KEVIN HUGH PADBERG (NPI# 1962412205) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962412205 |
| Entity Type | Individual |
| Full Name | KEVIN HUGH PADBERG |
| Credential | NP |
| Practice Address |
15 Horseblock Pl Farmingville NY 11738-1204 |
| Mailing Address |
6 Northridge Cir Huntington NY 11743-5366 |
| Practice Telephone | 6318542552 |
| Mailing Telephone | 6313671933 |
| Enumeration Date | 2006-08-09 |
| Last Update Date | 2008-09-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
F400480 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
15 HORSEBLOCK PL |
| City | FARMINGVILLE |
| State | NY |
| Zip Code | 11738-1204 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194735746 | Harold B Luke | Psychiatry & Neurology | 15 Horseblock Pl, Farmingville, NY 11738-1204 | 2006-08-08 |
| 1437640331 | Taylor Lynn Reheusser | Social Worker | 15 Horseblock Pl, Farmingville, NY 11738-1204 | 2018-05-25 |
| 1184124737 | Rachel Roger | Social Worker | 15 Horseblock Pl, Farmingville, NY 11738-1204 | 2018-02-20 |
| 1497265425 | Steve Robert Drago Jr. | Counselor | 15 Horseblock Pl, Farmingville, NY 11738 | 2017-10-04 |
| 1699285619 | Danielle Busch | Counselor | 15 Horseblock Pl, Farmingville, NY 11738-1204 | 2017-10-04 |
| 1336668920 | Chloe Elise Fisher-galasso | Student in an Organized Health Care Education/Training Program | 15 Horseblock Pl, Farmingville, NY 11738-1204 | 2017-09-14 |
| 1417476003 | Amanda Lee | Student in an Organized Health Care Education/Training Program | 15 Horseblock Pl, Farmingville, NY 11738-1204 | 2017-09-14 |
| 1538688494 | Ariana Faye Katz | Student in an Organized Health Care Education/Training Program | 15 Horseblock Pl, Farmingville, NY 11738-1204 | 2017-09-12 |
| 1205355179 | Amanda Connell | Student in an Organized Health Care Education/Training Program | 15 Horseblock Pl, Farmingville, NY 11738-1204 | 2017-09-12 |
| 1477001121 | Alyssa Semken | Social Worker | 15 Horseblock Pl, Farmingville, NY 11738-1204 | 2016-09-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932696408 | Kimberly Barbara Mccleary | Registered Nurse | 56 Woodycrest Drive, Farmingville, NY 11738 | 2018-04-19 |
| 1992210231 | Cs Medical Associates, PC | Family Medicine | 100 Granny Road, Suite 2, Farmingville, NY 11738 | 2017-12-08 |
| 1558882522 | Mili Biju | Registered Nurse | 400h Horseblock Road, Suite H, Farmingville, NY 11738 | 2017-06-29 |
| 1184083040 | Patrick O'reilly | Speech-Language Pathologist | 1 Mount Bear Ct, Farmingville, NY 11738 | 2016-02-19 |
| 1780055004 | Nicole Coscia | Specialist | 62 Roberta Ave, Farmingville, NY 11738 | 2015-10-13 |
| 1619313178 | Grace Propper | Nurse Practitioner | 2880 North Ocean Ave, Farmingville, NY 11738 | 2013-05-10 |
| 1952619165 | Shari Ann Pittaro | Occupational Therapy Assistant | 17 1st St, Farmingville, NY 11738 | 2010-09-22 |
| 1134377815 | Sylvia Sayer | Social Worker | 90 Bershire Drive, Farmingville, NY 11738 | 2008-09-05 |
| 1053590018 | Amy G Berk | Registered Nurse | 12 Columbus Ave, Farmingville, NY 11738 | 2007-10-26 |
| 1912069147 | Kathy Rey | Physician Assistant | 450 Clarkson Ave Box 49, Suny-downstate Medical Center, Brooklyn, NY 11738 | 2006-12-14 |
| Find all providers in zip 11738 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326650532 | Michael Gerard Bernaudo | Nurse Practitioner | 400 Horseblock Rd Ste H, Farmingville, NY 11738-1252 | 2020-08-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013518794 | Johnson Oppong | Nurse Practitioner | 160 Theodore Fremd Ave Apt C2, Rye, NY 10580-2842 | 2020-11-08 |
| 1619578366 | Jecinter L Otieno | Nurse Practitioner | 195 Hillside Dr, Oneonta, NY 13820-3611 | 2020-11-07 |
| 1073113833 | Natalie Grant-villegas | Nurse Practitioner | 1210 Fulton St Apt 1, Brooklyn, NY 11216-2003 | 2020-10-29 |
| 1780284869 | Mary Gwynne Tillotson | Nurse Practitioner | 82 Oxford Ave, Buffalo, NY 14209-1406 | 2020-10-28 |
| 1780284273 | Angela Abramov | Nurse Practitioner | 141-30 Pershing Creacsent Apt 3c, Jamaica, NY 11435 | 2020-10-26 |
| 1407455967 | Marie J. Schwarz, Npp-bc PC | Nurse Practitioner | 133 E Main St Ste 3h, Babylon, NY 11702-3517 | 2020-10-25 |
| 1720687015 | Ashley Winn | Nurse Practitioner | 367 E Chester St, Long Beach, NY 11561-2324 | 2020-10-19 |
| 1114525961 | Tanya Monique Sydnor Holmes | Nurse Practitioner | 1601 Baldwin Blvd, Bay Shore, NY 11706-2145 | 2020-10-14 |
| 1669079976 | Mary Lynn Good | Nurse Practitioner | 3344 Chambers Rd # 200, Horseheads, NY 14845-1403 | 2020-10-08 |
| 1376140277 | Megan Elizabeth Bhatti | Nurse Practitioner | 2104 Delaware Ave Apt 1, Buffalo, NY 14216-3216 | 2020-10-04 |
| Find all providers with the same taxonomy | ||||
| City | FARMINGVILLE |
| Zip Code | 11738 |
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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.