SHUREL ANGELA MOFFATT (NPI# 1174095533) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174095533 |
| Entity Type | Individual |
| Full Name | SHUREL ANGELA MOFFATT |
| Practice Address |
255 Executive Dr Ste Ll105 Plainview NY 11803-1718 |
| Mailing Address |
255 Executive Dr Plainview NY 11803-1718 |
| Practice Telephone | 5165760962 |
| Practice Fax Number | 5163490961 |
| Enumeration Date | 2018-12-26 |
| Last Update Date | 2018-12-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | Other Service Providers |
| Street Address |
255 EXECUTIVE DR STE LL105 |
| City | PLAINVIEW |
| State | NY |
| Zip Code | 11803-1718 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912429929 | Jessie Riess | Speech-Language Pathologist | 255 Executive Dr Ste Ll105, Plainview, NY 11803-1718 | 2017-07-11 |
| 1780282293 | Chinyere T Ohadoma Sr. | Early Intervention Provider Agency | 255 Executive Dr Ste Ll105, Plainview, NY 11803-1718 | 2020-10-16 |
| 1306454210 | Jasmin Alon Coleman | Specialist | 255 Executive Dr Ste Ll105, Plainview, NY 11803-1718 | 2020-07-16 |
| 1851913883 | Gina Humber | Specialist | 255 Executive Dr Ste Ll105, Plainview, NY 11803-1718 | 2020-05-13 |
| 1053967521 | Mia Ariel Rivarde | Specialist | 255 Executive Dr Ste Ll105, Plainview, NY 11803-1718 | 2019-08-12 |
| 1669030235 | Dawn Zoccoli | Specialist | 255 Executive Dr Ste Ll105, Plainview, NY 11803-1718 | 2019-05-30 |
| 1720641145 | Laura Elizabeth Joella | Specialist | 255 Executive Dr Ste Ll105, Plainview, NY 11803-1718 | 2019-04-22 |
| 1508360025 | Himanshu Markan | Case Manager/Care Coordinator | 255 Executive Dr Ste Ll105, Plainview, NY 11803-1718 | 2018-03-20 |
| 1932600244 | Nicole Ashley Lennon | Specialist | 255 Executive Dr Ste Ll105, Plainview, NY 11803 | 2018-02-22 |
| 1982114971 | Christina Maffei | Occupational Therapist | 255 Executive Dr Ste Ll105, Plainview, NY 11803-1718 | 2017-10-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730797010 | Lynn Marie Viscusi | Chiropractor | 1163 Old Country Road, Plainview, NY 11803 | 2020-07-22 |
| 1649798240 | Audrey Demas | Early Intervention Provider Agency | 255 Executive Drive Suite Ll 105/108, Plainview, NY 11803 | 2017-09-03 |
| 1649798521 | Danielle J Walowitz | Specialist | 19 Pearl Drive, Plainview, NY 11803 | 2017-08-31 |
| 1437676178 | Jaclyn Heather Rosenblum | Speech-Language Pathologist | 2 Edgewood Gate, Plainview, NY 11803 | 2017-08-24 |
| 1548784531 | Giselle Cortez | Registered Nurse | 53 Belmont Avenue, Plainview, NY 11803 | 2017-08-01 |
| 1528500808 | Michelle Tamarez | Nurse Practitioner | 131 E. Ames Ct, Plainview, NEW YORK 11803 | 2016-11-17 |
| 1649656646 | Marjorie Elise Tirsun | Specialist | 10 Crestwood Drive, Plainview, NY 11803 | 2015-08-03 |
| 1295110872 | Elizabeth Scisci | Dentist | 146a Manetto Hill Rd Ste 100, Plainview, NY 11803 | 2015-07-24 |
| 1114332905 | Alberto Roman Cabezas | Internal Medicine | Sanchez, Curridabat, SAN JOSE 11803 | 2014-06-30 |
| 1568883148 | Chiropractic Doc Spine, PC | Chiropractor | 42 Ruby Ln, Plainview, NY 11803 | 2013-12-26 |
| Find all providers in zip 11803 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629682406 | Jennifer J Kudryavaya | Specialist | 8 Audrey Ave, Plainview, NY 11803-3402 | 2020-08-31 |
| 1902433071 | Michael Larkin | Specialist | 163 S Service Rd, Plainview, NY 11803-4105 | 2020-03-26 |
| 1588299382 | Arielle Staci Sloyer | Specialist | 998c Old Country Rd Ste 401, Plainview, NY 11803-4917 | 2020-03-12 |
| 1306300918 | Danielle Maloney | Specialist | 30 Hofstra Dr, Plainview, NY 11803-1840 | 2019-01-28 |
| 1851887368 | Yoonhee Lee | Specialist | 17 Netto Ln, Plainview, NY 11803-3125 | 2018-07-09 |
| 1649798521 | Danielle J Walowitz | Specialist | 19 Pearl Drive, Plainview, NY 11803 | 2017-08-31 |
| 1568984672 | Ruth Frances Brachman | Specialist | 35 Southwick Ct S, Plainview, NY 11803-4040 | 2017-07-10 |
| 1871034967 | Carol Ostrove | Specialist | 128 Central Park Rd, Plainview, NY 11803-2080 | 2017-03-09 |
| 1437600319 | Kate Lieberman | Specialist | 8 Kings Ct, Plainview, NY 11803-6012 | 2016-10-17 |
| 1861846198 | Alissa Fink | Specialist | 24 Mitchell Ave, Plainview, NY 11803-3019 | 2016-04-23 |
| Find all providers in PLAINVIEW | ||||
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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.