ANDRES MAURICIO MELO (NPI# 1982948865) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982948865 |
| Entity Type | Individual |
| Full Name | ANDRES MAURICIO MELO |
| Credential | RPAC, MPAS |
| Practice Address |
55 N Main St Freeport NY 11520-2243 |
| Practice Telephone | 5163778014 |
| Practice Fax Number | 5163778017 |
| Mailing Telephone | 5163778014 |
| Mailing Fax Number | 5163778017 |
| Enumeration Date | 2012-11-16 |
| Last Update Date | 2012-11-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
016262 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | LICENSE | 016262 | 01 |
| Street Address |
55 N MAIN ST |
| City | FREEPORT |
| State | NY |
| Zip Code | 11520-2243 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437701588 | Ana Sandoval | Nurse Practitioner | 55 N Main St, Freeport, NY 11520-2243 | 2019-07-09 |
| 1225552409 | Cindy Guzman | Nurse Practitioner | 55 N Main St, Freeport, NY 11520-2243 | 2017-07-31 |
| 1114465499 | Ivelisse Guevara Reyes | Nurse Practitioner | 55 N Main St, Freeport, NY 11520-2243 | 2017-02-07 |
| 1154867307 | Maria Isabel Goncalves | Nurse Practitioner | 55 N Main St, Freeport, NY 11520-2243 | 2017-01-12 |
| 1922497221 | Jennifer Wendy Murga | Physician Assistant | 55 N Main St, Freeport, NY 11520-2243 | 2015-01-10 |
| 1134554934 | Rosemary Brenda Estrella | Nurse Practitioner | 55 N Main St, Freeport, NY 11520-2243 | 2013-09-11 |
| 1962841296 | Virginia Gonzalez | Physician Assistant | 55 N Main St, Freeport, NY 11520-2243 | 2013-06-20 |
| 1427396936 | Kimberly Sheryl Andrews-reynolds | Internal Medicine | 55 N Main St, Freeport, NY 11520-2243 | 2013-01-18 |
| 1578830964 | Teddy Hervias | Physician Assistant | 55 N Main St, Freeport, NY 11520-2243 | 2011-11-29 |
| 1619257003 | Alejandro Pepen Romero | Internal Medicine | 55 N Main St, Freeport, NY 11520-2243 | 2011-08-17 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881157154 | Barbara Chillemi | Registered Nurse | 56 Mackay Place, Freeport, NY 11520 | 2019-04-12 |
| 1588171631 | Lisa Frank | Nurse Practitioner | 150 Buffalo Ave, Freeport, NY 11520 | 2018-01-10 |
| 1447775838 | Julner Quettant Jr. | Physical Therapist | 63 St Marks Ave, Freeport, NY 11520 | 2017-08-07 |
| 1679003933 | Candice A R Greene | Speech-Language Pathologist | 12 Summers Place, Freeport, NY 11520 | 2017-06-19 |
| 1700310331 | Samantha Edwards | Psychologist | 6 Delisle Avenue, Freeport, NY 11520 | 2017-04-20 |
| 1275073769 | Dorothea Geiger | Behavior Technician | 90 Hillside Ave, Freeport, NY 11520 | 2017-03-02 |
| 1477092575 | Maryhaven Center of Hope,inc | Substance Abuse Rehabilitation Facility | 150 Buffalo Avenue, Freeport, NY 11520 | 2017-02-22 |
| 1861849135 | Daniel Lora | Acupuncturist | 140 Parsons Ave, Freeport, NY 11520 | 2016-05-17 |
| 1326413790 | Beatrice Jeanty | Registered Nurse | 619 South Long Beach Ave., Freeport, NY 11520 | 2015-12-10 |
| 1134505548 | Maria A. Meek | Nurse Practitioner | 334, West Merrick Rd., Freeport., NY 11520 | 2015-08-07 |
| Find all providers in zip 11520 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902236714 | Dana Debono | Physician Assistant | 429 Atlantic Ave, Freeport, NY 11520-5256 | 2013-11-14 |
| 1962841296 | Virginia Gonzalez | Physician Assistant | 55 N Main St, Freeport, NY 11520-2243 | 2013-06-20 |
| 1720170061 | Jacqueline Olivieri | Physician Assistant | 55 N Main St, Freeport, NY 11520-2243 | 2006-09-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487252581 | North Shore Medical Group Pllc | Physician Assistant | 311 Skyview Ter, Syracuse, NY 13219-2835 | 2020-10-12 |
| 1477169654 | Kristen Ariel O'connell | Physician Assistant | 85 John St Apt 7a, New York, NY 10038-2844 | 2020-09-22 |
| 1699381616 | David Nmn Kao | Physician Assistant | 737 Pleasant Avenue, Westbury, NY 11590-6407 | 2020-09-16 |
| 1043824816 | Elizabeth Keane | Physician Assistant | 25 Hollis Dr, Sound Beach, NY 11789-1629 | 2020-08-31 |
| 1497364111 | Tianna Stephens | Physician Assistant | 165 N Village Ave Ste 5, Rockville Centre, NY 11570-3701 | 2020-07-28 |
| 1124636188 | Shannon Maureen O'connell | Physician Assistant | 270-05 270th Ave, New Hyde Park, NY 11040 | 2020-07-16 |
| 1841818895 | Yanick Dugue | Physician Assistant | 4 Lincoln Ave, New Hyde Park, NY 11040-3125 | 2020-07-07 |
| 1194340505 | Kayleigh Marie Tourt | Physician Assistant | 222 Alexander St Fl 4, Rochester, NY 14607-4039 | 2020-06-11 |
| 1023638509 | Kristina Rajic | Physician Assistant | 7237 66th Dr, Flushing, NY 11379-2111 | 2020-04-24 |
| 1114547791 | Michele Hein | Physician Assistant | 700 Veterans Memorial Hwy, Hauppauge, NY 11788-2952 | 2020-04-23 |
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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.