TYREEK GASTON (NPI# 1083117089) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083117089 |
| Entity Type | Individual |
| Full Name | TYREEK GASTON |
| Credential | COUNSELOR |
| Practice Address |
273 Heberton Ave Staten Island NY 10302-1809 |
| Practice Telephone | 7184123170 |
| Mailing Telephone | 7184123170 |
| Enumeration Date | 2018-03-15 |
| Last Update Date | 2018-03-15 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 324500000X | Substance Abuse Rehabilitation Facility | Residential Treatment Facilities |
| Street Address |
273 HEBERTON AVE |
| City | STATEN ISLAND |
| State | NY |
| Zip Code | 10302-1809 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669742656 | Carl Frank Feren Jr. | Counselor | 273 Heberton Ave, Staten Island, NY 10302-1809 | 2012-01-06 |
| 1164040580 | Rosalyn Richardson | Counselor | 273 Heberton Ave, Staten Island, NY 10302-1809 | 2020-07-13 |
| 1013534262 | Louis Trento | Counselor | 273 Heberton Ave, Staten Island, NY 10302-1809 | 2020-07-02 |
| 1902374325 | Robert Biondo | Counselor | 273 Heberton Ave, Staten Island, NY 10302-1809 | 2018-11-03 |
| 1003310939 | Allison Ameneiros | Substance Abuse Rehabilitation Facility | 273 Heberton Ave, Staten Island, NY 10302-1809 | 2018-03-23 |
| 1225531106 | Lucia Clohessy | Substance Abuse Rehabilitation Facility | 273 Heberton Ave, Staten Island, NY 10302-1809 | 2018-03-16 |
| 1336671601 | Johnny Velasquez | Substance Abuse Rehabilitation Facility | 273 Heberton Ave, Staten Island, NY 10302 | 2017-03-28 |
| 1265827125 | Lou Berdecia | Counselor | 273 Heberton Ave, Staten Island, NY 10302-1809 | 2015-03-30 |
| 1013301019 | Kaylin Trifeletti | Counselor | 273 Heberton Ave, Staten Island, NY 10302-1809 | 2015-03-27 |
| 1942694807 | Mark James Kran | Counselor | 273 Heberton Ave, Staten Island, NY 10302-1809 | 2015-03-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306494174 | Denasia Fitch | Student in an Organized Health Care Education/Training Program | 80 Willowbrook Rd, Staten Island, NY 10302 | 2019-08-26 |
| 1548752983 | Lawan Rickenbacker | Counselor | 28 Treadwell Ave, Staten Island, NY 10302 | 2018-06-01 |
| 1275059321 | Omolara Rachael Adediji | Nurse Practitioner | 210 Trantor Place, Apt 1d, Staten Island, NY 10302 | 2017-08-21 |
| 1558893479 | Joseph Wilson | Substance Abuse Rehabilitation Facility | 273 Heberton Avenue, Staten Island, NY 10302 | 2017-03-30 |
| 1902358864 | Natalie Valencia Toney-zubairu | Nurse Practitioner | Community Health Center of Richmond, 235 Port Richmond Ave, Staten Island, NY 10302 | 2016-10-26 |
| 1912453788 | Adewunmi Bankole | Registered Nurse | 124 Nicholas Avenue Apt B, Staten Island, NY 10302 | 2016-08-31 |
| 1154788974 | Eileen Patricia Cameron | Counselor | 263-267 Port Richmond Aveune, Staten Island, NY 10302 | 2016-01-25 |
| 1225468432 | Total Dental Care of Staten Island, P.C. | Dentist | 135 Willowbrook Road, Staten Island, NY 10302 | 2013-11-25 |
| 1760723621 | Si. Senior Lifestyle Center Inc | Clinic/Center | 98 Port Richmond Ave, Staten Island, NY 10302 | 2013-03-01 |
| 1962751255 | Kathleen Gomez-rodriguez | Speech-Language Pathologist | 12 Crystal Ave, Staten Island, NY 10302 | 2012-09-03 |
| Find all providers in zip 10302 | ||||
| Taxonomy Code | 324500000X |
| Grouping | Residential Treatment Facilities |
| Classification | Substance Abuse Rehabilitation Facility |
| A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. |
| Notes: [7/1/2003: modified title, modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518491174 | Aaron Smith | Substance Abuse Rehabilitation Facility | 460 Brielle Ave, Building H, Staten Island, NY 10314 | 2017-04-20 |
| 1558893479 | Joseph Wilson | Substance Abuse Rehabilitation Facility | 273 Heberton Avenue, Staten Island, NY 10302 | 2017-03-30 |
| 1841629094 | Gary Products | Substance Abuse Rehabilitation Facility | 19 Andros Ave, Staten Island, NY 10303-2003 | 2013-11-08 |
| 1003310939 | Allison Ameneiros | Substance Abuse Rehabilitation Facility | 273 Heberton Ave, Staten Island, NY 10302-1809 | 2018-03-23 |
| 1225531106 | Lucia Clohessy | Substance Abuse Rehabilitation Facility | 273 Heberton Ave, Staten Island, NY 10302-1809 | 2018-03-16 |
| 1336671601 | Johnny Velasquez | Substance Abuse Rehabilitation Facility | 273 Heberton Ave, Staten Island, NY 10302 | 2017-03-28 |
| 1720327794 | Ymca | Substance Abuse Rehabilitation Facility | 285 Vanderbilt Ave, Staten Island, NY 10304-2525 | 2013-02-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992337224 | Council On Addiction Recovery Services, Inc. | Substance Abuse Rehabilitation Facility | 1355 Olean-portville Road, Westons Mills, NY 14788-1476 | 2020-02-05 |
| 1528609799 | Ebdk At Calverton | Substance Abuse Rehabilitation Facility | 525 Jan Way, Calverton, NY 11933-3005 | 2019-09-30 |
| 1124679998 | Resource Recovery Center of Orange County LLC | Substance Abuse Rehabilitation Facility | 68 Crystal Run Rd, Middletown, NY 10941-7100 | 2019-09-24 |
| 1326506064 | Mountainside - Huntington | Substance Abuse Rehabilitation Facility | 141 E Main St Ste 2, Huntington, NY 11743-2850 | 2019-03-12 |
| 1023589090 | Argus Community, Inc. | Substance Abuse Rehabilitation Facility | 2015-25 Madison Avenue, 4th Floor, New York, NY 10035-1015 | 2018-12-16 |
| 1578030797 | Hope House, Inc. | Substance Abuse Rehabilitation Facility | 577 Livingston Ave, Albany, NY 12206-2408 | 2018-10-25 |
| 1467949867 | Ocean Recovery East LLC | Substance Abuse Rehabilitation Facility | 113 E 60th St, New York, NY 10022-1939 | 2018-04-20 |
| 1578050944 | Elev8 Center New York, LLC | Substance Abuse Rehabilitation Facility | 151 W 136th St, New York, NY 10030-2606 | 2018-04-20 |
| 1346772019 | Catholic Charities of The Diocese of Rockville Centre | Substance Abuse Rehabilitation Facility | 30 Carlough Rd Ste C, Bohemia, NY 11716-2919 | 2017-03-31 |
| 1477092575 | Maryhaven Center of Hope,inc | Substance Abuse Rehabilitation Facility | 150 Buffalo Avenue, Freeport, NY 11520 | 2017-02-22 |
| Find all providers with the same taxonomy | ||||
| City | STATEN ISLAND |
| Zip Code | 10302 |
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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.