CARLOTA GABRIEL ANTONIO (NPI# 1003937277) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1003937277 |
Entity Type | Individual |
Full Name | CARLOTA GABRIEL ANTONIO |
Credential | NP |
Practice Address |
80th St & 41st Ave Elmhurst NY 11373 |
Mailing Address |
7901 Broadway Managed Care, D1-01 Elmhurst NY 11373-1329 |
Practice Telephone | 7183342424 |
Practice Fax Number | 7183345958 |
Mailing Telephone | 7183341921 |
Mailing Fax Number | 7183343432 |
Enumeration Date | 2007-04-03 |
Last Update Date | 2007-07-08 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
F430199 | NY | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NY | 00246075 | 05 |
Street Address |
80TH ST & 41ST AVE |
City | ELMHURST |
State | NY |
Zip Code | 11373 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1841395597 | Nima Akhavan | Psychiatry & Neurology | 80th St & 41st Ave, Elmhurst, NY 11373-1329 | 2006-09-14 |
1124203898 | Aaron Michael Lipskar | Hospitalist | 80th St & 41st Ave, Elmhurst, NY 11373-1132 | 2007-12-31 |
1861677536 | Karisma Sita Ajodah | Social Worker | 80th St & 41st Ave, Elmhurst, NY 11373-1329 | 2007-12-31 |
1669657334 | Simon D Marshall | Counselor | 80th St & 41st Ave, Elmhurst, NY 11373-1329 | 2007-12-31 |
1366637886 | Monica Jean Bilboul | Clinical Neuropsychologist | 80th St & 41st Ave, Elmhurst, NY 11373-1329 | 2007-09-07 |
1811103898 | Larissa Polanco | Pediatrics | 80th St & 41st Ave, Elmhurst, NY 11373-1329 | 2007-05-15 |
1336355403 | Samuel Sebastianne Sostre | Psychiatry & Neurology | 80th St & 41st Ave, Elmhurst, NY 11373-1329 | 2007-05-15 |
1578685335 | Ann Marie Theresa Sullivan | Psychiatry & Neurology | 80th St & 41st Ave, Elmhurst, NY 11373 | 2007-04-04 |
1598887523 | Bonnie Pepper | Psychologist | 80th St & 41st Ave, Elmhurst, NY 11373 | 2007-04-03 |
1487776423 | Lyudmila Sorkin | Nurse Practitioner | 80th St & 41st Ave, Elmhurst, NY 11373 | 2007-04-03 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1376152736 | Carlos Eduardo Hallo Carrasco | Student in an Organized Health Care Education/Training Program | 79-01 Broadway, 10, C 10-19a, Elmhurst, NY 11373 | 2020-07-30 |
1912524034 | Jurian Feygen Kaunang | Student in an Organized Health Care Education/Training Program | Bronx-lebanon Hospital Center, 1650 Grand Concourse, Bronx, NY 11373 | 2020-07-06 |
1407471352 | Shreeya Parajull | Student in an Organized Health Care Education/Training Program | 79-01 Broadway Elmhurst Hospital Center:, Room A7-34, Elmhurst, NY 11373 | 2020-06-16 |
1114542479 | Mahmud Omar Elfituri | Student in an Organized Health Care Education/Training Program | 79-01 Boradway, Elmhurst, NY 11373 | 2020-06-12 |
1568091452 | Nudjarin Unsin | Licensed Practical Nurse | 7517 41stave, Apt.f3, Elmhurst, NY 11373 | 2020-04-03 |
1154969053 | Joshua Reyes | Physician Assistant | 8839 Saint James Ave, Elmhurst, NY 11373 | 2019-12-11 |
1821647926 | Shahorin Monzoor | Student in an Organized Health Care Education/Training Program | 81 14 Queens Boulavard, 1st Floor, Elmhurst, NY 11373 | 2019-09-11 |
1174184600 | Zoila Josefina Cano Rodriguez | Student in an Organized Health Care Education/Training Program | 7802 41st Ave, Elmhurst, NY 11373 | 2019-06-25 |
1891355756 | Kanghee Cho | Registered Nurse | 4143 77th St Elmhurst, Elmhurst, NY 11373 | 2019-06-13 |
1861971947 | Allen G Luke | Acupuncturist | 86-21 53 Ave, Elmhurst, NY 11373 | 2018-08-09 |
Find all providers in zip 11373 |
Taxonomy Code | 363LP2300X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Primary Care |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437631223 | Juliet Davis | Nurse Practitioner | 7901 Broadway, Elmhurst, NY 11373-1329 | 2018-08-29 |
1255702684 | Sandra Elizabeth Bandel | Nurse Practitioner | 133 E Brush Hill Rd, Elmhurst, IL 60126-5659 | 2015-10-12 |
1184090912 | Elizabeth Green | Nurse Practitioner | 155 E Brush Hill Rd, Elmhurst, IL 60126-5658 | 2015-08-17 |
1710311196 | Nurjahan Akter | Nurse Practitioner | 7901 Broadway, Elmhurst, NY 11373-1329 | 2013-08-21 |
1962663385 | Olga Badalova | Nurse Practitioner | 7901 Broadway, Elmhurst, NY 11373-1329 | 2008-06-18 |
1225105083 | Ednah Ndidi Madu | Nurse Practitioner | 80th St & 41st Ave, Elmhurst, NY 11373-1329 | 2006-11-29 |
1609947258 | Alex Amoako Dompreh | Nurse Practitioner | 80th St & 41st Ave, Elmhurst, NY 11373-1329 | 2006-11-13 |
1548331259 | Barbara Jean Calvano | Nurse Practitioner | 80th St & 41st Ave, Elmhurst, NY 11373 | 2006-11-13 |
1366513079 | Mary Elizabeth Twomey | Nurse Practitioner | 80th St & 41st Ave, Elmhurst, NY 11373-1329 | 2006-11-13 |
1760563753 | Sun Ja Kim | Nurse Practitioner | 7901 Broadway, Managed Care, D1-01, Elmhurst, NY 11373-1329 | 2006-10-18 |
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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.