 Three Pond Road, Smithtown, NY 11787 | 2020-10-23 |
| 1639706641 | Nimit Khara | Student in an Organized Health Care Education/Training Program | 240 Middle Country Rd A, Smithtown, NY 11787 | 2020-03-27 |
| 1003469032 | Maria Teresa Gardella | Nurse Practitioner | St. Catherine of Siena Medical Center, 50 Ny-25a, Smithtown, NY 11787 | 2019-07-18 |
| 1558922070 | Pamella Ann Grillo | Physician Assistant | 373 Ny-111 #5, Smithtown, NY 11787 | 2019-06-25 |
| 1306308127 | Sherry Hansen | Social Worker | 285 Middle Country Rd, Suite Ll5, Smithtown, NY 11787 | 2019-04-01 |
| 1932663747 | Kayla Roundsman | Counselor | 11 Route 11, Smithtown, NY 11787 | 2019-01-25 |
| 1568959856 | Moreen Johnson | Registered Nurse | Christian Nursing Registry, 17 Bank Ave, Smith Town, NY 11787 | 2018-04-23 |
| 1992217871 | Erica Zeller Licensed Clinical Social Work Pllc | Social Worker | 15 Bellemeade Ave Ste 3, Smithtown, NY 11787 | 2017-10-31 |
| 1881117802 | Oisin Vincent Keenan | Case Manager/Care Coordinator | 11 Ny-111, Smithtown, NY 11787 | 2017-07-21 |
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| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588228860 | Kyle Godden | Physician Assistant | 257 E Main St Bldg C, Smithtown, NY 11787-2807 | 2019-04-23 |
| 1821406109 | Charles Slowey IIi | Physician Assistant | 9 Ingelore Ct, Smithtown, NY 11787-1705 | 2014-07-30 |
| 1265732374 | Mandy Page | Physician Assistant | 994 Jericho Tpke, Suite 201, Smithtown, NY 11787-3235 | 2010-10-25 |
| 1508035916 | Deborah Leone | Physician Assistant | 29 Ridge Rd, Smithtown, NY 11787-2505 | 2008-02-29 |
| 1265521298 | Susan Conaty | Physician Assistant | 260 Middle Country Road, Suite 208, Smithtown, NY 11787 | 2006-10-11 |
| 1124663505 | Jessica Kristi Angelone | Physician Assistant | 309 E Main St, Smithtown, NY 11787-2844 | 2019-11-09 |
| 1639484207 | Deanna M Krolick | Physician Assistant | 48 Route 25a Ste 301, Smithtown, NY 11787-1454 | 2010-08-08 |
| 1710151949 | Kimberly Grace Schmidt | Physician Assistant | 496 Smithtown Byp Ste 200, Smithtown, NY 11787 | 2008-04-18 |
| 1154513117 | Johanna Petrycki | Physician Assistant | 222 Middle Country Rd, Suite 228, Smithtown, NY 11787-2871 | 2007-08-14 |
| 1902930738 | Esther K. Kopiec-levine | Physician Assistant | 327 E Main St, Smithtown, NY 11787-2905 | 2007-03-15 |
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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.