JEREMY ROBERTS (NPI# 1134623408) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134623408 |
| Entity Type | Individual |
| Full Name | JEREMY ROBERTS |
| Practice Address |
100 E 77th St New York NY 10075-1850 |
| Mailing Address |
421 Midwood Ave Bellmore NY 11710-4223 |
| Practice Telephone | 2124344833 |
| Mailing Telephone | 5164568310 |
| Enumeration Date | 2018-03-21 |
| Last Update Date | 2018-03-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 122 E 76th St Ste 3a, New York, NY 100212823 | 2124346262 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588974299 | Jeremy Roberts | Community Health Worker | 3503 Poplar Level Road, Louisville, KY 40213-1009 | 2010-10-15 |
| 1598958969 | Jeremy D Roberts | Psychiatry & Neurology | 40 Aulike St Ste 312, Kailua, HI 96734-2753 | 2007-08-20 |
| 1801417951 | Jeremy Roberts | Behavior Technician | 2810 Premiere Pkwy Ste 500, Duluth, GA 30097-8912 | 2020-04-29 |
| 1689150575 | Jeremy David Roberts | Community Health Worker | 368 Fell St, San Francisco, CA 94102-5144 | 2018-07-14 |
| 1912440389 | Jeremy Roberts | Behavioral Analyst | 14301 Ewing Ave S, Burnsville, MN 55306-4885 | 2016-12-02 |
| 1417334210 | Jeremy Andrew Roberts | Chiropractor | 3720 E Anaheim St Ste 180, Long Beach, CA 90804-4085 | 2015-04-30 |
| 1487849816 | Jeremy Roberts | Counselor | 515 28 Rd, Grand Junction, CO 81501 | 2007-09-10 |
| 1821112301 | Jeremy Michael Roberts | Anesthesiology | 1221 Pine Grove Ave, Port Huron, MI 48060-3511 | 2007-03-19 |
| Street Address |
100 E 77TH ST |
| City | NEW YORK |
| State | NY |
| Zip Code | 10075-1850 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942206081 | Shanthamallappa Ashok | Anesthesiology | 100 E 77th St, New York, NY 10021-1850 | 2005-06-23 |
| 1952902140 | Dominique Anselmin | Physician Assistant | 100 E 77th St, New York, NY 10075-1850 | 2020-11-04 |
| 1780290668 | Tiffany Wong | Pharmacist | 100 E 77th St, New York, NY 10075-1850 | 2020-09-16 |
| 1023621059 | Brandon Capaldo | Physician Assistant | 100 E 77th St, New York, NY 10075-1850 | 2020-08-28 |
| 1629688957 | Carey Davidson | Physician Assistant | 100 E 77th St, New York, NY 10075-1850 | 2020-08-02 |
| 1588273585 | Erin Rose May | Nurse Practitioner | 100 E 77th St, New York, NY 10075-1850 | 2020-07-26 |
| 1477162790 | Michael Jonathan Stein | Surgery | 100 E 77th St, New York, NY 10075-1850 | 2020-07-23 |
| 1881212660 | Mary Victoria Rizzo | Physician Assistant | 100 E 77th St, New York, NY 10075-1850 | 2020-07-08 |
| 1295350312 | Sahar Nematollah Zadeh Mahani | Student in an Organized Health Care Education/Training Program | 100 E 77th St, New York, NY 10075-1850 | 2020-06-15 |
| 1013538180 | Ashley Warman | Clinical Ethicist | 100 E 77th St, New York, NY 10075-1850 | 2020-04-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457961062 | Rosaleen Christine Galvin | Nurse Practitioner | 415 East 80th St, Apt. 1n, New York, NY 10075 | 2020-08-07 |
| 1528602810 | Jane C Karsh | Social Worker | 50 East 78th St. #9a, New York, NY 10075 | 2019-10-30 |
| 1417513052 | Up Up and Away Behavior Analytics PC | Behavioral Analyst | 435 East 79th Street, Apt. 6u, New York, NY 10075 | 2019-05-18 |
| 1730742727 | Liron Bar-el | Student in an Organized Health Care Education/Training Program | 100 E 77th Street, New York, 4 Wollman, Room #453, New York, NY 10075 | 2019-04-16 |
| 1912468380 | Doaa Morrar | Student in an Organized Health Care Education/Training Program | 100 East 77th Street 12 Wollman, Department of Pathology, New York, NY 10075 | 2019-03-28 |
| 1588138382 | Nichola Stimpson | Registered Nurse | Lenoxhill Hospital 100 East, 77 Street, New York, NY 10075 | 2019-01-15 |
| 1316433147 | Lindsay Dudek | Advanced Practice Midwife | 336 E 77th St Apt 19, New York, NY 10075 | 2018-07-04 |
| 1104315480 | Erica Refkin | Speech-Language Pathologist | Lenox Hill Hospital, 100 E. 77th Street, New York, NY 10075 | 2018-05-02 |
| 1275021198 | Yaniv Yosef Brailovschi | Student in an Organized Health Care Education/Training Program | 130 77th Street 2 Black Hall, New York, NY 10075 | 2018-04-26 |
| 1952807687 | James Chris Velasquez IIi | Student in an Organized Health Care Education/Training Program | 520 E 79th, 4b, New York, NY 10075 | 2018-04-02 |
| Find all providers in zip 10075 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740881671 | Celeste Finelli | Student in an Organized Health Care Education/Training Program | 255 W 36th St Rm 201, New York, NY 10018-7700 | 2020-11-06 |
| 1407457310 | Omri Sulimani | Student in an Organized Health Care Education/Training Program | 1425 Madison Ave Ste L4-60, New York, NY 10029-6514 | 2020-11-06 |
| 1215537931 | Gloria Helena Gomez Arenas | Student in an Organized Health Care Education/Training Program | 220 East 57th Street, Apt 5c, New York, NY 10022 | 2020-10-30 |
| 1033719216 | Vanessa Tee-ting Ng | Student in an Organized Health Care Education/Training Program | 1 Park Avenue, Nyu Langone Child Study Center, 7th Floor, New York, NY 10016 | 2020-10-28 |
| 1457959652 | Marwan Nihad Abdel Rauf Yusuf | Student in an Organized Health Care Education/Training Program | Metropolitan Hospital Center Department of Medicine, 1901, 1 St Avenue, New York, NY 10029 | 2020-10-12 |
| 1558968537 | Yiyang Zhang | Student in an Organized Health Care Education/Training Program | 1000 10th Ave Fl 2, New York, NY 10019-1147 | 2020-10-03 |
| 1699372706 | Anna Jane Dare | Student in an Organized Health Care Education/Training Program | 1275 York Avenue Department of Surgery, Memorial Sloan, Kettering Cancer Center, New York, NY 10065 | 2020-10-02 |
| 1285241018 | Grace A Forrester | Student in an Organized Health Care Education/Training Program | 517 W 121st St Apt 604s, New York, NY 10027-5901 | 2020-09-25 |
| 1235746199 | Christopher Alexis Perez Lizardo | Student in an Organized Health Care Education/Training Program | 515 W 59th St Apt 29b, New York, NY 10019-1042 | 2020-09-24 |
| 1568077014 | Toshihide Kuroe | Student in an Organized Health Care Education/Training Program | 35-20 90th Street, Jackson Heights, Queens, New York, NY 11372 | 2020-09-11 |
| Find all providers in NEW YORK | ||||
Please comment or provide details below to improve the information on JEREMY ROBERTS.
| 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.