CAMERON CALLIRGOS (NPI# 1265783955) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265783955 |
| Entity Type | Individual |
| Full Name | CAMERON CALLIRGOS |
| Practice Address |
508 W Broadway Port Jefferson NY 11777-1332 |
| Practice Telephone | 6318286316 |
| Mailing Telephone | 6318286316 |
| Enumeration Date | 2012-09-21 |
| Last Update Date | 2012-09-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | 099588 | NY | Nursing Service Providers |
| Street Address |
508 W BROADWAY |
| City | PORT JEFFERSON |
| State | NY |
| Zip Code | 11777-1332 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568088615 | Aqsa Ashraf | Student in an Organized Health Care Education/Training Program | 75 N Country Road Mather Hospital Internal Medicine Res, Port Jefferson, NY 11777 | 2020-06-24 |
| 1366068975 | Manal Ahmad | Student in an Organized Health Care Education/Training Program | 75 N County Rd, Level 2 Cmo Suite, Internal Medicine Re, Mather Hospital, Port Jefferson, NY 11777 | 2020-06-19 |
| 1639794555 | Umair Ahmad Ansari | Student in an Organized Health Care Education/Training Program | 75 N Country Road Mother Hospital, Internal Medicine Re, Level 2 - Cmd Suite, Port Jefferson, NY 11777 | 2020-06-16 |
| 1578188132 | Manasi Sule | Student in an Organized Health Care Education/Training Program | 75 N Country Rd, Mather Hospital, Internal Medicine Res, Port Jefferson, NY 11777 | 2020-06-10 |
| 1508480716 | Imona Subedi | Student in an Organized Health Care Education/Training Program | 75 N Country Road, Level 2 - Cmo Suite, Mather Hospital Internal Medicine Residency Program, Port Jefferson, NY 11777 | 2020-06-03 |
| 1184252108 | Romana Imtiaz Syed | Student in an Organized Health Care Education/Training Program | Liza M Dominioni,mather Hospital,internal Medicine, Residency Program,level 2-cmo Suite,75 N Country Rd, Port Jefferson, NY 11777 | 2020-03-27 |
| 1649807348 | Mustafa Mohammed Abdulsada | Student in an Organized Health Care Education/Training Program | 75 N Country Rd, Ny, Level 2 - Cmo Suite, Port Jefferson, NY 11777 | 2020-03-24 |
| 1184264764 | Girma Moges Gamme | Surgery | 625 Belle Terre Rd, Suite 203 Mather Hospital, Port Jefferson, NY 11777 | 2020-01-10 |
| 1811554637 | Kausar Ali | Nurse Practitioner | 408 Thompson Street, Port Jefferson, NY 11777 | 2019-05-28 |
| 1073097531 | Ministry for Hope, Inc. Montfort Therapeutic Residence | Residential Treatment Facility, Physical Disabilities | 100 Stonyhill Road, Port Jefferson, NY 11777 | 2018-09-20 |
| Find all providers in zip 11777 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376157388 | Keith Adam Krupa | Licensed Practical Nurse | 19 Laurita Gate, Port Jefferson, NY 11777-2113 | 2020-09-08 |
| 1790321362 | Katey Lynn Burt | Licensed Practical Nurse | 101 Stonyhill Rd, Port Jefferson, NY 11777-1734 | 2019-11-19 |
| 1881252542 | Jessica Anne Lindberg | Licensed Practical Nurse | 201 Avenue A, Port Jefferson, NY 11777-1877 | 2019-05-29 |
| 1568852150 | Agnes Percoco | Licensed Practical Nurse | 627 Jayne Blvd, Port Jefferson, NY 11776-2947 | 2015-02-03 |
| 1972911584 | Niole Kelly | Licensed Practical Nurse | 3 Ranger Ln, Port Jefferson, NY 11777-2081 | 2014-07-28 |
| 1003068545 | Eileen Margaret Moretti | Licensed Practical Nurse | 7 Comseque Dr, Port Jefferson, NY 11776 | 2008-10-15 |
| 1104073626 | Regina Alvarez | Licensed Practical Nurse | 107 Glenwood Ln, Port Jefferson, NY 11777-1504 | 2008-08-27 |
| 1790244317 | Michael Kenneth Tax | Licensed Practical Nurse | 125 Oakland Ave Ste 204, Port Jefferson, NY 11777-2130 | 2019-03-13 |
| 1962534263 | Patricia Slokovitz | Licensed Practical Nurse | 75 N Country Rd, Port Jefferson, NY 11777-2119 | 2007-03-12 |
| 1588745533 | Lorraine Farrell | Licensed Practical Nurse | 75 N Country Rd, Port Jefferson, NY 11777-2119 | 2006-10-18 |
| Find all providers in PORT JEFFERSON | ||||
| City | PORT JEFFERSON |
| Zip Code | 11777 |
Please comment or provide details below to improve the information on CAMERON CALLIRGOS.
| 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.