MS. NICOLE MICHELLE ELTING (NPI# 1104218510) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104218510 |
| Entity Type | Individual |
| Full Name | MS. NICOLE MICHELLE ELTING |
| Credential | NURSE PRACTITIONER |
| Practice Address |
159 Barnegat Rd Fl 2 Poughkeepsie NY 12601-5401 |
| Mailing Address |
111 Clock Tower Cmns Brewster NY 10509-4055 |
| Practice Telephone | (845) 452-9800 |
| Practice Fax Number | 8454527691 |
| Mailing Telephone | 8455924915 |
| Enumeration Date | 2015-02-21 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 531856-1 | NY | Nursing Service Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
F338948-1 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | MEDICAID | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 7 Thornwood Dr, Poughkeepsie, NY 126034119 | 8455324214 |
| Street Address |
159 BARNEGAT RD FL 2 |
| City | POUGHKEEPSIE |
| State | NY |
| Zip Code | 12601-5401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023002748 | Paul D Burrows | Internal Medicine | 159 Barnegat Rd Fl 2, Poughkeepsie, NY 12601-5401 | 2005-09-08 |
| 1457783797 | Sin Ty | Nurse Practitioner | 159 Barnegat Rd Fl 2, Poughkeepsie, NY 12601-5401 | 2013-08-08 |
| 1720421233 | Theresa Ann Zangerle | Dietitian, Registered | 159 Barnegat Rd Fl 2, Poughkeepsie, NY 12601-5401 | 2013-04-15 |
| 1730459298 | Cyntia Duverger | Nurse Practitioner | 159 Barnegat Rd Fl 2, Poughkeepsie, NY 12601-5401 | 2011-12-30 |
| 1235396714 | Mojdeh Momeni | Internal Medicine | 159 Barnegat Rd Fl 2, Poughkeepsie, NY 12601-5401 | 2008-05-21 |
| 1376520700 | Tamer N Sargios | Internal Medicine | 159 Barnegat Rd Fl 2, Poughkeepsie, NY 12601-5401 | 2005-12-28 |
| 1821087362 | Farah Toyserkani | Internal Medicine | 159 Barnegat Rd Fl 2, Poughkeepsie, NY 12601-5401 | 2005-10-18 |
| 1932193653 | Madhavi Gaddam | Internal Medicine | 159 Barnegat Rd Fl 2, Poughkeepsie, NY 12601-5401 | 2005-09-08 |
| 1477547198 | Ravi Hotchandani | Internal Medicine | 159 Barnegat Rd Fl 2, Poughkeepsie, NY 12601-5401 | 2005-09-08 |
| 1003800723 | Arthur G Walczyk | Internal Medicine | 159 Barnegat Rd Fl 2, Poughkeepsie, NY 12601-5401 | 2005-09-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194348425 | Hudson Valley Radiologists, PC | Radiology | 57 Kingwood Park, Poughkeepsie, NY 12601 | 2020-05-21 |
| 1063049088 | Jaquellah Taylor | Student in an Organized Health Care Education/Training Program | Vassar Brother Medical Center 45 Reade Place, Poughkeepsie, NY 12601 | 2020-03-27 |
| 1053957050 | Jasmine Syin-lan Miller | Student in an Organized Health Care Education/Training Program | 3399 North Road, Marist College Msc 12617, Poughkeepsie, NY 12601 | 2019-11-25 |
| 1144864224 | Kim Beverly | Technician | 16 Tamidan Road, Poughkeepsle, NY 12601 | 2019-11-01 |
| 1851852768 | Marwa H Abdalla | Student in an Organized Health Care Education/Training Program | Vassar Brother Medical Center, 45 Reade Place, Poughkeepsie, NY 12601 | 2019-03-26 |
| 1619459047 | Victoria Bozydaj | Occupational Therapy Assistant | 50 Rinaldi Boulevard Apt 7r, Poughkeepsie, NY 12601 | 2018-09-01 |
| 1821589953 | Avo Gregory Serafino | Physician Assistant | 228 Donnelly, Poughkeepsie, NY 12601 | 2018-05-24 |
| 1649771486 | Raewyn Kalisha Clayton | Registered Nurse | 31 Forbus Street Apt C2, Poughkeepsie, NY 12601 | 2018-02-27 |
| 1780108761 | Ronica Dorothy White | Licensed Practical Nurse | 7c Muldowney Circle, Poughkeepsie, NY 12601 | 2017-08-01 |
| 1336662048 | Ashley Elizabeth Travers | Licensed Practical Nurse | 100 Innis Ave, Poughkeepsie, NY 12601 | 2017-07-25 |
| Find all providers in zip 12601 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376156737 | Paulina Andrea Nunez | Nurse Practitioner | 3 Sandi Dr, Poughkeepsie, NY 12603-6005 | 2020-08-26 |
| 1861017170 | Amber Marie Staffa | Nurse Practitioner | 19 Marple Rd, Poughkeepsie, NY 12603-1203 | 2020-06-11 |
| 1538781992 | Kara L Immorlica | Nurse Practitioner | 21 Reade Pl Fl 2, Poughkeepsie, NY 12601-3912 | 2020-05-08 |
| 1104464601 | Lindsay Ferrante Athans | Nurse Practitioner | 21 Reade Pl Ste 2100, Poughkeepsie, NY 12601-3968 | 2019-12-15 |
| 1790349512 | Mariama-seray Binta Barrie | Nurse Practitioner | 50 Eastdale Avenue, Poughkeepsie, NY 12603 | 2019-04-26 |
| 1952865065 | Hampton Health Family Np Pllc | Nurse Practitioner | 695 Dutchess Tpke Ste 1, Poughkeepsie, NY 12603-6442 | 2019-01-23 |
| 1326521741 | Eric Anthony Paolilli | Nurse Practitioner | 401 Lauer Rd, Poughkeepsie, NY 12603-6355 | 2018-09-11 |
| 1851845754 | Jeannie Ocasio-hampton | Nurse Practitioner | 695 Dutchess Tpke Ste 103, Poughkeepsie, NY 12603-6443 | 2016-08-08 |
| 1265801377 | John Mazzei | Nurse Practitioner | 74 West Cedar St, Poughkeepsie, NY 12601 | 2015-09-18 |
| 1356727747 | Michelle Camastro | Nurse Practitioner | 19 Baker Ave Ste 100, Poughkeepsie, NY 12601-1375 | 2015-08-07 |
| Find all providers in POUGHKEEPSIE | ||||
| City | POUGHKEEPSIE |
| Zip Code | 12601 |
Please comment or provide details below to improve the information on MS. NICOLE MICHELLE ELTING.
| 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.