JENNIN MARY NANGLE


Address: 15 Borman Ct, Lake Ronkonkoma, NY 11779-1982
Phone: 6314842020

JENNIN MARY NANGLE (NPI# 1285017608) 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) 1285017608
Entity Type Individual
Full Name JENNIN MARY NANGLE
Practice Address 15 Borman Ct
Lake Ronkonkoma
NY 11779-1982
Practice Telephone 6314842020
Mailing Telephone 6314842020
Enumeration Date 2015-07-02
Last Update Date 2015-07-30
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 225800000X Recreation Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Office Location

Street Address 15 BORMAN CT
City LAKE RONKONKOMA
State NY
Zip Code 11779-1982

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1750929139 Sebastian Godinez Student in an Organized Health Care Education/Training Program 11 First Street, Ronkonkoma, NY 11779 2019-12-16
1487149860 John Deming Student in an Organized Health Care Education/Training Program 142 - 02 20th Avenue, Flushing, NY 11779 2018-06-27
1376060392 Janine D'annunzio Specialist 316 Thirft Street, Ronkonkoma, NY 11779 2017-08-30
1932621935 Vincent Joseph Lopreto Counselor 253 Lake Shore Road, Ronkonkoma, NY 11779 2017-07-11
1598295271 Dalas Taddeo Licensed Practical Nurse 4490 Express Drive S, Ronkonkoma, NY 11779 2017-06-15
1790214112 Pamela Ferrante Social Worker 131 Avenue D, Ronkonkoma, NY 11779 2017-06-08
1255868915 Bari Home Care LLC Health Maintenance Organization 4417 Express Drive North, Ronkonkoma, NY 11779 2017-05-12
1013441328 Caring Hands Home Care Nursing Facility/Intermediate Care Facility 65 Cheryl Drive, Ronkonkoma, NY 11779 2017-04-13
1831552025 Jacqueline Galdamez Social Worker 979 Johnson Avenue, Ronkonkoma, NY 11779 2016-04-04
1891192530 Alex Mitchell Pollack Massage Therapist 34 Richmond Blvd, #3a, Ronkonkoma, NY 11779 2014-11-24
Find all providers in zip 11779

Taxonomy Information

Taxonomy Code 225800000X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Recreation Therapist

Taxonomy Definition

A recreation therapist uses recreational activities for intervention in some physical, social or emotional behavior to bring about a desired change in that behavior and promote the growth and development of the patient.
Notes: Source: Joel A. DeLisa and Bruce M. Gans, Rehabilitation Medicine: Principles and Practice Second Edition, J.B. Lippincott Company, Philadelphia: 1993, p. 7

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1427540822 Simone M Wong Recreation Therapist 596 Argyle Rd Apt 5, Brooklyn, NY 11230-1647 2018-05-31
1396257705 Michael Krauer Recreation Therapist 920 48th St Rm 1515, Brooklyn, NY 11219-2918 2017-10-26
1962958249 Patricia Cole Recreation Therapist 2049 Albany Post Road, Montrose, NY 10548 2016-08-28
1629422902 Karin Harris Recreation Therapist 73 Fairfield St, Middleville, NY 13406-1822 2016-04-22
1578974184 Anthony Martino Recreation Therapist 26041 73rd Ave, Glen Oaks, NY 11004-1029 2014-05-16
1316213796 Marianne Pastorella Recreation Therapist 26200 Red Tail Ln, Evans Mills, NY 13637-3436 2012-03-29
1942574165 Sanya Williams Recreation Therapist 832 Grand Terrace Ave, North Baldwin, NY 11510-1423 2012-03-06
1558686642 Janice Gully Recreation Therapist 82 Meadowmere Ave, Mastic, NY 11950-4606 2010-03-31
1265626485 G Ruyack Recreation Therapist 2094 Albany Post Road Rt 9a, Montrose, NY 10548-0100 2007-08-30
1568583185 James Gorman, Jr. Recreation Therapist 64 2nd Ave, Albany, NY 12202-1240 2007-04-02
Find all providers with the same taxonomy

Competitor

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City LAKE RONKONKOMA
Zip Code 11779

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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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