VANESSA LYNN PETOELLO (NPI# 1992251631) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992251631 |
| Entity Type | Individual |
| Full Name | VANESSA LYNN PETOELLO |
| Credential | ANP |
| Practice Address |
107 N/ Ocean Ave Suite G Patchogue NY 11772 |
| Practice Telephone | 6316545004 |
| Practice Fax Number | 6316545048 |
| Mailing Telephone | 6316545004 |
| Mailing Fax Number | 6316545048 |
| Enumeration Date | 2016-09-01 |
| Last Update Date | 2016-09-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
F307851-1 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
107 N/ OCEAN AVE SUITE G |
| City | PATCHOGUE |
| State | NY |
| Zip Code | 11772 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205447224 | Amita Vipul Patel | Nurse Practitioner | Longlsland Community Hospital, 101 Hospital Rd, Patchogue, NY 11772 | 2020-08-13 |
| 1609491968 | Sanjib Dey | Family Medicine | Brookhaven Nephrology Associates, 260 E. Patchogue-yaphank Rd., Patchogue, NY 11772 | 2020-06-12 |
| 1992297204 | Camila Bueno-sanchez | Student in an Organized Health Care Education/Training Program | 676 S Country Rd, East Patchogue, NY 11772 | 2018-06-01 |
| 1184115859 | Premier Endodontics of Patchogue | Dentist | 44 Medford Avenue, Patchogue, NY 11772 | 2018-05-29 |
| 1801386453 | Franklin Ikechukwu Ugbode | Student in an Organized Health Care Education/Training Program | 100 Hospital Road Suite 201, Patchogue, NY 11772 | 2018-05-18 |
| 1508372335 | Stephanie Vanschaick | Counselor | 450 Waverly Ave Ste 11, Patchogue, NY 11772 | 2017-12-15 |
| 1578074498 | Chrystal Lee Curran | Specialist | 1116 Main Road, Aquebogue, NY 11772 | 2017-10-18 |
| 1013457712 | Candyce Fahner | Registered Nurse | 22 Haig Ave, E Patchogue, NY 11772 | 2017-02-28 |
| 1811343809 | Andrew Vanderlofske | Nurse Practitioner | 144 North Ocean Avenue, Patchogue, NY 11772 | 2016-05-09 |
| 1578917431 | Pricilla A Vasquez | Licensed Practical Nurse | 260 Waverly Ave Apt 26, Patchogue, NY 11772 | 2016-04-18 |
| Find all providers in zip 11772 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811343809 | Andrew Vanderlofske | Nurse Practitioner | 144 North Ocean Avenue, Patchogue, NY 11772 | 2016-05-09 |
| 1629491402 | Christina Marie Dalrymple | Nurse Practitioner | 325 E Main St Ste 120, Patchogue, NY 11772-3114 | 2014-01-29 |
| 1942447347 | Natalie S Synnott | Nurse Practitioner | 4 Phyllis Dr Ste C, Patchogue, NY 11772-2900 | 2009-01-07 |
| 1427276914 | Christine M Aiello | Nurse Practitioner | 629 Medford Ave, Suite #1, Patchogue, NY 11772-1335 | 2007-04-23 |
| 1003987637 | Linda Belber | Nurse Practitioner | 68 Washington Ave, Patchogue, NY 11772-2953 | 2006-11-13 |
| 1518512581 | Wendy Doroski | Nurse Practitioner | 77 Medford Ave, Patchogue, NY 11772-1281 | 2019-08-07 |
| 1205489119 | Diane Cesario | Nurse Practitioner | 325 E Main St, Patchogue, NY 11772-3114 | 2019-07-19 |
| 1730604752 | Daniel Thomas Ippolito | Nurse Practitioner | 77 Medford Ave, Patchogue, NY 11772-1281 | 2017-08-10 |
| 1184162620 | Sheryll Baltazar | Nurse Practitioner | 157 E Woodside Ave, Patchogue, NY 11772-1423 | 2017-02-04 |
| 1942679469 | Stephanie Ramdeen | Nurse Practitioner | 325 E Main St, Suite 120, Patchogue, NY 11772-3114 | 2015-09-15 |
| Find all providers in PATCHOGUE | ||||
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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.