EILEEN LEARY ROGGEMANN (NPI# 1134616196) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134616196 |
| Entity Type | Individual |
| Full Name | EILEEN LEARY ROGGEMANN |
| Practice Address |
1 Scouting Blvd Medford NY 11763-2220 |
| Practice Telephone | 6312973202 |
| Mailing Telephone | 6312973202 |
| Enumeration Date | 2018-04-16 |
| Last Update Date | 2018-04-16 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 246Z00000X | Specialist/Technologist, Other | 202986 | NY | Technologists, Technicians & Other Technical Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | SPECIAL EDUCATION PERMANENT | 202986 | 01 |
| Street Address |
1 SCOUTING BLVD |
| City | MEDFORD |
| State | NY |
| Zip Code | 11763-2220 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730327941 | Maureen Teresa Escobar | Speech-Language Pathologist | 1 Scouting Blvd, Medford, NY 11763-2220 | 2009-01-26 |
| 1548819303 | Diane Marie Kubinski | Specialist | 1 Scouting Blvd, Medford, NY 11763-2220 | 2019-09-05 |
| 1508324823 | Brianna Nicole Cashman | Early Intervention Provider Agency | 1 Scouting Blvd, Medford, NY 11763-2220 | 2019-03-05 |
| 1003306010 | Lori Merck | Behavioral Analyst | 1 Scouting Blvd, Medford, NY 11763-2220 | 2018-05-15 |
| 1093212631 | Bevin Ann Flemming | Specialist | 1 Scouting Blvd, Medford, NY 11763-2220 | 2018-04-10 |
| 1265939904 | Olivia Ann Fertmann | Specialist | 1 Scouting Blvd, Medford, NY 11763-2220 | 2018-04-10 |
| 1154832996 | Nicole Ryann Mihalik | Early Intervention Provider Agency | 1 Scouting Blvd, Medford, NY 11763-2220 | 2017-10-19 |
| 1508316027 | Kaitlin Mcguire | Specialist | 1 Scouting Blvd, Medford, NY 11763-2220 | 2016-10-07 |
| 1417407933 | Kelly O'brien | Specialist | 1 Scouting Blvd, Medford, NY 11763-2220 | 2016-10-07 |
| 1275082372 | Andrea Verios | Early Intervention Provider Agency | 1 Scouting Blvd, Medford, NY 11763-2220 | 2016-09-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316572027 | Rebecca Molino | Specialist | 9, 3251 Ny-112 #2, Medford, NY 11763 | 2020-03-03 |
| 1295203677 | Hajar Taman | Pharmacist | 2975 Horseblock Road, Medford, NY 11763 | 2018-11-05 |
| 1265917041 | Bay Taxi Inc | Taxi | 36/94 Horseblock Rd, Medford, NY 11763 | 2018-09-27 |
| 1184108383 | Bay Taxi Inc | Taxi | 36/94 Horsblock Road, Medford, NY 11763 | 2018-09-24 |
| 1215419650 | Megan Bell | Speech-Language Pathologist | 135 Buffalo Avenue, Medford, NY 11763 | 2018-09-01 |
| 1922592906 | Elizabeth L Oakley | Specialist | 1 Sprat St, Medford, NY 11763 | 2018-06-21 |
| 1609383389 | Federation of Organizations for The New York State Mentally Disabled | Clinic/Center | 3390 Route 112 Ste B, Medford, NY 11763 | 2018-01-04 |
| 1497109607 | Tabitha Aitken | Massage Therapist | 28 Masem Ct, Medford, NY 11763 | 2016-04-14 |
| 1518326685 | Betty Velez | Specialist | 21 Red Pine Rd, Medford, NY 11763 | 2016-02-18 |
| 1134527054 | Angelo L D'esposito | Social Worker | 77 Robinson Ave, Medford, NY 11763 | 2014-12-09 |
| Find all providers in zip 11763 | ||||
| Taxonomy Code | 246Z00000X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Specialist/Technologist, Other |
| General classification identifying individuals trained on specific equipment and technical procedures in one of a collection of miscellaneous healthcare disciplines. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578170445 | Nadine Alexandra Cunningham | Specialist/Technologist, Other | 49 Hampshire Way, Schenectady, NY 12309-1958 | 2020-09-25 |
| 1568096337 | Melissa Encarnacion | Specialist/Technologist, Other | 7 Fordham Hill Oval Apt 6f, Bronx, NY 10468-4834 | 2020-03-02 |
| 1275166597 | Saja Ababneh | Specialist/Technologist, Other | 17 Bay 34th St Apt 1r, Brooklyn, NY 11214-4208 | 2020-02-14 |
| 1629625777 | Aliage M Walters | Specialist/Technologist, Other | 435 Central Park W Apt 50, New York, NY 10025-4377 | 2019-08-23 |
| 1558928804 | Tara Rodie | Specialist/Technologist, Other | 1669 E 36th St, Brooklyn, NY 11234-4218 | 2019-05-22 |
| 1063078954 | Gina Mcmanus | Specialist/Technologist, Other | 7 High St Ste 201, Huntington, NY 11743-3417 | 2019-05-15 |
| 1154985562 | Jayne C Figuera | Specialist/Technologist, Other | 45 W 132nd St Apt 7b, New York, NY 10037-3110 | 2019-05-01 |
| 1942762992 | Brendan Meade | Specialist/Technologist, Other | 317 Rose Ln, Smithtown, NY 11787-4419 | 2019-04-01 |
| 1417438599 | Esther Mashaiv | Specialist/Technologist, Other | 7345 197st Flushing, New York, NY 11366 | 2018-08-27 |
| 1962990176 | Yuki Arai | Specialist/Technologist, Other | 10 E 23rd St Ste 220, New York, NY 10010-4467 | 2018-04-24 |
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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.