GLEN ACO (NPI# 1134294499) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134294499 |
| Entity Type | Individual |
| Full Name | GLEN ACO |
| Credential | NP |
| Practice Address |
1 Penn Plz Fl 8 New York NY 10119-0899 |
| Practice Telephone | 2122166415 |
| Practice Fax Number | 8442917539 |
| Mailing Telephone | 2122166415 |
| Mailing Fax Number | 8442917539 |
| Enumeration Date | 2006-11-22 |
| Last Update Date | 2016-01-20 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 504963-1 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1 PENN PLZ FL 8 |
| City | NEW YORK |
| State | NY |
| Zip Code | 10119-0899 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639184427 | Edith A Onua | Nurse Practitioner | 1 Penn Plz Fl 8, 8th Floor, New York, NY 10119-0899 | 2006-07-30 |
| 1659922235 | Donna Maratea | Nurse Practitioner | 1 Penn Plz Fl 8, New York, NY 10119-0899 | 2019-09-24 |
| 1831603919 | Whalynn Dominique-sanon | Nurse Practitioner | 1 Penn Plz Fl 8, New York, NY 10119-0899 | 2017-11-27 |
| 1144733965 | Jennifer T Schneck | Family Medicine | 1 Penn Plz Fl 8, New York, NY 10119-0899 | 2017-11-15 |
| 1114467958 | Chinyere Onunaku | Nurse Practitioner | 1 Penn Plz Fl 8, New York, NY 10119-0899 | 2017-02-27 |
| 1952855744 | Simone Jacqueline Watson-walke | Nurse Practitioner | 1 Penn Plz Fl 8, New York, NY 10119-0899 | 2016-08-09 |
| 1154784452 | Hyo Park | Nurse Practitioner | 1 Penn Plz Fl 8, New York, NY 10119-0899 | 2016-04-04 |
| 1972987576 | Christine Stepancic | Nurse Practitioner | 1 Penn Plz Fl 8, New York, NY 10119-0899 | 2015-07-13 |
| 1215378740 | Sean Michael Kelly | Nurse Practitioner | 1 Penn Plz Fl 8, New York, NY 10119-0899 | 2013-07-12 |
| 1174874762 | Yvonne E Trapp | Nurse Practitioner | 1 Penn Plz Fl 8, New York, NY 10119-0899 | 2012-09-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174933352 | Irina Boz | Registered Nurse | One Penn Plaza, Suite 725, New York, NY 10119 | 2014-04-28 |
| 1083955041 | Theodora C Raft | Nurse Practitioner | Optum One Penn Plaza, New York, NY 10119 | 2013-03-14 |
| 1912194358 | Rebeca Clerville Deratus | Nurse Practitioner | 1 Penn Plaza 7th Fl Ste 725, Evercare United Healthcare, New York, NY 10119 | 2007-10-01 |
| 1376759928 | Elizabeth M White | Nurse Practitioner | One Penn Plaza, 8th Floor, New York, NY 10119 | 2007-05-14 |
| 1457566291 | Ella Kats | Nurse Practitioner | Evercare - United Healthcare, 1 Penn Plaza, 7th Fl. Ste.725, New York, NY 10119 | 2007-05-14 |
| 1518007152 | Yonette R Hercules | Physician Assistant | One Penn Plaza, 7th Fl, Suite 725, New York, NY 10119 | 2007-02-06 |
| 1497806376 | Herminia Nueva Espana | Nurse Practitioner | 1 Penn Plaza 8th Fl, Optum, New York, NY 10119 | 2007-01-16 |
| 1285782367 | Rilande Herard | Physician Assistant | 1 Penn Plaza, 7th Fl, Ste. 725, Evercare, New York, NY 10119 | 2007-01-08 |
| 1629126719 | Any Itty | Nurse Practitioner | 1 Penn Plaza, 7th Fl. Ste. 725, Evercare, New York, NY 10119 | 2007-01-08 |
| 1174671267 | Christine Kenny | Nurse Practitioner | One Penn Plaza, 7th Fl, Ste 725, Evercare, New York, NY 10119 | 2007-01-08 |
| Find all providers in zip 10119 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871191056 | Natalie Larissa Cohen | Nurse Practitioner | 555 Laguardia Pl, New York, NY 10012-1402 | 2020-10-11 |
| 1053953505 | Nazeli Hakobyan | Nurse Practitioner | 143 Duane St, New York, NY 10013-3878 | 2019-10-16 |
| 1508427360 | Kara J Mercer | Nurse Practitioner | 525 E 68th St # 14s, New York, NY 10065-4870 | 2019-06-24 |
| 1003323312 | Mari Kashiwai Chen | Nurse Practitioner | 625 Madison Ave Fl 2, New York, NY 10022-1800 | 2018-01-08 |
| 1104331214 | Lauren Costello | Nurse Practitioner | 1305 York Ave Fl 10, New York, NY 10021-5663 | 2017-12-12 |
| 1992219091 | Nc Medical of Ny PC | Nurse Practitioner | 75 Varick St Fl 11, New York, NY 10013-1917 | 2017-11-28 |
| 1073024840 | Katrina Dever | Nurse Practitioner | 12 E 86th St Ofc 4c, New York, NY 10028 | 2017-10-19 |
| 1104379916 | Jennifer Pauline Stieber | Nurse Practitioner | 35 E 19th St, New York, NY 10003-1313 | 2016-07-27 |
| 1730542341 | Nicollette Monzidelis | Nurse Practitioner | 425 W 59th St Ste 9b, New York, NY 10019-8022 | 2016-03-31 |
| 1750742110 | Karen Louw | Nurse Practitioner | 161 Fort Washington Ave Mezzanine, New York, NY 10032 | 2016-03-14 |
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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.