KATHERINE ROSANGELA QUEZADA


Address: 625 Belle Terre Rd, Port Jefferson, NY 11777-2316
Phone: 6314731320

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).

Provider Overview

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

Taxonomy

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

Other Providers KATHERINE QUEZADA

NPI Name Taxonomy Address Enumeration
1316402217 Katherine Alexandra Quezada Nurse Practitioner 3650 Nw 82nd Ave, Doral, FL 33166-6658 2019-02-05

Office Location

Street Address 625 BELLE TERRE RD
City PORT JEFFERSON
State NY
Zip Code 11777-2316

Providers in the same location

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

Providers in the same zip code

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 Information

Taxonomy Code 363LA2200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Adult Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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

Competitor

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City PORT JEFFERSON
Zip Code 11777

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Dataset Information

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.

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