MS. MARYELLEN CUCUZZO (NPI# 1003257320) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003257320 |
| Entity Type | Individual |
| Full Name | MS. MARYELLEN CUCUZZO |
| Credential | NURSE PRACTITIONER |
| Practice Address |
600 Suffolk Ave Ste C Brentwood NY 11717-4311 |
| Mailing Address |
123 Singingwood Dr Holbrook NY 11741-3024 |
| Practice Telephone | 6312733712 |
| Practice Fax Number | 6312733745 |
| Mailing Telephone | 6314724435 |
| Mailing Fax Number | 6314724435 |
| Enumeration Date | 2013-07-15 |
| Last Update Date | 2013-07-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LW0102X |
Nurse Practitioner Specialization: Women's Health |
F421100-1 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
600 SUFFOLK AVE STE C |
| City | BRENTWOOD |
| State | NY |
| Zip Code | 11717-4311 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720245566 | Antoinette Gandionco-sabatino | Physician Assistant | 600 Suffolk Ave Ste C, Brentwood, NY 11717-4311 | 2008-05-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265998827 | Lauretta Elaine Murdock | Behavioral Analyst | C/o The Mosaic Foundation for Autism, Inc., 1725 Brentwood Rd., Brentwood, NY 11717 | 2019-02-19 |
| 1811467467 | Benjamin D. Thompkins Jr. | Social Worker | 164 3rd Avenue, Brentwood, NY 11717 | 2018-11-27 |
| 1114496262 | Timothy Eisemann | Registered Nurse | 52 Third Ave, Brentwood, NY 11717 | 2018-11-19 |
| 1245710490 | Lauren Linker | Occupational Therapist | Brentwood Union Free School District, 52 Third Avenue, Brentwood, NY 11717 | 2018-08-17 |
| 1558849786 | Anila Thomas | Registered Nurse | Pilgrims Psychiatric Center, 998 Crooked Hill Road, Brentwood, NY 11717 | 2018-07-31 |
| 1306330857 | Rhina Aguila | Licensed Practical Nurse | 162 Studley St, Brentwood, NY 11717 | 2018-06-19 |
| 1659863595 | Steven Edward Szydziak | Registered Nurse | Pilgrim State Psychiatric Center, 998crooked Hil Rd, Brentwood, NY 11717 | 2018-06-06 |
| 1881103570 | Shatevia Simpson Hickson | Behavioral Analyst | 56 Swallow Ln, Brentwood, NY 11717 | 2017-09-25 |
| 1306375753 | Shavona Layne | Behavioral Analyst | 8 Strum Streeet, Brentwood, NY 11717 | 2017-06-08 |
| 1669921334 | David Ramirez | Licensed Practical Nurse | 27 Bruce Lane, Brentwood, NY 11717 | 2016-09-23 |
| Find all providers in zip 11717 | ||||
| Taxonomy Code | 363LW0102X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Women's Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528616687 | Melanie Hall Morris | Nurse Practitioner | 1120 Arrowhead Dr, Brentwood, TN 37027-7475 | 2019-08-30 |
| 1598037319 | Peace Y Moore | Nurse Practitioner | 140 Ellery St, Brentwood, NY 11717-2740 | 2012-02-09 |
| 1356673230 | Ashley Welch Klekamp | Nurse Practitioner | 9267 Chevoit Dr, Brentwood, TN 37027-6137 | 2010-02-03 |
| 1750625059 | Urocare, LLC | Nurse Practitioner | 9267 Chevoit Dr, Brentwood, TN 37027-6137 | 2012-11-27 |
| 1801926191 | Nancy Louise Hill | Nurse Practitioner | 1869 Brentwood Rd, Brentwood, NY 11717-4625 | 2007-03-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508464918 | Elena Carianna | Nurse Practitioner | 469 Clinton Ave Apt 1, Brooklyn, NY 11238-1732 | 2020-10-16 |
| 1265039291 | Barbara Sztukowski | Nurse Practitioner | 438 Stockholm St, Ridgewood, NY 11385-1333 | 2020-10-02 |
| 1821602814 | Rut Ester Almonte Ceron | Nurse Practitioner | 15045 73rd Ave Apt 3h, Flushing, NY 11367-2610 | 2020-09-07 |
| 1073127544 | Stacy E Garrity | Nurse Practitioner | 453 W Broadway, New York, NY 10012 | 2020-09-02 |
| 1780296434 | Ashley Leonia Valeus | Nurse Practitioner | 3415 Parsons Blvd Apt 2l, Flushing, NY 11354-4619 | 2020-08-22 |
| 1013529692 | Angelina Yushuvayev | Nurse Practitioner | 14703 77th Rd, Flushing, NY 11367-3428 | 2020-08-17 |
| 1417567942 | Amanpreet Karir | Nurse Practitioner | 1305 York Ave Ste 6, New York, NY 10021-5663 | 2020-08-10 |
| 1700495249 | Jessica Bobadilla | Nurse Practitioner | 9960 63rd Rd Apt 11w, Rego Park, NY 11374-1925 | 2020-07-30 |
| 1144844812 | Charlene Santos-alvarez | Nurse Practitioner | 8450 169th St Apt 502, Jamaica, NY 11432-2018 | 2020-05-29 |
| 1346863610 | Maria Furman | Nurse Practitioner | 130 E 93rd St Apt 5d, New York, NY 10128-1624 | 2020-05-21 |
| Find all providers with the same taxonomy | ||||
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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.