MR. FERNANDO EDGARDO BELTRAN JR. (NPI# 1164035200) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164035200 |
| Entity Type | Individual |
| Full Name | MR. FERNANDO EDGARDO BELTRAN JR. |
| Practice Address |
94 W Main St Bay Shore NY 11706-8365 |
| Practice Telephone | 6312522820 |
| Practice Fax Number | 6316477030 |
| Mailing Telephone | 6312522820 |
| Mailing Fax Number | 6316477030 |
| Enumeration Date | 2020-08-28 |
| Last Update Date | 2020-08-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | 101668-01 | NY | Behavioral Health & Social Service Providers |
| Street Address |
94 W MAIN ST |
| City | BAY SHORE |
| State | NY |
| Zip Code | 11706-8365 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902328214 | Lori Kloiber-staco | Occupational Therapist | 94 W Main St, Bay Shore, NY 11706-8365 | 2017-07-10 |
| 1497284566 | Professional Occupational & Physical Therapy, Pllc | Physical Therapist | 94 W Main St, Bay Shore, NY 11706-8365 | 2017-06-12 |
| 1396274460 | Professional Orthopedic and Sports Physical Therapy, PC | Physical Therapist | 94 W Main St, Bay Shore, NY 11706-8365 | 2017-06-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598394173 | Erin Marie Barlow | Student in an Organized Health Care Education/Training Program | Southside Emergency Department 301 East Main Street, Bay Shore, NY 11706 | 2020-04-06 |
| 1003460890 | Bay Shore Brightwaters Rescue Ambulance Inc. | Ambulance | 911 Aletta Place, Bay Shore, NY 11706 | 2019-07-30 |
| 1861980872 | Raffy Gutman | Student in an Organized Health Care Education/Training Program | Southside Hospital Family Medicine, 301 E Main St, Bay Shore, NY 11706 | 2018-04-25 |
| 1609371004 | Sengal Kelit Alazar | Student in an Organized Health Care Education/Training Program | South Side Hospital Emergency Department - Northwell, 301 East Main Street, Bay Shore, NY 11706 | 2018-03-27 |
| 1780198671 | Stefany Gabriela Armijos | Social Worker | 144 Fifth Ave, Bay Shore, NY 11706 | 2017-11-30 |
| 1417476771 | Jazmin Unda Jimenez | Licensed Practical Nurse | 236 Adams Ave, Bay Shore, NY 11706 | 2017-09-18 |
| 1013436989 | People Pushers LLC | Non-emergency Medical Transport (VAN) | 50 Corbin Ave, Suite D, Bay Shore, NY 11706 | 2017-09-12 |
| 1871011585 | Life Acupuncture & Massage Therapy P.C. | Acupuncturist | 387 East Main Street Suite 104, Bayshore, NY 11706 | 2017-09-01 |
| 1558881458 | Wilda Novembre | Licensed Practical Nurse | 1742 North Thompson Drive, Bayshore, NY 11706 | 2017-06-21 |
| 1194184085 | Georgette Prawl | Nurse's Aide | 54 1st Avenue, Bayshore, NY 11706 | 2016-02-19 |
| Find all providers in zip 11706 | ||||
| Taxonomy Code | 104100000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. |
| Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437764834 | Brandon Canell | Social Worker | 80 S Clinton Ave Apt 9b, Bay Shore, NY 11706-8640 | 2020-09-11 |
| 1780198671 | Stefany Gabriela Armijos | Social Worker | 144 Fifth Ave, Bay Shore, NY 11706 | 2017-11-30 |
| 1407382682 | Shannon Elderbaum | Social Worker | 1120 Spur Dr S, Bay Shore, NY 11706-4713 | 2017-05-07 |
| 1942653241 | Meghan Mcleod | Social Worker | 1412 Brooklyn Blvd, Bay Shore, NY 11706-4013 | 2016-07-21 |
| 1821442229 | Jayson Novok | Social Worker | 269 W Main St Fl 2, Bay Shore, NY 11706-8319 | 2016-04-21 |
| 1659731800 | Alisa Adrien Brown | Social Worker | 1555 Sunrise Hwy Ste 3e, Bay Shore, NY 11706-6027 | 2016-03-01 |
| 1114325073 | Michelle Rondi | Social Worker | 887 Aberdeen Rd, Bay Shore, NY 11706-7710 | 2014-12-09 |
| 1760785893 | Marcia Mccovey | Social Worker | 1169 Brookdale Ave, Bay Shore, NY 11706-1824 | 2010-12-12 |
| 1114041753 | Krista Hoefling | Social Worker | 9 Fourth Avenue, Bay Shore, NY 11706 | 2007-03-19 |
| 1932172012 | Michael D Smith | Social Worker | 260 Montauk Hwy, Ste-8, Bay Shore, NY 11706 | 2006-02-09 |
| Find all providers in BAY SHORE | ||||
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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.