ELIZABETH SCUDERI (NPI# 1023511185) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023511185 |
| Entity Type | Individual |
| Full Name | ELIZABETH SCUDERI |
| Credential | PA |
| Practice Address |
1555 Sunrise Hwy Bay Shore NY 11706-6027 |
| Mailing Address |
4200 Sunrise Hwy Massapequa NY 11758-5311 |
| Practice Telephone | 6319680588 |
| Mailing Telephone | 5165411064 |
| Enumeration Date | 2018-03-15 |
| Last Update Date | 2019-09-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 021629-1 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 369 White Plains Rd, Eastchester, NY 107092805 | 9143953691 | |
| 4200 Sunrise Hwy Ste 1, Massapequa, NY 117585353 | 5165411064 |
| Street Address |
1555 SUNRISE HWY |
| City | BAY SHORE |
| State | NY |
| Zip Code | 11706-6027 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851380778 | Anthony C Innamorato | Podiatrist | 1555 Sunrise Hwy, Suite 5, Bay Shore, NY 11706-6027 | 2005-10-14 |
| 1124446489 | Prestigious Physical Therapy, PC | Physical Therapist | 1555 Sunrise Hwy, Nrth Service Rd, Bay Shore, NY 11706-6027 | 2014-04-03 |
| 1144652421 | Nicole Benfanti | Occupational Therapist | 1555 Sunrise Hwy, Suite 2, Bay Shore, NY 11706-6027 | 2013-08-08 |
| 1487912374 | Claudia J Selgrad Do PC | Family Medicine | 1555 Sunrise Hwy, Suite #6, Bay Shore, NY 11706-6027 | 2012-04-27 |
| 1285934349 | Cynthia T Vardaro | Social Worker | 1555 Sunrise Hwy, Bay Shore, NY 11706-6027 | 2010-10-23 |
| 1700192580 | Eyecare Advantage, Inc. | Eyewear Supplier (Equipment, not the service) | 1555 Sunrise Hwy, Bay Shore, NY 11706-6027 | 2010-08-31 |
| 1922314194 | Anna Zaharia | Counselor | 1555 Sunrise Hwy, Bay Shore, NY 11706-6027 | 2010-08-26 |
| 1396066478 | Laura Mariotti | Social Worker | 1555 Sunrise Hwy, Bay Shore, NY 11706-6027 | 2010-06-12 |
| 1497079362 | April Marie Ramirez | Social Worker | 1555 Sunrise Hwy, Bay Shore, NY 11706-6027 | 2010-03-22 |
| 1477875169 | Erica A. Rega | Occupational Therapist | 1555 Sunrise Hwy, Suite 2, Bay Shore, NY 11706-6027 | 2010-02-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598394173 | Erin Marie Barlow | Student in an Organized Health Care Education/Training Program | Southside Emergency Department 301 East Main Street, Bay Shore, NY 11706 | 2020-04-06 |
| 1003460890 | Bay Shore Brightwaters Rescue Ambulance Inc. | Ambulance | 911 Aletta Place, Bay Shore, NY 11706 | 2019-07-30 |
| 1861980872 | Raffy Gutman | Student in an Organized Health Care Education/Training Program | Southside Hospital Family Medicine, 301 E Main St, Bay Shore, NY 11706 | 2018-04-25 |
| 1609371004 | Sengal Kelit Alazar | Student in an Organized Health Care Education/Training Program | South Side Hospital Emergency Department - Northwell, 301 East Main Street, Bay Shore, NY 11706 | 2018-03-27 |
| 1780198671 | Stefany Gabriela Armijos | Social Worker | 144 Fifth Ave, Bay Shore, NY 11706 | 2017-11-30 |
| 1417476771 | Jazmin Unda Jimenez | Licensed Practical Nurse | 236 Adams Ave, Bay Shore, NY 11706 | 2017-09-18 |
| 1013436989 | People Pushers LLC | Non-emergency Medical Transport (VAN) | 50 Corbin Ave, Suite D, Bay Shore, NY 11706 | 2017-09-12 |
| 1871011585 | Life Acupuncture & Massage Therapy P.C. | Acupuncturist | 387 East Main Street Suite 104, Bayshore, NY 11706 | 2017-09-01 |
| 1558881458 | Wilda Novembre | Licensed Practical Nurse | 1742 North Thompson Drive, Bayshore, NY 11706 | 2017-06-21 |
| 1194184085 | Georgette Prawl | Nurse's Aide | 54 1st Avenue, Bayshore, NY 11706 | 2016-02-19 |
| Find all providers in zip 11706 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306488218 | Mehul Shah | Physician Assistant | 75 Smith Ave, Bay Shore, NY 11706-7380 | 2019-10-11 |
| 1922655653 | Nicole V Balladares | Physician Assistant | 8 W Shore Rd, Bay Shore, NY 11706-8211 | 2019-08-19 |
| 1578980702 | Janet Totari | Physician Assistant | 603b E Main St, Bay Shore, NY 11706-8505 | 2014-03-26 |
| 1720350671 | Stacy Lynn Felicetta | Physician Assistant | 38 E Main St # 40, Bay Shore, NY 11706-8329 | 2012-02-07 |
| 1700110236 | Seraphine T Mohlie | Physician Assistant | 7 Penataquit Ave Apt 2d, Bay Shore, NY 11706-8040 | 2009-09-30 |
| 1578649505 | Ordith L Coleman | Physician Assistant | 37 Belford Ave, Bay Shore, NY 11706-6818 | 2006-10-31 |
| 1699866566 | Jenine M Cortes | Physician Assistant | 301 E Main Street, Bay Shore, NY 11706 | 2006-09-27 |
| 1780296913 | Chelsea Jensen | Physician Assistant | 301 E Main St, Bay Shore, NY 11706-8408 | 2020-08-19 |
| 1780200709 | Valerie Brooke Matedero | Physician Assistant | 301 E Main St, Bay Shore, NY 11706-8408 | 2020-06-25 |
| 1548890445 | Bartlomiej Stepien | Physician Assistant | 301 E Main St, Bay Shore, NY 11706-8408 | 2020-01-19 |
| Find all providers in BAY SHORE | ||||
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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.