NICHOLAS FETZER (NPI# 1023596152) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023596152 |
| Entity Type | Individual |
| Full Name | NICHOLAS FETZER |
| Practice Address |
5050 Iselin Ave Bronx NY 10471-2915 |
| Practice Telephone | 7185496700 |
| Mailing Telephone | 7185496700 |
| Enumeration Date | 2018-07-31 |
| Last Update Date | 2018-07-31 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
5050 ISELIN AVE |
| City | BRONX |
| State | NY |
| Zip Code | 10471-2915 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598378184 | Giulia Ferrero | Social Worker | 5050 Iselin Ave, Bronx, NY 10471-2915 | 2020-08-25 |
| 1023636438 | Jennifer Brungardt | Social Worker | 5050 Iselin Ave, Bronx, NY 10471-2915 | 2020-07-13 |
| 1194341867 | Benjamin Kofi Dadzie | Registered Nurse | 5050 Iselin Ave, Bronx, NY 10471-2915 | 2020-06-18 |
| 1962038448 | Ashley Madera | Social Worker | 5050 Iselin Ave, Bronx, NY 10471-2915 | 2020-03-17 |
| 1073147492 | Sharon Greenaway | Registered Nurse | 5050 Iselin Ave, Bronx, NY 10471-2915 | 2020-02-25 |
| 1205475472 | William David George II | Social Worker | 5050 Iselin Ave, Bronx, NY 10471-2915 | 2020-01-05 |
| 1790336386 | Paula Pitterson-punch | Registered Nurse | 5050 Iselin Ave, Bronx, NY 10471-2915 | 2019-09-25 |
| 1124677703 | Tyena Smith | Social Worker | 5050 Iselin Ave, Bronx, NY 10471-2915 | 2019-09-06 |
| 1568015162 | Benjamin Brobbey | Registered Nurse | 5050 Iselin Ave, Bronx, NY 10471-2915 | 2019-07-23 |
| 1144702812 | Luz Adilene Espinoza Reyes | Student in an Organized Health Care Education/Training Program | 5050 Iselin Ave, Bronx, NY 10471-2915 | 2018-08-30 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336753680 | Alexandra Lynn Picard | Nurse Practitioner | Henry Ittleson Center, 5050 Iselin Avenue, Bronx, NY 10471 | 2020-09-03 |
| 1124579529 | Joselyne Bararwandika | Registered Nurse | 385 W 263rd St, Bronx, NY 10471 | 2016-10-20 |
| 1356890289 | Ann G Odonnell | Skilled Nursing Facility | 5644 Netherland Ave., 2a, Bronx, NY 10471 | 2016-10-04 |
| 1720443047 | The Hebrew Home for The Aged At Riverdale | Clinic/Center | 5901 Palisade Avenue, Riverdale, NY 10471 | 2015-12-31 |
| 1073989570 | Laura Maria Luciano | Social Worker | 5676 Riverdale Ave Suite 202, Riverdale Mental Health Association, Bronx, NY 10471 | 2015-08-19 |
| 1043607419 | Bianca Rodriguez | Social Worker | 6211 Broadway, 5h, Bronx, NY 10471 | 2015-04-23 |
| 1427445204 | Paul M Hertz Dmd LLC | Dentist | 6011 Riverdale Avenue, Riverdale, NY 10471 | 2015-04-20 |
| 1891186045 | Maria Caceres | Radiologic Technologist | 216 Foster Pl, Bronx, NY 10471 | 2015-02-10 |
| 1437558244 | Sherin Shijo Zacharias | Nurse Practitioner | Mosholu Medical Group, 5750 Mosholu Ave., Bronx, NY 10471 | 2014-08-18 |
| 1699101824 | Jaeyong Choi | Registered Nurse | 600 West 246th St., Apt 205, Bronx, NY 10471 | 2013-09-19 |
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| 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 |
|---|---|---|---|---|
| 1477151041 | Islam Moheisen | Student in an Organized Health Care Education/Training Program | 1400 Pelham Pkwy S Rm 6s11, Bronx, NY 10461-1197 | 2020-10-15 |
| 1942814710 | Wai Bun Liew | Student in an Organized Health Care Education/Training Program | 234 E 149th St Ste 2a8, Bronx, NY 10451-5504 | 2020-08-31 |
| 1013520444 | Aireni A Sterling Lachapel | Student in an Organized Health Care Education/Training Program | 3212 Decatur Ave Apt 3a, Bronx, NY 10467-4223 | 2020-08-25 |
| 1023629748 | Shellsea Portillo Canales | Student in an Organized Health Care Education/Training Program | 4222 3rd Ave, Bronx, NY 10457-4502 | 2020-08-14 |
| 1013527753 | Cherine Awad | Student in an Organized Health Care Education/Training Program | 1650 Selwyn Avenue, Bronxcare Health System, Bronx, NY 10457 | 2020-08-07 |
| 1962012161 | Yinelka Grisel Silverio De Castro | Student in an Organized Health Care Education/Training Program | 234 E 149th St Dept Internal, Bronx, NY 10451-5504 | 2020-08-03 |
| 1164031316 | Patrick Michael Biskupski | Student in an Organized Health Care Education/Training Program | 234 E 149th St Fl 8, Bronx, NY 10451-5504 | 2020-07-23 |
| 1023626926 | Tolulope Oyinlola Olorunsogo | Student in an Organized Health Care Education/Training Program | 1650 Selwyn Avenue - Bronxcare Health System, Departmen, Suite 6h, Bronx, NY 10457 | 2020-07-16 |
| 1598373615 | Sharan Mirchandani | Student in an Organized Health Care Education/Training Program | 4422 3rd Ave Bldg 4th, Bronx, NY 10457-2545 | 2020-07-15 |
| 1750999801 | Kalyan C Chilukuri | Student in an Organized Health Care Education/Training Program | Bronxcare Hospital Center, 1650 Grand Concourse, Bronx, NY 10457 | 2020-07-15 |
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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.