JOHN EDWARD ROONEY


Address: 627 Broadway, Massapequa, NY 11758-5031
Phone: 5165414171

JOHN EDWARD ROONEY (NPI# 1104811421) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1104811421
Entity Type Individual
Full Name JOHN EDWARD ROONEY
Credential M.D.
Practice Address 627 Broadway
Massapequa
NY 11758-5031
Mailing Address 5528 Main St
Flushing
NY 11355-5044
Practice Telephone 5165414171
Practice Fax Number 7188867466
Mailing Telephone 7184455100
Mailing Fax Number 7188867466
Enumeration Date 2005-09-13
Last Update Date 2009-09-24
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207K00000X Allergy & Immunology 191107 NY Allopathic & Osteopathic Physicians
Y 207KA0200X Allergy & Immunology
Specialization: Allergy
191107 NY Allopathic & Osteopathic Physicians
N 207KI0005X Allergy & Immunology
Specialization: Clinical & Laboratory Immunology
191107 NY Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
NY VYTRA 64111 01
NY HEALTHNET OC6411 01
NY AETNA HMO BELLMORE 0497100 01
NY CIGNA 1000171-002 01
NY FIRST HEALTH 1049565 01
NY HIP 191107 01
NY BLUE CROSS BLUE SHIELD 34J81 01
NY OXFORD AS1263 01
NY AETNA PPO/POS 5147177 01
NY MDNY AA70463 01
NY GHI 0003198 01
NY UNITED HEALTHCARE 497100 01

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Office Location

Street Address 627 BROADWAY
City MASSAPEQUA
State NY
Zip Code 11758-5031

Providers in the same location

NPI Name Taxonomy Address Enumeration
1083904494 Amy L Roberts Physician Assistant 627 Broadway, Suite 1, Massapequa, NY 11758-5031 2011-04-19
1730488941 Mary K Paul Allergy & Immunology 627 Broadway, Massapequa, NY 11758 2011-03-28
1851572358 Sisselman Medical Group, PC Family Medicine 627 Broadway, Suite 1, Massapequa, NY 11758-5031 2007-11-26
1629286521 Donna Marie Carson Social Worker 627 Broadway, Massapequa, NY 11758-5031 2007-05-21
1134259716 Bruce Nyfield Psychologist 627 Broadway, Suite 201, Massapequa, NY 11258 2007-03-06
1558405977 Maryann Leone Psychologist 627 Broadway, Suite Maidat, Massapequa, NY 11758-5031 2007-02-18
1437299690 Bonnie G Weintraub Social Worker 627 Broadway, Ste.200, Massapequa, NY 11758-5031 2007-02-07
1194873372 Barbara Ann Kilgus Social Worker 627 Broadway, Suite 200, Massapequa, NY 11758-5031 2007-01-06
1295895480 Jill Sisselman Family Medicine 627 Broadway, Suite 1, Massapequa, NY 11758-5031 2006-12-11
1497822787 Keith Robert Gonsor Psychologist 627 Broadway, Suite 200, Massapequa, NY 11758-5031 2006-11-29
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1811535339 Jamie Leigh Disilvio Licensed Practical Nurse 24 Amity Pl., Massapequa, NY 11758 2019-12-16
1548787955 June H Friedman Social Worker 78 North Pine Street, North Massapequa, NY 11758 2017-08-25
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1932645561 Maria Amato Specialist 277 Division Ave, Massapequa, NY 11758 2017-01-06
1164877270 Marylou Lawson Early Intervention Provider Agency 87 N Pine Street, N Massapequa, NY 11758 2016-04-26
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1316328420 Theresa Mackey Behavioral Analyst 19 Oxford Avenue, N. Massapequa, NY 11758 2015-06-15
1932596590 Bianca Ferrantelli Specialist 13 Alhabra Rd, Apt 5, Massapequa, NY 11758 2015-04-22
1245625797 Medwell Medical PC Pain Medicine 1065a North Broadway, Massapequa, NY 11758 2015-04-01
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Taxonomy Information

Taxonomy Code 207KA0200X
Grouping Allopathic & Osteopathic Physicians
Classification Allergy & Immunology
Specialization Allergy

Taxonomy Definition

Definition to come...

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1730488941 Mary K Paul Allergy & Immunology 627 Broadway, Massapequa, NY 11758 2011-03-28

Providers in the same taxonomy and state

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1235518648 Bellrick Medical, P.C. Allergy & Immunology 2820 Merrick Rd, Suite C, Bellmore, NY 11710-5733 2015-05-19
1255640181 Maria- Anna Vastardi Allergy & Immunology 9036 7th Ave, Brooklyn, NY 11228-3625 2010-09-27
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1205099801 Paula Anne Brown Allergy & Immunology 600 Westage Business Center Drive, Fishkill, NY 12524-2281 2008-07-03
1720256639 Michael L Lewin Md PC Allergy & Immunology 109 E 61st St, New York, NY 10065-8101 2008-02-13
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Competitor

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City MASSAPEQUA
Zip Code 11758

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Dataset Information

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.

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