JESSICA BENEDETTO (NPI# 1982080065) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982080065 |
| Entity Type | Individual |
| Full Name | JESSICA BENEDETTO |
| Practice Address |
77 Burlington Ave Deer Park NY 11729-2402 |
| Practice Telephone | 6313169739 |
| Mailing Telephone | 6313169739 |
| Enumeration Date | 2015-07-30 |
| Last Update Date | 2015-07-30 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | 319470 | NY | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427424035 | Jessica Benedetto | Counselor | 60 Academy Rd, Albany, NY 12208-3103 | 2015-08-18 |
| 1568495075 | Jessica Outwater Benedetto | Hospitalist | 81 Highland Ave, North Shore Medical Center/dept of Medicine, Salem, MA 01970-2714 | 2006-07-08 |
| Street Address |
77 BURLINGTON AVE |
| City | DEER PARK |
| State | NY |
| Zip Code | 11729-2402 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013561513 | Elyse Joy Wright | Specialist | 1014 Grand Boulevard Suite 5, Deer Park, NY 11729 | 2019-08-01 |
| 1568929131 | Corrine E. Hibbert | Case Manager/Care Coordinator | 140 Villa Avenue, Deer Park Ny, NY 11729 | 2019-03-01 |
| 1922525286 | Melissa Ramistella | Behavioral Analyst | 6 Angelica Street, Deer Park, NY 11729 | 2017-08-28 |
| 1609224153 | Corvitals, Inc. | Clinical Medical Laboratory | 590 Nichols Road, Suite 1, Deer Park, NY 11729 | 2016-05-25 |
| 1417375312 | Venel Maitre | Registered Nurse | 54 Duke St, Deer Park, NY 11729 | 2014-03-29 |
| 1578819157 | Koa K Robinson | Registered Nurse | 375 Carlls Place, 329, Deer Park, NY 11729 | 2012-08-01 |
| 1649532409 | Theresa L Lerro | Counselor | 1 Brandyine Drive, Deer Park, NY 11729 | 2012-06-07 |
| 1417218827 | Abilities Unlimited of N.y. | Durable Medical Equipment & Medical Supplies | 90 E. Jefryn Blvd., Deer Park, NY 11729 | 2012-06-01 |
| 1356600811 | Jennifer A. D'auria | Speech-Language Pathologist | 101 Lake Ave., Jfk Intermediate School, Deer Park, NY 11729 | 2012-05-03 |
| 1013280254 | Usv Optical Inc. | Eyewear Supplier (Equipment, not the service) | 1900 The Arches Circle, Deer Park, NY 11729 | 2012-02-20 |
| Find all providers in zip 11729 | ||||
| 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 |
|---|---|---|---|---|
| 1184241960 | Princess Davis | Licensed Practical Nurse | 225 Tell Ave, Deer Park, NY 11729-7023 | 2020-06-29 |
| 1114557683 | Darlene Beaucicot | Licensed Practical Nurse | 4 Mark Ln, Deer Park, NY 11729-6411 | 2020-01-23 |
| 1356984025 | Stephenie Lloyd | Licensed Practical Nurse | 256 W 22nd St, Deer Park, NY 11729-5825 | 2019-10-24 |
| 1427613686 | Stelie Aubergiste Dupre | Licensed Practical Nurse | 58 Maida Ave, Deer Park, NY 11729-7008 | 2019-05-03 |
| 1255849576 | Danielle Heather Ricciardo | Licensed Practical Nurse | 153 Mohawk Ave, Deer Park, NY 11729-1701 | 2018-01-22 |
| 1225487085 | Danielle Kollmer | Licensed Practical Nurse | 44 Jersey St, Deer Park, NY 11729-2327 | 2016-06-11 |
| 1144674383 | Nafisa Syed | Licensed Practical Nurse | 58 Pitt Ave, Deer Park, NY 11729-1807 | 2016-04-13 |
| 1750754305 | Lastar Knight | Licensed Practical Nurse | 73 E 6th St, Deer Park, NY 11729-4311 | 2015-11-04 |
| 1922430404 | Samantha Legros | Licensed Practical Nurse | 22 Wilson Ave, Deer Park, NY 11729-6714 | 2013-08-06 |
| 1578901187 | Herlande Beaubrun | Licensed Practical Nurse | 125 W 13th St, Deer Park, NY 11729-4940 | 2013-06-06 |
| Find all providers in DEER PARK | ||||
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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.