MARY CATHERINE BALLIN (NPI# 1114142916) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114142916 |
| Entity Type | Individual |
| Full Name | MARY CATHERINE BALLIN |
| Credential | GNP |
| Practice Address |
1484 1st Ave Wright Center On Aging New York NY 10021-2304 |
| Mailing Address |
4352 171st St Flushing NY 11358-3328 |
| Practice Telephone | 2127467000 |
| Practice Fax Number | 2127178207 |
| Mailing Telephone | 7183590197 |
| Enumeration Date | 2007-04-16 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
F340548 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1484 1ST AVE WRIGHT CENTER ON AGING |
| City | NEW YORK |
| State | NY |
| Zip Code | 10021-2304 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164487757 | Kenneth Wayne Marx | Family Medicine | 1484 1st Ave, Wright Center for Geriatric Medicine, New York, NY 10075-2304 | 2006-04-18 |
| 1942566997 | Erica Yueh-ing Chu | Internal Medicine | 1484 1st Ave, New York, NY 10075 | 2012-04-04 |
| 1649403478 | Amy F Stern | Social Worker | 1484 1st Ave, New York, NY 10075-2304 | 2009-08-27 |
| 1285889477 | Patricia Wu | Student in an Organized Health Care Education/Training Program | 1484 1st Ave, New York, NY 10075-2304 | 2008-12-01 |
| 1124276043 | Cynthia Lien | Internal Medicine | 1484 1st Ave, Wright Center On Aging, New York, NY 10075-2304 | 2008-09-04 |
| 1629237235 | Brian Eiss | Internal Medicine | 1484 1st Ave, Irving Sherwood Wright Center, New York, NY 10075-2304 | 2008-06-09 |
| 1760641195 | Sonal Mehta | Internal Medicine | 1484 1st Ave, New York, NY 10075-2304 | 2008-06-02 |
| 1891994562 | Kelly M Trevino | Psychologist | 1484 1st Ave, New York, NY 10075-2304 | 2007-07-13 |
| 1336353259 | Karin-elizabeth Michelle Ouchida | Internal Medicine | 1484 1st Ave, New York, NY 10075-2304 | 2007-05-09 |
| 1114094315 | Tomas Seisdedos | Internal Medicine | 1484 1st Ave, Second Floor, New York, NY 10075-2304 | 2006-11-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720609175 | Haneen Qadourah | Student in an Organized Health Care Education/Training Program | Weillcornellinternalmedicineassociates, 505east70thstreet, Newyorkcity, NY 10021 | 2020-04-27 |
| 1114547080 | Mohd Omair Jamil | Pharmacist | 530 East 74th Street, 10281, New York, NY 10021 | 2020-04-21 |
| 1750915062 | Radoslav Jovanovic, Md and Kevin Jovanovic, Md | Obstetrics & Gynecology | 930 Fifth Avenue, Suite 3, New York, NY 10021 | 2020-02-25 |
| 1750915344 | Stacyann S Foster | Nurse Practitioner | 1305 York Avenue 2nd Floor, New York, NY 10021 | 2020-02-24 |
| 1477184547 | John Schipano | Pharmacist | Zitomer, 969 Madison Ave, New York, NY 10021 | 2020-01-28 |
| 1932741253 | Memorial Sloan Kettering Cancer Center | Pharmacy | 530 East 74 Street, Room 1101, New York, NY 10021 | 2019-10-09 |
| 1922656875 | Kouros Emami | Clinical Neuropsychologist | 525 East 71st St., 5th Floor, New York, NY 10021 | 2019-09-03 |
| 1083262539 | Uptown Surgical Services P.c | Clinic/Center | 111 East 71st Street, New York, NY 10021 | 2019-08-28 |
| 1316591209 | Siddiqi Medical P.C. | Internal Medicine | Archcare At Mary Manning Walsh Home, 1339 York Avenue, New York, NY 10021 | 2019-07-29 |
| 1942763602 | Alisha Bouzaher | Student in an Organized Health Care Education/Training Program | 439 East 71st, 1st Floor, New York, NY 10021 | 2019-04-10 |
| Find all providers in zip 10021 | ||||
| Taxonomy Code | 363LG0600X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Gerontology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184965295 | Julia Bevilacqua | Nurse Practitioner | 424 E 34th St Fl 16, New York, NY 10016-4901 | 2013-03-14 |
| 1225230956 | Shelly Dubin | Nurse Practitioner | 5141 Broadway Rm 3-013, New York, NY 10034-1159 | 2007-06-04 |
| 1225169584 | Michelle Hammer | Nurse Practitioner | 122 W 27th St, 6th Floor, New York, NY 10001-6227 | 2007-03-08 |
| 1568501211 | Yolanda Fleurantin | Nurse Practitioner | 1901 1st Ave # 13b4, New York, NY 10029-7404 | 2007-02-06 |
| 1871649269 | Linda P Dillman | Nurse Practitioner | 99 Fort Washington Ave, New York, NY 10032-4655 | 2007-01-26 |
| 1497806376 | Herminia Nueva Espana | Nurse Practitioner | 1 Penn Plaza 8th Fl, Optum, New York, NY 10119 | 2007-01-16 |
| 1720153646 | Marie Calma | Nurse Practitioner | 1 Penn Plaza, Evercare Ste. 725, New York, NY 10119 | 2006-11-24 |
| 1649376575 | Linda Marie Rimmer | Nurse Practitioner | 250 W 49th St, New York, NY 10019-7400 | 2006-09-16 |
| 1184656886 | Catherine Reyes Mondonedo | Nurse Practitioner | 607 Hudson St, New York, NY 10014-1876 | 2006-07-06 |
| 1922075738 | Siobhan Sundel | Nurse Practitioner | 1440 Madison Avenue, New York, NY 10029 | 2006-03-01 |
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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.