EVA DZIERGOWSKA (NPI# 1194337253) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194337253 |
| Entity Type | Individual |
| Full Name | EVA DZIERGOWSKA |
| Credential | PMHNP |
| Practice Address |
363 Route 111 Smithtown NY 11787-4756 |
| Mailing Address |
8 Franklin Ave Selden NY 11784-1910 |
| Practice Telephone | 6312094255 |
| Mailing Telephone | 6318361978 |
| Enumeration Date | 2020-08-20 |
| Last Update Date | 2020-08-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
403157 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
363 ROUTE 111 |
| City | SMITHTOWN |
| State | NY |
| Zip Code | 11787-4756 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740242585 | Valerie Jessen | Social Worker | 363 Route 111, Suite 103, Smithtown, NY 11787-4756 | 2006-04-05 |
| 1851815716 | Timothy Patrick Aiello | Nurse Practitioner | 363 Route 111, Smithtown, NY 11787-4756 | 2017-08-01 |
| 1396295853 | Katie Anne Goehle | Social Worker | 363 Route 111, Suite 103, Smithtown, NY 11787-4756 | 2016-10-09 |
| 1700331873 | Pamela Trifaro, Lcsw, Pllc | Social Worker | 363 Route 111, Suite 103, Smithtown, NY 11787-4756 | 2016-08-18 |
| 1336517242 | Long Island Medical Office, Pllc | Physical Medicine & Rehabilitation | 363 Route 111, Suite 107b, Smithtown, NY 11787-4756 | 2015-09-09 |
| 1932516911 | Gateway Counseling Lcsw Pllc | Social Worker | 363 Route 111, Suite 103, Smithtown, NY 11787-4750 | 2014-07-22 |
| 1174896021 | Matthew D Gee, Lcsw, Phd, LLC | Social Worker | 363 Route 111, Suite 103, Smithtown, NY 11787-4756 | 2012-02-22 |
| 1538431275 | Shannon King | Acupuncturist | 363 Route 111, Suite Ll8, Smithtown, NY 11787-4756 | 2012-01-26 |
| 1225325194 | Osteo Relief of Long Island PC | Physical Medicine & Rehabilitation | 363 Route 111, Suite 107, Smithtown, NY 11787-4756 | 2011-06-29 |
| 1699071233 | Smitha S Nair | Physical Therapist | 363 Route 111, Suite 107, Smithtown, NY 11787-4756 | 2011-01-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558962779 | Gwendolyn Burris | Counselor | 20 Gilbert Avenue, Suite 107-a, Smithtown, NY 11787 | 2020-11-04 |
| 1467051193 | Karin M Caro | Adult Companion | 9 Three Pond Road, Smithtown, NY 11787 | 2020-10-23 |
| 1639706641 | Nimit Khara | Student in an Organized Health Care Education/Training Program | 240 Middle Country Rd A, Smithtown, NY 11787 | 2020-03-27 |
| 1003469032 | Maria Teresa Gardella | Nurse Practitioner | St. Catherine of Siena Medical Center, 50 Ny-25a, Smithtown, NY 11787 | 2019-07-18 |
| 1558922070 | Pamella Ann Grillo | Physician Assistant | 373 Ny-111 #5, Smithtown, NY 11787 | 2019-06-25 |
| 1306308127 | Sherry Hansen | Social Worker | 285 Middle Country Rd, Suite Ll5, Smithtown, NY 11787 | 2019-04-01 |
| 1932663747 | Kayla Roundsman | Counselor | 11 Route 11, Smithtown, NY 11787 | 2019-01-25 |
| 1568959856 | Moreen Johnson | Registered Nurse | Christian Nursing Registry, 17 Bank Ave, Smith Town, NY 11787 | 2018-04-23 |
| 1992217871 | Erica Zeller Licensed Clinical Social Work Pllc | Social Worker | 15 Bellemeade Ave Ste 3, Smithtown, NY 11787 | 2017-10-31 |
| 1881117802 | Oisin Vincent Keenan | Case Manager/Care Coordinator | 11 Ny-111, Smithtown, NY 11787 | 2017-07-21 |
| Find all providers in zip 11787 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306249735 | Janine Desimone | Nurse Practitioner | 20 Gilbert Ave Ste 202, Smithtown, NY 11787 | 2014-09-30 |
| 1679871032 | Bernadette Barron | Nurse Practitioner | 1 Cresthill Pl, Smithtown, NY 11787-3703 | 2011-03-09 |
| 1679606784 | Lorraine Ricciardi Golden | Nurse Practitioner | 99 Hollywood Dr., Smithtown, NY 11787 | 2007-03-14 |
| 1366507345 | Barbara Ruth Sprung | Nurse Practitioner | 412 Sunset Ln, Smithtown, NY 11787-4422 | 2006-12-27 |
| 1326052333 | Catherine Zillmann | Nurse Practitioner | 363 Route 111 Ste 103, Smithtown, NY 11787-4750 | 2006-07-27 |
| 1578513107 | Catherine Bridget O'brien | Nurse Practitioner | 637 Veterans Hwy, Smithtown, NY 11787-4309 | 2006-05-12 |
| 1992320725 | Thao Nguyen Nurse Practitioner In Psychiatry PC | Nurse Practitioner | 88 Terry Rd, Smithtown, NY 11787-3811 | 2020-06-08 |
| 1942864640 | Lauren Tita | Nurse Practitioner | 222 E Middle Country Rd Ste 310, Smithtown, NY 11787-2814 | 2019-04-28 |
| 1518452390 | Christina Stern | Nurse Practitioner | 222 E Middle Country Rd Ste 210, Smithtown, NY 11787-2814 | 2018-06-25 |
| 1851815716 | Timothy Patrick Aiello | Nurse Practitioner | 363 Route 111, Smithtown, NY 11787-4756 | 2017-08-01 |
| Find all providers in SMITHTOWN | ||||
Please comment or provide details below to improve the information on EVA DZIERGOWSKA.
| 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.