KATHERINE ROSANGELA QUEZADA (NPI# 1952940942) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1952940942 |
Entity Type | Individual |
Full Name | KATHERINE ROSANGELA QUEZADA |
Practice Address |
625 Belle Terre Rd Port Jefferson NY 11777-2316 |
Mailing Address |
10 Biscayne Dr Selden NY 11784-1011 |
Practice Telephone | 6314731320 |
Mailing Telephone | 6314815257 |
Enumeration Date | 2019-12-23 |
Last Update Date | 2019-12-23 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
309278 | NY | Physician Assistants & Advanced Practice Nursing Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316402217 | Katherine Alexandra Quezada | Nurse Practitioner | 3650 Nw 82nd Ave, Doral, FL 33166-6658 | 2019-02-05 |
Street Address |
625 BELLE TERRE RD |
City | PORT JEFFERSON |
State | NY |
Zip Code | 11777-2316 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033102280 | Dinesh Shukla | Psychiatry & Neurology | 625 Belle Terre Rd, Suite 205, Port Jefferson, NY 11777-2316 | 2005-08-23 |
1477093383 | Ryan Fuellbier | Physician Assistant | 625 Belle Terre Rd, 202, Port Jefferson, NY 11777-2316 | 2017-02-27 |
1265844716 | John T Mather Memorial Hospital | Physician Assistant | 625 Belle Terre Rd, Suite 203, Port Jefferson, NY 11777-2316 | 2014-06-02 |
1811275548 | Ella Rosenbloom | Internal Medicine | 625 Belle Terre Rd, Port Jefferson, NY 11777-2316 | 2011-07-29 |
1780983395 | Advanced Laparoscopic Bariatric and General Surgery | Surgery | 625 Belle Terre Rd, Suite 202, Port Jefferson, NY 11777-2316 | 2011-03-22 |
1982848156 | Ashish Agarwala | Surgery | 625 Belle Terre Rd, Suite 202, Port Jefferson, NY 11777-2316 | 2009-05-01 |
1447414370 | North Suffolk Surgical Assoc | Specialist | 625 Belle Terre Rd, Suite 201, Port Jefferson, NY 11777-2316 | 2008-07-10 |
1013182112 | Michelle Marilyn Craddock | Family Medicine | 625 Belle Terre Rd, Suite 119 Port Jefferson Medical Assoc, Port Jefferson, NY 11777 | 2008-04-29 |
1306929716 | S Chandra Shekher | Psychiatry & Neurology | 625 Belle Terre Rd, Suite 211, Port Jefferson, NY 11777 | 2006-10-23 |
1659313690 | Arif Ahmad | Surgery | 625 Belle Terre Rd, Suite 202, Port Jefferson, NY 11777-2316 | 2006-06-12 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568088615 | Aqsa Ashraf | Student in an Organized Health Care Education/Training Program | 75 N Country Road Mather Hospital Internal Medicine Res, Port Jefferson, NY 11777 | 2020-06-24 |
1366068975 | Manal Ahmad | Student in an Organized Health Care Education/Training Program | 75 N County Rd, Level 2 Cmo Suite, Internal Medicine Re, Mather Hospital, Port Jefferson, NY 11777 | 2020-06-19 |
1639794555 | Umair Ahmad Ansari | Student in an Organized Health Care Education/Training Program | 75 N Country Road Mother Hospital, Internal Medicine Re, Level 2 - Cmd Suite, Port Jefferson, NY 11777 | 2020-06-16 |
1578188132 | Manasi Sule | Student in an Organized Health Care Education/Training Program | 75 N Country Rd, Mather Hospital, Internal Medicine Res, Port Jefferson, NY 11777 | 2020-06-10 |
1508480716 | Imona Subedi | Student in an Organized Health Care Education/Training Program | 75 N Country Road, Level 2 - Cmo Suite, Mather Hospital Internal Medicine Residency Program, Port Jefferson, NY 11777 | 2020-06-03 |
1184252108 | Romana Imtiaz Syed | Student in an Organized Health Care Education/Training Program | Liza M Dominioni,mather Hospital,internal Medicine, Residency Program,level 2-cmo Suite,75 N Country Rd, Port Jefferson, NY 11777 | 2020-03-27 |
1649807348 | Mustafa Mohammed Abdulsada | Student in an Organized Health Care Education/Training Program | 75 N Country Rd, Ny, Level 2 - Cmo Suite, Port Jefferson, NY 11777 | 2020-03-24 |
1184264764 | Girma Moges Gamme | Surgery | 625 Belle Terre Rd, Suite 203 Mather Hospital, Port Jefferson, NY 11777 | 2020-01-10 |
1811554637 | Kausar Ali | Nurse Practitioner | 408 Thompson Street, Port Jefferson, NY 11777 | 2019-05-28 |
1073097531 | Ministry for Hope, Inc. Montfort Therapeutic Residence | Residential Treatment Facility, Physical Disabilities | 100 Stonyhill Road, Port Jefferson, NY 11777 | 2018-09-20 |
Find all providers in zip 11777 |
Taxonomy Code | 363LA2200X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Adult Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1003060229 | Janice Fleischman Eaton | Nurse Practitioner | 23 Old Post Road East, Port Jefferson, NY 11777-1957 | 2008-11-14 |
1902974330 | Cynthia A Price | Nurse Practitioner | 125 Oakland Ave, Port Jefferson, NY 11777-2130 | 2006-12-01 |
1346243987 | Stacey Luise Tursi | Nurse Practitioner | 200 Belle Terre Rd, Dept. of Nursing Education, Port Jefferson, NY 11777 | 2005-05-27 |
1134760648 | Margaret Mary Cherpak | Nurse Practitioner | 66 Cliff Rd, Port Jefferson, NY 11777-1033 | 2019-10-05 |
1679120679 | Karin Merrins | Nurse Practitioner | 635 Belle Terre Rd Ste 209, Port Jefferson, NY 11777-1987 | 2019-08-23 |
1629625116 | Joann Lynn Brazil | Nurse Practitioner | 1500 Route 112, Building #2 Suite B, Port Jefferson, NY 11777 | 2019-08-20 |
1760994248 | Maria Susan Rubino | Nurse Practitioner | 75 N Country Rd, Port Jefferson, NY 11777-2119 | 2017-10-24 |
1386096881 | Theresa Aiello | Nurse Practitioner | 70 N Country Rd, Port Jefferson, NY 11777-2161 | 2016-07-07 |
1194107961 | Kristen Ann Klein | Nurse Practitioner | 635 Belle Terre Rd Ste 209, Port Jefferson, NY 11777 | 2015-06-29 |
1750769808 | Michelle Byrne | Nurse Practitioner | 75 N Country Rd, Port Jefferson, NY 11777-2119 | 2015-05-09 |
Find all providers in PORT JEFFERSON |
City | PORT JEFFERSON |
Zip Code | 11777 |
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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.