JORDAN MARC GARELICK (NPI# 1154438695) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154438695 |
| Entity Type | Individual |
| Full Name | JORDAN MARC GARELICK |
| Credential | MD |
| Practice Address |
4277 Hempstead Tpke 109 Bethpage NY 11714 |
| Practice Telephone | 5167964030 |
| Practice Fax Number | 5167965134 |
| Mailing Telephone | 5167964030 |
| Mailing Fax Number | 5167965134 |
| Enumeration Date | 2006-08-23 |
| Last Update Date | 2008-05-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | 224064 | NY | Allopathic & Osteopathic Physicians |
| Street Address |
4277 HEMPSTEAD TPKE 109 |
| City | BETHPAGE |
| State | NY |
| Zip Code | 11714 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083602320 | John R Thanus | Obstetrics & Gynecology | 4277 Hempstead Tpke, Suite 102, Bethpage, NY 11714-5709 | 2005-10-11 |
| 1467919100 | Kristen Tasch | Physical Therapist | 4277 Hempstead Tpke, Bethpage, NY 11714-5709 | 2019-03-01 |
| 1821519158 | Daniel P Haughney | Student in an Organized Health Care Education/Training Program | 4277 Hempstead Tpke, Bethpage, NY 11714-5709 | 2017-06-27 |
| 1649721606 | Elizabeth Massaro | Physical Therapy Assistant | 4277 Hempstead Tpke, Suite 209 A, Bethpage, NY 11714-5709 | 2016-10-14 |
| 1053868737 | Stephanie Rose Ringbauer | Physical Therapist | 4277 Hempstead Tpke, Suite 209 A, Bethpage, NY 11714-5709 | 2016-09-09 |
| 1184177768 | Jillian Epifania | Physical Therapist | 4277 Hempstead Tpke, Suite 209 A, Bethpage, NY 11714-5709 | 2016-07-29 |
| 1336594803 | Kimberly D. Murnane | Eyewear Supplier (Equipment, not the service) | 4277 Hempstead Tpke, Suite 109, Bethpage, NY 11714-5709 | 2016-05-03 |
| 1508258260 | Vincenzo Adduci Jr. | Physical Therapist | 4277 Hempstead Tpke, Ste 209a, Bethpage, NY 11714-5709 | 2015-03-04 |
| 1548520943 | Margaret M Magee | Massage Therapist | 4277 Hempstead Tpke, Suite 209, Bethpage, NY 11714 | 2012-05-21 |
| 1851681191 | Jennifer Mandell | Dermatology | 4277 Hempstead Tpke, Suite 206, Bethpage, NY 11714-5709 | 2011-04-07 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023466208 | Angelika Cataldo | Physician Assistant | 96 Farmers Ave, Bethpage, NY 11714 | 2016-05-30 |
| 1215390240 | Jessica Cohen Micciulli | Counselor | 1211 Stewart Ave., Suite 100, Bethpage, NY 11714 | 2016-03-29 |
| 1295119329 | Van Tu | Physician Assistant | 72 Roosevelt Dr, Bethpage, NY 11714 | 2015-07-18 |
| 1124400072 | Nicole Simon | Speech-Language Pathologist | 28 Lee Avenue, Bethpage, NY 11714 | 2015-06-26 |
| 1083001556 | Gagandeep Sharma | Podiatrist | 255 Stewart Ave, Bethpage, NY 11714 | 2015-04-22 |
| 1245631399 | All About Kids | Local Education Agency (LEA) | 152 Sycamore Avenue, Bethpage, NY 11714 | 2014-09-09 |
| 1568871440 | Christina Healy | Home Health Aide | 49 West Millpage Drive, Bethpage, NY 11714 | 2014-08-05 |
| 1225444656 | Ryan Vincent Costello | Registered Nurse | 68 S. 2nd St., Apt A, Bethpage, NY 11714 | 2014-07-07 |
| 1598195125 | Lori-ann Perez | Case Manager/Care Coordinator | 18 Ellen Street, Bethpage, NY 11714 | 2013-11-18 |
| 1306195482 | Lisa Kozlowsky | Behavioral Analyst | 420 Kensington Lane, Bethpage, NY 11714 | 2012-09-05 |
| Find all providers in zip 11714 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689672966 | Robert F Rothman | Ophthalmology | 4212 Hempstead Tpke, Bethpage, NY 11714-5701 | 2005-07-12 |
| 1386141331 | Ophthalmic Consultants of Long Island | Ophthalmology | 4212 Hempstead Tpke, Bethpage, NY 11714-5723 | 2018-04-06 |
| 1184886301 | Daniel D Hayes | Ophthalmology | 4212 Hempstead Tpke, Bethpage, NY 11714-5723 | 2008-06-29 |
| 1679777064 | Allison Angelilli | Ophthalmology | 4212 Hempstead Tpke, Bethpage, NY 11714-5723 | 2007-06-12 |
| 1114146073 | Mid Island Eye Physicians & Surgeons PC | Ophthalmology | 4277 Hempstead Tpke, #109, Bethpage, NY 11714 | 2007-04-25 |
| 1336240456 | Eye Care Ophthalmology PC | Ophthalmology | 4212 Hempstead Tpke, Bethpage, NY 11714-5701 | 2006-09-25 |
| 1366559809 | Laurence Rubin | Ophthalmology | 4277 Hempstead Tpke, 109, Bethpage, NY 11714 | 2006-08-23 |
| 1275640716 | Gregory Cowan | Ophthalmology | 4277 Hempstead Tpke, 109, Bethpage, NY 11714 | 2006-08-23 |
| 1063529501 | Ted Allan Karl | Ophthalmology | 4277 Hempstead Tpke, #109, Bethpage, NY 11714 | 2006-08-23 |
| 1881701324 | Lisa Doreen Paolini | Ophthalmology | 4277 Hempstead Tpke, #109, Bethpage, NY 11714 | 2006-08-23 |
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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.