MCREYNALD BALTHAZAR (NPI# 1962859488) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962859488 |
| Entity Type | Individual |
| Full Name | MCREYNALD BALTHAZAR |
| Practice Address |
31 Industrial Blvd Medford NY 11763-2220 |
| Practice Telephone | 6319244411 |
| Mailing Telephone | 6319244411 |
| Enumeration Date | 2016-05-16 |
| Last Update Date | 2016-05-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163W00000X | Registered Nurse | 5184743817 | NY | Nursing Service Providers |
| Street Address |
31 INDUSTRIAL BLVD |
| City | MEDFORD |
| State | NY |
| Zip Code | 11763-2220 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265646087 | Tracy A. Cullen | Social Worker | 31 Industrial Blvd, Medford, NY 11763-2220 | 2007-05-10 |
| 1992326375 | Kerry Anderson | Social Worker | 31 Industrial Blvd, Medford, NY 11763-2220 | 2020-04-27 |
| 1609316504 | Darlene Lewis | Social Worker | 31 Industrial Blvd, Medford, NY 11763-2220 | 2017-02-27 |
| 1760922652 | Michelle Muller | Peer Specialist | 31 Industrial Blvd, Medford, NY 11763-2220 | 2017-02-27 |
| 1912369224 | Gail Rudy-giannino | Counselor | 31 Industrial Blvd, Medford, NY 11763-2220 | 2016-03-25 |
| 1952763716 | Kathleen Lao | Counselor | 31 Industrial Blvd, Medford, NY 11763-2220 | 2016-03-22 |
| 1790147411 | The Yaphank Center | Community/Behavioral Health | 31 Industrial Blvd, Medford, NY 11763-2220 | 2016-03-22 |
| 1770945552 | Marilyn Clarke | Peer Specialist | 31 Industrial Blvd, Medford, NY 11763-2220 | 2016-03-22 |
| 1447612171 | Thomas Gaynor | Rehabilitation Practitioner | 31 Industrial Blvd, Medford, NY 11763-2220 | 2016-03-22 |
| 1265893507 | Beth Ann Boss | Peer Specialist | 31 Industrial Blvd, Medford, NY 11763-2220 | 2016-03-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316572027 | Rebecca Molino | Specialist | 9, 3251 Ny-112 #2, Medford, NY 11763 | 2020-03-03 |
| 1295203677 | Hajar Taman | Pharmacist | 2975 Horseblock Road, Medford, NY 11763 | 2018-11-05 |
| 1265917041 | Bay Taxi Inc | Taxi | 36/94 Horseblock Rd, Medford, NY 11763 | 2018-09-27 |
| 1184108383 | Bay Taxi Inc | Taxi | 36/94 Horsblock Road, Medford, NY 11763 | 2018-09-24 |
| 1215419650 | Megan Bell | Speech-Language Pathologist | 135 Buffalo Avenue, Medford, NY 11763 | 2018-09-01 |
| 1922592906 | Elizabeth L Oakley | Specialist | 1 Sprat St, Medford, NY 11763 | 2018-06-21 |
| 1609383389 | Federation of Organizations for The New York State Mentally Disabled | Clinic/Center | 3390 Route 112 Ste B, Medford, NY 11763 | 2018-01-04 |
| 1497109607 | Tabitha Aitken | Massage Therapist | 28 Masem Ct, Medford, NY 11763 | 2016-04-14 |
| 1518326685 | Betty Velez | Specialist | 21 Red Pine Rd, Medford, NY 11763 | 2016-02-18 |
| 1134527054 | Angelo L D'esposito | Social Worker | 77 Robinson Ave, Medford, NY 11763 | 2014-12-09 |
| Find all providers in zip 11763 | ||||
| Taxonomy Code | 163W00000X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.’s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span. |
| Notes: Sources: (2) American Nurses Association, American Nurses Credentialing Center, 1996 Certification Catalogue, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013514173 | Victoria R Luongo | Registered Nurse | 31 Horne Ave, Medford, MA 02155-1351 | 2020-10-02 |
| 1952919250 | Meredith Schofield | Registered Nurse | 32 Dover St, Medford, MA 02155-2321 | 2020-07-22 |
| 1528681103 | Jessica S Damiano | Registered Nurse | 294 High St, Medford, MA 02155-3758 | 2020-05-18 |
| 1518587625 | Rachel Lynn Lawrence | Registered Nurse | N4661 Moraine Ln, Medford, WI 54451-8416 | 2020-04-18 |
| 1285260638 | Caitlyn Larvey | Registered Nurse | 69 Windsor Rd, Medford, MA 02155-5927 | 2020-03-18 |
| 1184259343 | Jennifer Ruane | Registered Nurse | 3 Regis Rd, Medford, MA 02155-1931 | 2020-03-09 |
| 1740815448 | Anna Elizabeth Sheehan | Registered Nurse | 32 Brainard Ave Apt 204, Medford, MA 02155-5105 | 2020-03-03 |
| 1851924963 | Janine French | Registered Nurse | 73 Elmhurst Ave, Medford, NY 11763-3610 | 2020-02-17 |
| 1942846670 | Bonni Ellen Haith | Registered Nurse | 153 George St, Medford, MA 02155-5439 | 2019-11-18 |
| 1629619523 | Jennifer Deoliveira-souza | Registered Nurse | 310 Malden St, Medford, MA 02155-2819 | 2019-10-01 |
| Find all providers in MEDFORD | ||||
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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.