MS. THERESA PINSON


Address: 65 Broadway Ste 1804, New York, NY 10006-2560
Phone: 2124306677

MS. THERESA PINSON (NPI# 1215943188) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1215943188
Entity Type Individual
Full Name MS. THERESA PINSON
Credential N.P.
Practice Address 65 Broadway Ste 1804
New York
NY 10006-2560
Mailing Address 5 Eagle Chase
Woodbury
NY 11797-2900
Practice Telephone 2124306677
Practice Fax Number 2124306678
Mailing Telephone 2124306677
Mailing Fax Number 2124306678
Enumeration Date 2006-07-31
Last Update Date 2013-02-18
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363L00000X Nurse Practitioner 334906 NY Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
NY 02754956 05

Office Location

Street Address 65 BROADWAY STE 1804
City NEW YORK
State NY
Zip Code 10006-2560

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NPI Name Taxonomy Address Enumeration
1760749634 Ageless Men's Health Clinic/Center 65 Broadway Ste 1804, New York, NY 10006-2560 2012-04-17

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Taxonomy Information

Taxonomy Code 363L00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner

Taxonomy Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549.

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City NEW YORK
Zip Code 10006

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Dataset Information

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.

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