DR. JUAN NICHOLAS VILLARAMA JR. (NPI# 1093815177) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1093815177 |
Entity Type | Individual |
Full Name | DR. JUAN NICHOLAS VILLARAMA JR. |
Credential | MD |
Practice Address |
14 Garner St Cohoes NY 12047 |
Practice Telephone | 5182374304 |
Practice Fax Number | 5182374392 |
Mailing Telephone | 5182374304 |
Mailing Fax Number | 5182374392 |
Enumeration Date | 2006-09-25 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208D00000X | General Practice | 100779 | NY | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
EMPIRE BC | 496791 | 01 | |
NY | BLUE SHIELD NENY | 23915 | 01 |
NY | 00525975 | 05 | |
NY | CDPHP | 10005697 | 01 |
Street Address |
14 GARNER ST |
City | COHOES |
State | NY |
Zip Code | 12047 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1275983504 | Korrine Bethany Mcgough | Speech-Language Pathologist | Harmony Hill Elementary School, 120 Madeline Hickey Way, Cohoes, NY 12047 | 2016-06-17 |
1396106738 | Gregory Izzo | Dentist | 1 Truman Way, Cohoes, NY 12047 | 2016-03-13 |
1164826087 | Abbey Barnett | Registered Nurse | 245 Congress Street, Cohoes, NY 12047 | 2014-10-21 |
1609270669 | Anthony Derrico Sr. | Physical Therapy Assistant | 20 Summit Street, Cohoes, NY 12047 | 2014-10-20 |
1104141803 | Lori Virginia Augostini | Counselor | 21 Page Avenue, Cdpc- Page Avenue Clinic, Cohoes, NY 12047 | 2010-04-06 |
1578887253 | Jennifer Anne Doesburg | Counselor | 405 Viliet Blvd., Cohoes, NY 12047 | 2010-03-24 |
1144542788 | Andrea Lynn Stigliano | Pharmacist | 4b Central Avenue, Cohoes, NY 12047 | 2010-02-24 |
1801093265 | Cohoes Multi-service Senior Citizens Center, Inc. | Bus | 10 Cayuga Plaza, Cohoes, NY 12047 | 2007-06-29 |
1760691240 | Christina Marie Yox | Occupational Therapist | 421 W. Columbia Street, Cohoes, NY 12047 | 2007-05-22 |
1992922215 | Jerry Kriss | Counselor | 50 Remsen Street, Cohoes, NY 12047 | 2007-04-19 |
Find all providers in zip 12047 |
Taxonomy Code | 208D00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | General Practice |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1912987496 | John J Len | General Practice | 64 Howard St, Cohoes, NY 12047-3004 | 2006-01-19 |
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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.