ADIRONDACK REGISTERED PROFESSIONAL NURSING SERVICES PLLC (NPI# 1023240454) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023240454 |
| Entity Type | Organization |
| Organization Name | ADIRONDACK REGISTERED PROFESSIONAL NURSING SERVICES PLLC |
| Other Organization Name | ADIRONDACK HEALTH AND WELLNESS |
| Practice Address |
100 Saratoga Village Blvd Ste 51 Malta NY 12020-3738 |
| Practice Telephone | 5188868251 |
| Practice Fax Number | 5184001069 |
| Mailing Telephone | 5188868251 |
| Mailing Fax Number | 5184001069 |
| Enumeration Date | 2009-08-18 |
| Last Update Date | 2020-03-20 |
| Authorized Official Name | MRS. KRISTEN POMMENVILLE (EXECUTIVE DIRECTOR OF OPERATIONS) |
| Authorized Official Telephone | 5188868251 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 291U00000X | Clinical Medical Laboratory | 33D2001059 | NY | Laboratories |
| Y | 251J00000X | Nursing Care | Agencies |
| Other Name | Type Code |
|---|---|
| Adirondack Health and Wellness | Doing Business As Name - Organization |
| Street Address |
100 SARATOGA VILLAGE BLVD STE 51 |
| City | MALTA |
| State | NY |
| Zip Code | 12020-3738 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811529415 | Peter Joseph Valastro Jr. | Registered Nurse | 2452 Us Rt 9 Suite 206, Malta, NY 12020 | 2020-02-11 |
| 1083257224 | Martins Foods of South Burlington LLC | Durable Medical Equipment & Medical Supplies | 3 Via Rossi Way, Ballston Spa, NY 12020 | 2019-10-21 |
| 1528542255 | Mary Szacik | Social Worker | 2452 Us Rt. 9, Suite 206, Malta, NY 12020 | 2018-09-19 |
| 1669966867 | Adam Smatko | Social Worker | 2452 Us Route 9, Suite 206, Malta, NY 12020 | 2018-06-20 |
| 1538665104 | Tressa Frese | Counselor | 35 Bath Street, Ballston Spa, NY 12020 | 2018-04-03 |
| 1902312556 | Maltavista Optometry, Pllc | Optometrist | 2715 Rt 9, Suite 204, Malta, NY 12020 | 2017-12-19 |
| 1497207294 | Julie Lapham | Counselor | 100 Saratoga Village Blvd. Suite 26, Malta, NY 12020 | 2016-10-27 |
| 1932656527 | Matthew Kattell | Physical Therapist | 4102 Ellsworth Boulevard, Malta, NY 12020 | 2016-09-01 |
| 1295134740 | Nnenna Lindsay | Psychologist | 15 Trieble Avenue, Suite 5 Pmb 1013, Ballston Spa, NY 12020 | 2014-08-21 |
| 1023425956 | Jessica Duell | Registered Nurse | 603 Sweetman Road, Ballston Spa, NY 12020 | 2014-07-11 |
| Find all providers in zip 12020 | ||||
| Taxonomy Code | 251J00000X |
| Grouping | Agencies |
| Classification | Nursing Care |
| A Nursing Care Agency is an entity that provides skilled nursing care through the services of a Registered Nurse (RN) or a Licensed Practical Nurse (LPN), by employees, contracted individuals, or via a registry, in a variety of settings. The agency may engage in providing private duty nursing and/or staffing services. |
| Notes: Source: National Uniform Claim Committee, 2008 [7/1/2008: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184748287 | Phillips County Hospital Pals | Nursing Care | 311 South 8th Ave East, Malta, MT 59538-0640 | 2007-03-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770181141 | Kristy Lee Rogonia | Nursing Care | 160 2nd St, Buchanan, NY 10511-1412 | 2020-10-16 |
| 1275130569 | Holistic Care Connections LLC | Nursing Care | 3632 Kingsbridge Ave Fl 2, Bronx, NY 10463-2339 | 2020-10-08 |
| 1699380022 | Remo Soriano Jr. | Nursing Care | 28 Trapper Ln, Levittown, NY 11756-5231 | 2020-09-11 |
| 1992310569 | Maria Clear | Nursing Care | 59 Brewster Dr, Carmel, NY 10512-6413 | 2020-09-10 |
| 1992314439 | Philip Boadu | Nursing Care | 140 Donizetti Pl Apt 18f, Bronx, NY 10475-2069 | 2020-07-30 |
| 1497371058 | Regina Arnold | Nursing Care | 590 Mill Rd Apt 1, Rhinebeck, NY 12572-2512 | 2020-06-19 |
| 1063035574 | Fidelity Home Care Inc | Nursing Care | 1829 E 13th St Ste 1b, Brooklyn, NY 11229-2887 | 2020-05-19 |
| 1629699632 | Bonus Salus | Nursing Care | 222 Blair Ave, Bronx, NY 10465-3756 | 2020-04-30 |
| 1003435835 | Cindy Mei | Nursing Care | 1736 Dahill Rd Fl 1, Brooklyn, NY 11223-1751 | 2020-04-12 |
| 1659903581 | Christine Charles, Aprn, Inc. | Nursing Care | 1428 Granada Pl, Far Rockaway, NY 11691-1708 | 2020-02-09 |
| 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.