JENNIFER MARIE DEFAZIO (NPI# 1003318056) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003318056 |
| Entity Type | Individual |
| Full Name | JENNIFER MARIE DEFAZIO |
| Practice Address |
4200 5th Ave Pittsburgh PA 15260-0001 |
| Mailing Address |
2968 Belrose Ave Pittsburgh PA 15216-2015 |
| Practice Telephone | 4126244141 |
| Enumeration Date | 2018-03-06 |
| Last Update Date | 2018-03-06 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255443925 | Jennifer L Defazio | Dermatology | 800 Veterans Hwy, Hauppauge, NY 11788-2948 | 2006-08-31 |
| 1235441429 | Jennifer Rose Defazio | Surgery | 5841 S Maryland Ave, Chicago, IL 60637-1447 | 2010-07-05 |
| 1508988742 | Jennifer Marie Defazio | Dermatology | 517 Moye Blvd Fl 3, Ecu Physicians Dermatology, Moye Medical #2, Greenville, NC 27834-2849 | 2007-04-06 |
| Street Address |
4200 5TH AVE |
| City | PITTSBURGH |
| State | PA |
| Zip Code | 15260-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477166239 | Ryan L Fredd | Specialist/Technologist | 4200 5th Ave, Pittsburgh, PA 15260-0001 | 2020-08-30 |
| 1063025112 | Jennifer Anne Sutorius | Specialist/Technologist | 4200 5th Ave, Pittsburgh, PA 15260-0001 | 2020-08-28 |
| 1356954960 | Brendan Werley | Specialist/Technologist | 4200 5th Ave, Pittsburgh, PA 15260-0001 | 2020-08-25 |
| 1992318646 | Shakari Cunningham | Specialist/Technologist | 4200 5th Ave, Pittsburgh, PA 15260-0001 | 2020-08-24 |
| 1790398436 | Vincenzo Nicola Mariscotti | Specialist/Technologist | 4200 5th Ave, Pittsburgh, PA 15260-0001 | 2020-08-24 |
| 1154961365 | Ellen Koenig | Registered Nurse | 4200 5th Ave, Pittsburgh, PA 15260-0001 | 2020-01-15 |
| 1033755640 | Jussus Sanchez | Registered Nurse | 4200 5th Ave, Pittsburgh, PA 15260-0001 | 2019-11-19 |
| 1881242600 | Brandon James Gallimore | Specialist/Technologist | 4200 5th Ave, Pittsburgh, PA 15260-0001 | 2019-08-27 |
| 1255989075 | Gabriella Grace Winder | Specialist/Technologist | 4200 5th Ave, Pittsburgh, PA 15260-0001 | 2019-08-27 |
| 1215585039 | Alexandra Marie Chismar | Specialist/Technologist | 4200 5th Ave, Pittsburgh, PA 15260-0001 | 2019-08-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942858287 | Austin Dressler | Specialist/Technologist | Forbes Tower, 3600 Atwood Street, Pittsburgh, PA 15260 | 2019-08-29 |
| 1780166124 | Gregory Kevin Joseph Logan | Specialist/Technologist | 4200 Fifth Avenue, Pittsburgh, PA 15260 | 2018-09-01 |
| 1417475427 | Insiya Attarwala | Specialist/Technologist | 3600 Atwood Street, Pittsburgh, PA 15260 | 2017-08-30 |
| 1699143073 | Swathi Gujral | Counselor | 210 S. Bouquet St., 3209 Sennott Square, Pittsburgh, PA 15260 | 2015-09-02 |
| 1295069763 | Deborah Michelle Brooks | Emergency Medicine | Suite 10028, Forbes Tower, Pittsburgh, PA 15260 | 2009-09-30 |
| 1689842866 | Amy Elisabeth Aggelou | Specialist/Technologist | 5062 Forbes Tower, School of Health and Rehabilitation Sciences, Pittsburgh, PA 15260 | 2008-02-11 |
| 1689863235 | Michael Christoph Campbell | Emergency Medical Technician, Paramedic | 3600 Meyran Ave, 10028 Forbes Tower, Pittsburgh, PA 15260 | 2007-10-19 |
| 1477621415 | Deborah W Moncrieff | Audiologist | 4033 Forbes Tower, University of Pittsburgh, Pittsburgh, PA 15260 | 2006-11-30 |
| 1295755510 | University of Pittsburgh Office of The Conptroller | Pharmacy | 103 University Place, Pittsburgh, PA 15260 | 2006-07-20 |
| 1255976064 | Elizabeth Mcatee | Registered Nurse | 4200 Fifth Ave, Pittsburgh, PA 15260 | 2019-11-15 |
| Find all providers in zip 15260 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073129862 | Philip Andrus | Student in an Organized Health Care Education/Training Program | 3420 Forbes Ave Fl 2, Pittsburgh, PA 15213-3203 | 2020-09-17 |
| 1457964439 | Alexis Antosik | Student in an Organized Health Care Education/Training Program | 5150 Lougean Ave, Pittsburgh, PA 15207-2152 | 2020-08-28 |
| 1396354338 | Brittany Briana Bromfield | Student in an Organized Health Care Education/Training Program | 3459 5th Ave S Ste #9, Pittsburgh, PA 15213 | 2020-07-27 |
| 1003434309 | Dominika Dulak | Student in an Organized Health Care Education/Training Program | 200 Lothrup St. Upmc Montefiore Hospital, Suite N715, Pittsburgh, PA 15213 | 2020-07-13 |
| 1013532530 | Filip Istvanic | Student in an Organized Health Care Education/Training Program | 5200 Centre Ave, Shea Medical Center, Pittsburgh, PA 15232 | 2020-06-10 |
| 1689297327 | Moeza A Seager | Student in an Organized Health Care Education/Training Program | 320 E North Ave Ste 109, Pittsburgh, PA 15212-4772 | 2020-05-28 |
| 1548883309 | Samantha Lee Blue | Student in an Organized Health Care Education/Training Program | 1609 White Oak Ct, Pittsburgh, PA 15237-6701 | 2020-05-27 |
| 1720601669 | Matthew Gross | Student in an Organized Health Care Education/Training Program | Shea Medical Center, 5200 Centre Ave, Pittsburgh, PA 15232 | 2020-05-27 |
| 1477176303 | Clark Stallings | Student in an Organized Health Care Education/Training Program | 240 University Drive C, Pittsburgh, PA 15213 | 2020-05-27 |
| 1033732433 | Joshua Franklin Coutinho | Student in an Organized Health Care Education/Training Program | 1515 Locust Street First Floor Mercy Health Clinic, Pittsburgh, PA 15219-5114 | 2020-05-20 |
| Find all providers in PITTSBURGH | ||||
| City | PITTSBURGH |
| Zip Code | 15260 |
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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.