MS. BRIGID ALICE TRACEY (NPI# 1205049699) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205049699 |
| Entity Type | Individual |
| Full Name | MS. BRIGID ALICE TRACEY |
| Credential | G.N.P. |
| Practice Address |
3525 Baychester Ave Bronx NY 10466-5001 |
| Practice Telephone | 7187988900 |
| Enumeration Date | 2007-05-08 |
| Last Update Date | 2019-06-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163WG0600X |
Registered Nurse Specialization: Gerontology |
3450439 | NY | Nursing Service Providers |
| Y | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
F340439 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 69 S Broadway, Yonkers, Yonkers, NY 107014004 | 9143765555 | 9149641477 |
| 2015 Grand Concourse, Bronx, NY 10453 | 7182997295 |
| Street Address |
3525 BAYCHESTER AVE |
| City | BRONX |
| State | NY |
| Zip Code | 10466-5001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255307344 | Elizabeth Concepcion | Internal Medicine | 3525 Baychester Ave, Bronx, NY 10466-5001 | 2006-02-27 |
| 1770116667 | Chava D Kurant | Nurse Practitioner | 3525 Baychester Ave, Split Rock Rehab & Nursing, Bronx, NY 10466 | 2020-02-19 |
| 1487109187 | Juanyi Wu | Registered Nurse | 3525 Baychester Ave, Bronx, NY 10466-5001 | 2016-08-23 |
| 1194152546 | Split Rock Rehabilitation and Health Care Center, LLC | Clinic/Center | 3525 Baychester Ave, Bronx, NY 10466-5001 | 2013-10-01 |
| 1841546454 | Marie Joyce Uy | Physical Therapist | 3525 Baychester Ave, Bronx, NY 10466-5001 | 2012-08-01 |
| 1275733297 | Split Rock Adult Day Health Care | Clinic/Center | 3525 Baychester Ave, Bronx, NY 10466-5001 | 2007-07-18 |
| 1114141140 | Split Rock Rehabilitation & Health Care Center, LLC | Home Health | 3525 Baychester Ave, Bronx, NY 10466-5001 | 2007-04-12 |
| 1952464950 | Split Rock Rehabilitation & Health Care Center, LLC | Skilled Nursing Facility | 3525 Baychester Ave, Bronx, NY 10466-5001 | 2006-12-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063039964 | Gisha Cherappuram | Nurse Practitioner | 4334 White Plains Rd, The Bronx, NY 10466 | 2020-06-26 |
| 1518582980 | Robbie Veriker | Student in an Organized Health Care Education/Training Program | 600 E 233rd St., The Bronx, NY 10466 | 2020-06-11 |
| 1568002756 | Edenwald Pharmacy Inc. | Pharmacy | 4137 Laconia Ave, Bronx, NY 10466 | 2020-01-15 |
| 1407499361 | Shanell Smith | Licensed Practical Nurse | 772 E 223rd St, Bronx, NY 10466 | 2019-10-23 |
| 1386115087 | Grmawit Wolde | Licensed Practical Nurse | 512 W 134 #23, Bronx, NM 10466 | 2018-12-07 |
| 1346710431 | Nereid Rx Corp | Pharmacy | 4396 White Plains Rd, Bronx, NY 10466 | 2018-11-30 |
| 1285102137 | Purple Dove Community Care Agency | Home Health | 728 East 233 Street, Bronx, NY 10466 | 2018-11-08 |
| 1174098305 | Jamila Berma | Assistant Behavior Analyst | 4222 Monticello.ave, Bronx, NY 10466 | 2018-10-03 |
| 1659869477 | Bunche Consulting LLC | Specialist | 2015 Pitmanavenue, Bronx, NY 10466 | 2018-04-26 |
| 1275050122 | Dahlia T Williams | Home Health Aide | 1060 East 229 St., Bronx, NY 10466 | 2017-08-22 |
| Find all providers in zip 10466 | ||||
| Taxonomy Code | 363LG0600X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Gerontology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447598180 | Timothy Stephen Emanuel | Nurse Practitioner | 1722 Purdy St, Apt. 4b, Bronx, NY 10462-6368 | 2013-01-30 |
| 1831626423 | Sujin Baek | Nurse Practitioner | 2015 Grand Concourse, Bronx, NY 10453-4303 | 2017-05-15 |
| 1770818692 | Janel Yung | Nurse Practitioner | 1211 White Plains Rd, Bronx, NY 10472-4900 | 2009-10-09 |
| 1982738233 | Pangeta Rebecca Mcgrowther Ferguson | Nurse Practitioner | 1000 Pelham Pkwy S, Bronx, NY 10461-1003 | 2007-03-16 |
| 1700945490 | Linda Elena Dallam | Nurse Practitioner | 111 E 210th St, Deod, Bronx, NY 10467-2401 | 2006-12-08 |
| 1952479917 | Julya Rempel | Nurse Practitioner | 3518 Bainbridge Ave, Bainbridge Nursing Home, Bronx, NY 10467-1402 | 2006-11-30 |
| 1043396351 | Lydia Keogh | Nurse Practitioner | 130 W Kingsbridge Rd, Bronx, NY 10468-3904 | 2006-10-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063013415 | Carl Mark Cacciotti | Nurse Practitioner | 81 Sweetmilk Creek Rd, Troy, NY 12180-9100 | 2020-11-03 |
| 1356942957 | Violeta Izrailov | Nurse Practitioner | 7529 187th St, Fresh Meadows, NY 11366-1725 | 2020-11-02 |
| 1063028041 | Alanna Baldassarre | Nurse Practitioner | 1 Daywood Ct, East Northport, NY 11731-3446 | 2020-09-16 |
| 1316553399 | Jacqueline Abbatiello | Nurse Practitioner | 66 Wickey Ave, Westbury, NY 11590-2005 | 2020-09-16 |
| 1235760612 | Sumra Abbasi | Nurse Practitioner | 6 S Georgia St, Valley Stream, NY 11580-2309 | 2020-02-04 |
| 1104465392 | Cindy Ha | Nurse Practitioner | 29-22 Northern Blvd, Apt 1805, Long Island City, NY 11101 | 2020-01-06 |
| 1508412503 | Julie Marie Giles | Nurse Practitioner | 1415 Portland Ave Ste 200, Rochester, NY 14621-3022 | 2019-08-15 |
| 1952874604 | Alice M Carrington | Nurse Practitioner | 61 Syracuse St, Baldwinsville, NY 13027-2929 | 2019-01-05 |
| 1629597224 | Guerdy M Michel-loiseau | Nurse Practitioner | 90-01 Broadway, Elmhurst, NY 11373 | 2017-09-14 |
| 1396297354 | Ann-marie Campbell | Nurse Practitioner | 1292 E 93rd St, Brooklyn, NY 11236-4321 | 2016-10-25 |
| Find all providers with the same taxonomy | ||||
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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.