MRS. ROSE-THERESE RAPHAEL (NPI# 1962718916) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962718916 |
| Entity Type | Individual |
| Full Name | MRS. ROSE-THERESE RAPHAEL |
| Credential | FNP-BC |
| Practice Address |
260 W Sunrise Hwy Valley Stream NY 11581-1011 |
| Mailing Address |
1000 Zeckendorf Blvd Queens Long Island Medical Group, P.C. Garden City NY 11530-2133 |
| Practice Telephone | 5168253600 |
| Practice Fax Number | 5168725137 |
| Mailing Telephone | 5165426880 |
| Mailing Fax Number | 5165425556 |
| Enumeration Date | 2010-08-27 |
| Last Update Date | 2014-07-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | F335974-1 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
F335974-1 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
260 W SUNRISE HWY |
| City | VALLEY STREAM |
| State | NY |
| Zip Code | 11581-1011 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023017464 | Mark R Kahn | Dermatology | 260 W Sunrise Hwy, Suite 305, Valley Stream, NY 11581-1011 | 2005-07-19 |
| 1013432905 | Abimbola Jaiyesimi | Nurse Practitioner | 260 W Sunrise Hwy, Ste. 200, Valley Stream, NY 11581-1011 | 2017-08-11 |
| 1417472143 | Sunrise Podiatry PC | Podiatrist | 260 W Sunrise Hwy, Valley Stream, NY 11581-1011 | 2017-08-03 |
| 1013309400 | Queens Long Island Dental Care PC | Dentist | 260 W Sunrise Hwy, Valley Stream, NY 11581-1011 | 2015-02-23 |
| 1356739668 | Valley Stream Professional Medical Services, LLC | Radiology | 260 W Sunrise Hwy, Valley Stream, NY 11581-1011 | 2015-01-08 |
| 1922396787 | Madiha Majid | Internal Medicine | 260 W Sunrise Hwy, Ste 200, Valley Stream, NY 11581-1011 | 2011-07-14 |
| 1114216249 | Jewel Liao | Ophthalmology | 260 W Sunrise Hwy, Ste 200, Valley Stream, NY 11581-1011 | 2011-03-29 |
| 1922330679 | Sharon K Harper | Pharmacist | 260 W Sunrise Hwy, Pharmacy, Valley Stream, NY 11581-1011 | 2010-02-05 |
| 1811228703 | Nicolas M Aquino II | Internal Medicine | 260 W Sunrise Hwy, Valley Stream, NY 11581-1011 | 2010-01-17 |
| 1366778912 | Eyecare Advantage, Inc. | Eyewear Supplier (Equipment, not the service) | 260 W Sunrise Hwy, Valley Stream, NY 11581-1011 | 2009-11-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033773437 | Step 2 Smile Physical Therapy PC | Physical Therapist | 74 Sylvan Place, Valley Stream, NY 11581 | 2019-05-01 |
| 1700369220 | Lyubov Nikolayeva | Nurse Practitioner | 76 Halyard Rd, Valley Stream, NY 11581 | 2018-09-11 |
| 1154846871 | Shayena Donaldson-fortune | Occupational Therapist | 100 Lotus Oval N, Valley Stream, NY 11581 | 2017-08-03 |
| 1255877080 | Fulin Wang | Acupuncturist | 45 Dartmouth St, Valley Stream, NY 11581 | 2017-01-18 |
| 1356796072 | Idit Ariel Zim | Speech-Language Pathologist | 924 Crestview Ave, Valley Stream, NY 11581 | 2016-05-02 |
| 1487086245 | Florence Jean Baptiste | Behavioral Analyst | 790 University Street, North Woodmere, NY 11581 | 2013-08-05 |
| 1760824254 | Tatiana Grant | Counselor | 70 Sunrise Hwy, Suite 500 #579, Valley Stream, NY 11581 | 2013-07-24 |
| 1740625698 | Patricia R. Curtis | Specialist | 96 Roosevelt Ave., Valley Stream, NY 11581 | 2013-05-06 |
| 1669769006 | Fredrica Beth Lieberstein | Health Educator | 792 Longview Avenue, North Woodmere, NY 11581 | 2011-07-06 |
| 1811288186 | Bruce Neil Goldman | Speech-Language Pathologist | 1030 Cedarhurst Street, North Woodmere, NY 11581 | 2011-04-21 |
| Find all providers in zip 11581 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396344610 | Justin Chiang | Nurse Practitioner | 1594 Arkansas Dr, Valley Stream, NY 11580-1842 | 2020-10-19 |
| 1417571027 | Puspa Acharya Kafle | Nurse Practitioner | 88 Carstairs Rd, Valley Stream, NY 11581-3319 | 2020-05-31 |
| 1063052389 | Elana Deutscher | Nurse Practitioner | 718 Hungry Harbor Rd, Valley Stream, NY 11581-3039 | 2020-01-14 |
| 1871133496 | Kimberly Chang-munro | Nurse Practitioner | 1679 Lee St, Valley Stream, NY 11580-1219 | 2020-01-11 |
| 1205470291 | Iqra Oza | Nurse Practitioner | 646 Wyngate Dr E, Valley Stream, NY 11580-1439 | 2019-11-01 |
| 1518425420 | Anita N Sawyer | Nurse Practitioner | 75 Lyon St, Valley Stream, NY 11580-3517 | 2019-03-10 |
| 1770041279 | Petal Martinez | Nurse Practitioner | 142 Salem Rd, Valley Stream, NY 11580-1118 | 2019-03-04 |
| 1700369220 | Lyubov Nikolayeva | Nurse Practitioner | 76 Halyard Rd, Valley Stream, NY 11581 | 2018-09-11 |
| 1700377934 | Jisha Merin Mathew | Nurse Practitioner | 1835 Oliver Ave, Apt 4, Valley Stream, NY 11580 | 2018-05-23 |
| 1982142535 | Rhonda Singh-james | Nurse Practitioner | 120 Pilgrim Pl, Valley Stream, NY 11580-5339 | 2017-02-03 |
| Find all providers in VALLEY STREAM | ||||
| City | VALLEY STREAM |
| Zip Code | 11581 |
Please comment or provide details below to improve the information on MRS. ROSE-THERESE RAPHAEL.
| 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.