LUIS EMILIO MENJIVAR (NPI# 1982031480) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982031480 |
| Entity Type | Individual |
| Full Name | LUIS EMILIO MENJIVAR |
| Credential | L.P.N |
| Practice Address |
76 Crystal Dr East Hampton NY 11937-2031 |
| Practice Telephone | 6317216550 |
| Mailing Telephone | 6317216550 |
| Enumeration Date | 2013-09-30 |
| Last Update Date | 2013-09-30 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | 315921-1 | NY | Nursing Service Providers |
| Street Address |
76 CRYSTAL DR |
| City | EAST HAMPTON |
| State | NY |
| Zip Code | 11937-2031 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568933588 | Janis Susan Dimonaco | Social Worker | 32 Hamden St, Springfield, MA 11937 | 2018-12-17 |
| 1922542851 | William Collins | Physical Therapist | 158 Cedar Street, East Hampton, NY 11937 | 2016-12-12 |
| 1194108977 | Jennifer Lynn Favre | Pediatrics | 200 Pantigo Pl Ste E, East Hampton, NY 11937 | 2015-06-30 |
| 1336551654 | Sue B. Avedon | Psychologist | 174 Buckskill Rd., East Hampton, NY 11937 | 2014-05-21 |
| 1447694203 | Aldo Oscar Perotto | Physical Medicine & Rehabilitation | 1108 Springs Fireplace Rd., East Hampton, NY 11937 | 2013-04-24 |
| 1700150497 | Shlomo Piontkowski | Orthopaedic Surgery | 7 Amys Lane, East Hampton, NY 11937 | 2012-02-28 |
| 1881965903 | William Mahoney | Surgery | 15 Eileen's Path, Box 2738, East Hampton, NY 11937 | 2012-01-20 |
| 1003186180 | Edward Wagman | Pathology | 39 Isle of Wight Road, East Hampton, NY 11937 | 2012-01-06 |
| 1891096012 | Raymond Medler | Internal Medicine | 76 Meadow Way, East Hampton, NY 11937 | 2010-11-04 |
| 1356534002 | Edyle Obrien | Social Worker | 16 Diane Drive, East Hampton, NY 11937 | 2007-08-24 |
| Find all providers in zip 11937 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: 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 |
|---|---|---|---|---|
| 1043554710 | Hattie Dantes | Licensed Practical Nurse | 59 Nw Landing Rd, East Hampton, NY 11937-5123 | 2012-11-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730780503 | Michael Lee Hendryx | Licensed Practical Nurse | 803 Bell St, Olean, NY 14760-3005 | 2020-11-06 |
| 1720689664 | Chynna S Brown | Licensed Practical Nurse | 483 Newbury St, Rochester, NY 14615-3209 | 2020-11-06 |
| 1588265433 | Deanna Lucas | Licensed Practical Nurse | 206 Prospect Pl, Bay Shore, NY 11706-1537 | 2020-11-06 |
| 1659972511 | Katiesianna Marie Kovalsky | Licensed Practical Nurse | 718 Griswold Hts, Troy, NY 12180-5168 | 2020-11-05 |
| 1538760608 | Shanequa Marshall | Licensed Practical Nurse | 100 Park Ave Apt 1, Amityville, NY 11701-3165 | 2020-11-05 |
| 1780285007 | Jarleyn Severino | Licensed Practical Nurse | 10 Waterview Pl, Lynbrook, NY 11563-1921 | 2020-11-03 |
| 1023619590 | Lisa A Loomis | Licensed Practical Nurse | 2198 Us Highway 20, Nassau, NY 12123-1733 | 2020-11-02 |
| 1235739061 | Kathleen Zalamea | Licensed Practical Nurse | 37 Howells Rd, Bay Shore, NY 11706-6502 | 2020-10-30 |
| 1649870494 | Khairat Salami | Licensed Practical Nurse | 1538 Washington Ave Apt 1, Bronx, NY 10457-8334 | 2020-10-30 |
| 1518567437 | Catherine Grullon | Licensed Practical Nurse | 32 Crescent Ave, Newburgh, NY 12550-3134 | 2020-10-29 |
| Find all providers with the same taxonomy | ||||
| City | EAST HAMPTON |
| Zip Code | 11937 |
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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.