MRS. ELIZABETH ZOFIA CANDELA-KRUPP (NPI# 1952813545) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1952813545 |
Entity Type | Individual |
Full Name | MRS. ELIZABETH ZOFIA CANDELA-KRUPP |
Credential | RDH |
Practice Address |
380 Washington Ave Roosevelt NY 11575-1845 |
Mailing Address |
2401 Babylon St Wantagh NY 11793-4501 |
Practice Telephone | 5163782000 |
Mailing Telephone | 5164095171 |
Enumeration Date | 2017-11-03 |
Last Update Date | 2017-11-03 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 124Q00000X | Dental Hygienist | 7365448 | NY | Dental Providers |
Street Address |
380 WASHINGTON AVE |
City | ROOSEVELT |
State | NY |
Zip Code | 11575-1845 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093743072 | Catherine Finelli | Counselor | 380 Washington Ave, Roosevelt, NY 11575-1845 | 2006-06-29 |
1700437860 | Kerry Mogavero | Physical Therapy Assistant | 380 Washington Ave, Roosevelt, NY 11575-1845 | 2019-09-20 |
1093360992 | Jyoti Bariana | Physical Therapy Assistant | 380 Washington Ave, Roosevelt, NY 11575-1845 | 2019-08-07 |
1649824756 | Jennifer Therese Martin | Speech-Language Pathologist | 380 Washington Ave, Roosevelt, NY 11575-1845 | 2019-07-26 |
1578036125 | Victoria Marie Genova | Speech-Language Pathologist | 380 Washington Ave, Roosevelt, NY 11575-1845 | 2019-01-07 |
1770067258 | Alicia Marie Sauerland | Occupational Therapist | 380 Washington Ave, Roosevelt, NY 11575-1845 | 2018-09-20 |
1316421787 | Pamela Holly Pollack | Physical Therapist | 380 Washington Ave, Roosevelt, NY 11575-1845 | 2018-09-20 |
1962985333 | Patricia Josephine Telford | Specialist | 380 Washington Ave, Roosevelt, NY 11575-1845 | 2018-09-12 |
1912411471 | Damion Singh | Occupational Therapist | 380 Washington Ave, Roosevelt, NY 11575-1845 | 2017-11-20 |
1841709649 | Leah Hertz | Occupational Therapist | 380 Washington Ave, Roosevelt, NY 11575-1845 | 2017-09-25 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235695800 | Joi Emmanuel | Social Worker | 335 East Clinton Avenue, Roosevelt, NY 11575 | 2019-02-19 |
1568838654 | Patricia Roots | Licensed Practical Nurse | 76 W Centennial Ave, Roosevelt, NY 11575 | 2015-08-12 |
1235413782 | Belle Cleaning Services LLC | Preferred Provider Organization | 64 Elmwood Ave, Roosevelt, NY 11575 | 2011-10-03 |
1194970715 | Lisa B. Maniatis-fitting | Physical Therapy Assistant | 360 Washington Ave., Roosevelt, NY 11575 | 2008-11-24 |
1629131792 | Naomi Deborah Steinberg | Social Worker | Ucpn-380 Washington Ave, Roosevelt, New York, NY 11575 | 2006-12-19 |
1750340212 | Eleanor Babinski | Pediatrics | 150 E. Sunrise Hwy, Suite 105, Lindenhurst, NY 11575 | 2006-03-22 |
1558778407 | Eac, Inc. | Day Training, Developmentally Disabled Services | 50 Clinton Street, Hempstead, NY 11575 | 2014-07-11 |
1720415342 | Kristen Leigh Gaglio | Specialist | 380 Washington Avenue, Roosevelt, NY 11575 | 2013-09-27 |
1083992192 | Stefanie Gofter | Occupational Therapist | 380 Washington Avenue, Roosevelt, NY 11575 | 2011-07-25 |
1437304045 | Bobby Nabeyama | Physical Therapist | 360 Washington Ave, Roosevelt, NY 11575 | 2008-11-24 |
Find all providers in zip 11575 |
Taxonomy Code | 124Q00000X |
Grouping | Dental Providers |
Classification | Dental Hygienist |
An individual who has completed an accredited dental hygiene education program, and an individual who has been licensed by a state board of dental examiners to provide preventive care services under the supervision of a dentist. Functions that may be legally delegated to the dental hygienist vary based on the needs of the dentist, the educational preparation of the dental hygienist and state dental practice acts and regulations, but always include, at a minimum, scaling and polishing the teeth. To avoid misleading the public, no occupational title other than dental hygienist should be used to describe this dental auxiliary. |
Notes: Source: Comprehensive Policy Statement on Dental Auxiliaries, American Dental Association. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578122388 | Lilliam Gesell Cruz | Dental Hygienist | 380 Nassau Rd, Roosevelt, NY 11575-1343 | 2019-06-06 |
1235506684 | Donna Berry | Dental Hygienist | 380 Washington Ave, Roosevelt, NY 11575-1845 | 2015-09-01 |
1710260864 | Vanessa Edmond | Dental Hygienist | 380 Washington Ave, Roosevelt, NY 11575-1845 | 2011-09-26 |
1215944517 | Rosemarie Kielawa | Dental Hygienist | 380 Washington Ave, Roosevelt, NY 11575-1845 | 2006-08-01 |
1679589352 | Dolores Libassi | Dental Hygienist | 380 Washington Ave, Roosevelt, NY 11575-1845 | 2006-08-01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538767280 | Saray A Guzman-pernett | Dental Hygienist | 370 Lexington Ave Fl 26, New York, NY 10017-6573 | 2020-10-14 |
1508464389 | Teah Lee Griffith | Dental Hygienist | 1182 County Route 24, Gouverneur, NY 13642-3330 | 2020-10-13 |
1629675574 | Sheila M Marsh | Dental Hygienist | 37 Boynton Ave Ste 2, Plattsburgh, NY 12901-1268 | 2020-10-05 |
1558978478 | Natalia Itxel Plaza | Dental Hygienist | 223 22nd St Fl 1, Brooklyn, NY 11232-1303 | 2020-09-24 |
1386250108 | Maxine Mills | Dental Hygienist | 71 Maler Ln, Patchogue, NY 11772-3558 | 2020-09-17 |
1780295592 | Samantha Leggiadro | Dental Hygienist | 606 Hosta Cir, Webster, NY 14580-4066 | 2020-08-14 |
1609487438 | Taylor Emily Bonno | Dental Hygienist | 15324 Lovers Ln, Clayton, NY 13624-3110 | 2020-08-14 |
1407466071 | Ellen Norma Denise Gill | Dental Hygienist | 41277 County Route 15, Theresa, NY 13691-2028 | 2020-08-07 |
1619595709 | Marialys Fernandez | Dental Hygienist | 25 W 18th St Fl 4, New York, NY 10011-4676 | 2020-07-06 |
1285271775 | Elizabeth Marie Dooher-anthony | Dental Hygienist | 490 Falstaff Rd, Rochester, NY 14609-5551 | 2019-12-04 |
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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.