MARISSA FAJARDO (NPI# 1104221589) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104221589 |
| Entity Type | Individual |
| Full Name | MARISSA FAJARDO |
| Practice Address |
7 Rodman St Middletown NY 10940-3205 |
| Practice Telephone | 8453441814 |
| Mailing Telephone | 8453441814 |
| Enumeration Date | 2014-10-28 |
| Last Update Date | 2014-10-28 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 942754421 | NY | Other Service Providers |
| Street Address |
7 RODMAN ST |
| City | MIDDLETOWN |
| State | NY |
| Zip Code | 10940-3205 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366043135 | Sherell Rebecca Hassell-robinson | Social Worker | 1 Echo Hills Road, Middletown, NY 10940 | 2020-11-06 |
| 1144821927 | Fred Allen Mccormack | Social Worker | 210 East Main St Suite 105, Middletown, NY 10940 | 2020-11-06 |
| 1609484567 | Gen Med Inc | Anesthesiology | 253 Route 211 East, 2nd Floor, Middletown, NY 10940 | 2020-07-16 |
| 1366067092 | Kalyn Ruscher | Counselor | 303 5th Ave 14 Fl, Suite 1410, New York, NY 10940 | 2020-06-09 |
| 1780238220 | Angela Mayo | Social Worker | 24 Union Street, Middletown, NY 10940 | 2019-08-01 |
| 1215593611 | Northern Medical Center, Inc | Family Medicine | 14 Jason Place, Suite 201, Middletown, NY 10940 | 2019-05-13 |
| 1811468267 | Diana Katzenberger | Licensed Practical Nurse | 774 Kurbytuwn Rd, Middletown, NY 10940 | 2018-12-11 |
| 1881165330 | Chereen Madden-grant | Registered Nurse | 1028 Route 211 W, Middletown, NY 10940 | 2018-12-10 |
| 1184106361 | Clarise Denise Williams | Social Worker | 210 E Main St Suite 105, Middletown, NY 10940 | 2018-09-04 |
| 1194210963 | Damon Tremayne Swinea | Social Worker | 16-24 Union St., Middletown, NY 10940 | 2018-06-25 |
| Find all providers in zip 10940 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164036208 | Pierremarie Chloe Vital | Specialist | 33 California Dr, Middletown, NY 10940-7543 | 2020-09-05 |
| 1215568332 | Ei Dawns Way | Specialist | 41 Mayer Dr Ph, Middletown, NY 10940-3349 | 2020-01-28 |
| 1437629722 | Beatrice Ayanna Hutcherson | Specialist | 4 Mckenzie Ct, Middletown, NY 10940-5069 | 2018-11-28 |
| 1700316486 | Jessica Maria Soto | Specialist | 192 Tower Drive, Suite 400, Middletown, NY 10940 | 2017-06-15 |
| 1669910279 | Dawn A Anderson | Specialist | 41 Mayer Dr, Ph, Middletown, NY 10940-3349 | 2017-02-02 |
| 1316481732 | Pieper Memorial Veterinary Center | Specialist | 730 Randolph Rd, Middletown, CT 06457-5331 | 2016-12-05 |
| 1477909265 | Lisa Robb | Specialist | 27 James P Kelly Way Apt 22, Middletown, NY 10940-9452 | 2016-05-11 |
| 1962816645 | Cathleen Mackey | Specialist | 101 Rolling Meadows Road, Middletown, NY 10940-7062 | 2014-06-20 |
| 1538500723 | Lucy Ortega | Specialist | 18 Silo Ln, Middletown, NY 10940-2603 | 2013-07-16 |
| 1184962292 | Melanie Yvette Perez | Specialist | 26 Eisenhower Dr, Middletown, NY 10940-4542 | 2013-01-24 |
| Find all providers in MIDDLETOWN | ||||
| City | MIDDLETOWN |
| Zip Code | 10940 |
Please comment or provide details below to improve the information on MARISSA FAJARDO.
| 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.