PETER NOVELLINO (NPI# 1104100726) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104100726 |
| Entity Type | Individual |
| Full Name | PETER NOVELLINO |
| Practice Address |
12 Lenore Ln Farmingdale NY 11735-4417 |
| Practice Telephone | 5165676053 |
| Enumeration Date | 2011-09-30 |
| Last Update Date | 2011-09-30 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | 293492 | NY | Nursing Service Providers |
| Street Address |
12 LENORE LN |
| City | FARMINGDALE |
| State | NY |
| Zip Code | 11735-4417 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073151197 | Center Island Massage PC | Massage Therapist | 34 Hempstead Turnpike, Suite E, Farmingdale, NY 11735 | 2019-12-19 |
| 1447736434 | Melanie Clampitt | Occupational Therapy Assistant | 158 Sunset Ave, Farmingdale, NY 11735 | 2018-07-13 |
| 1841789120 | I-ting Lin | Acupuncturist | 376 Fulton St. The Phoenix Eastern Medicine Center, Farmingdale, NY 11735 | 2018-05-02 |
| 1447767371 | Nashon Clark | Social Worker | 565 Broadhollow Rd Ste 6e, Farmingdale, NY 11735 | 2017-12-31 |
| 1336669639 | Robby Harris | Psychologist | 31 Lincoln Street, Farmingdale, NY 11735 | 2017-06-27 |
| 1265961544 | Stacey Gouzos | Behavior Technician | 29 Bernard Street, Farmingdale, NY 11735 | 2017-06-08 |
| 1962856450 | Integrated Medical Interventional Diagnostics PC | Registered Nurse | 1111 Broad Hollow Rd 110 Suite 114, Farmingdale, NY 11735 | 2016-04-20 |
| 1528433604 | Robert Gerard Jr. | Peer Specialist | 142-02 20th Aveune, Rosedale, NY 11735 | 2015-12-01 |
| 1750750329 | Glenda Lopez | Case Manager/Care Coordinator | 539 Broad Hollow Rd, Suite 202, Farmingdale, NY 11735 | 2015-09-24 |
| 1366849911 | Jeffrey Rosa | Counselor | 500 Bi-country Blvd, Suite 114, Farmingdale, NY 11735 | 2014-11-25 |
| Find all providers in zip 11735 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164062634 | Garline Rene | Licensed Practical Nurse | 3 Cedar Ave, Farmingdale, NY 11735-3802 | 2020-01-13 |
| 1578046280 | Susanna Lynn Rugolo | Licensed Practical Nurse | 164 Jervis Ave, Farmingdale, NY 11735-2426 | 2018-09-09 |
| 1528592342 | Diane Chambers | Licensed Practical Nurse | 75 S Crescent Dr, Farmingdale, NY 11735-4347 | 2017-04-18 |
| 1750789541 | Lauren Marie Depalma | Licensed Practical Nurse | 14 Midwood Ave, Farmingdale, NY 11735-5348 | 2014-12-11 |
| 1497160030 | Samantha Lang | Licensed Practical Nurse | 9 Midwood Ave, Farmingdale, NY 11735-5349 | 2014-06-23 |
| 1487953097 | Barbara Llanto | Licensed Practical Nurse | 10 Dean St, Farmingdale, NY 11735-2416 | 2011-03-22 |
| 1912225632 | Susan M Cea | Licensed Practical Nurse | 164 Merritts Rd, Farmingdale, NY 11735-3216 | 2010-05-05 |
| 1407182140 | Khaira S Disla | Licensed Practical Nurse | 36 Weiden St, Farmingdale, NY 11735-3414 | 2009-11-01 |
| 1568610608 | Josephine Ayers | Licensed Practical Nurse | 75 Vandewater St, Farmingdale, NY 11735-5232 | 2008-09-03 |
| 1497940985 | Margaret F Scotti | Licensed Practical Nurse | 24 10th Ave, Farmingdale, NY 11735-5746 | 2007-09-08 |
| Find all providers in FARMINGDALE | ||||
| City | FARMINGDALE |
| Zip Code | 11735 |
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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.