MS. JULIA REBEKAH THEODORA CHACHERE


Address: North Fork Family Practice, 32845 Main Road, Cutchogue, NY 11935
Phone: 6314053235

MS. JULIA REBEKAH THEODORA CHACHERE (NPI# 1033267174) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1033267174
Entity Type Individual
Full Name MS. JULIA REBEKAH THEODORA CHACHERE
Credential NP, CNM
Practice Address North Fork Family Practice
32845 Main Road
Cutchogue
NY 11935
Mailing Address Peconic Bay Primary Care
P.o. Box 2377
Riverhead
NY 11901
Practice Telephone 6314053235
Practice Fax Number 6312590298
Mailing Telephone 6312984479
Mailing Fax Number 6312590298
Enumeration Date 2007-01-08
Last Update Date 2019-08-21
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 176B00000X Midwife F001238 NY Other Service Providers
N 176B00000X Midwife F001238-1 NY Other Service Providers
Y 363LW0102X Nurse Practitioner
Specialization: Women's Health
F420821 NY Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
NY 02912783 05

Office Location

Street Address NORTH FORK FAMILY PRACTICE
32845 MAIN ROAD
City CUTCHOGUE
State NY
Zip Code 11935

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1750767190 Jayla Snider Specialist 295 Vista Pl, Cutchogue, NY 11935 2015-08-08
1508053315 Diane Elaine Harned Licensed Practical Nurse 2975 Pequash Avenue, Cutchogue, NY 11935 2007-09-26
1225247620 Richard Robert Prieto Dentist 150 Griffing Street, Cutchogue, NY 11935 2007-05-22
1962620864 Alison Byers Specialist 10335 Nassau Point Road, Cutchogue, NY 11935 2007-04-23
1780738260 Maryann Fleischman Social Worker 560 Holden Ave, Cutchogue, NY 11935 2007-01-22
1932284429 Michael Stephen Catapano Emergency Medicine 32645 Main Road, Cutchogue, NY 11935 2006-10-25
1063507986 James Nickolas Trentalange Dentist 28195 Main Road, Cutchogue, NY 11935 2006-10-04
1154666444 Cutchogue Barths Pharmacy Inc Pharmacy 28195 Main Road, Cutchogue, NY 11935 2012-11-28
1366594376 Erin T Van Gelder Occupational Therapist 28000 Main Rd, Cutchogue, NY 11935 2007-01-18
1619285749 Lorraine Dibble Physical Therapist 670 Gold Spur St, Cutchogue, NY 11935-1009 2010-09-23
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Taxonomy Information

Taxonomy Code 363LW0102X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Women's Health

Taxonomy Definition

Definition to come...

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Competitor

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City CUTCHOGUE
Zip Code 11935

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Dataset Information

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.

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