LARISSA JEROMINOW (NPI# 1285284992) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285284992 |
| Entity Type | Individual |
| Full Name | LARISSA JEROMINOW |
| Practice Address |
135 Vanderbilt Ave Staten Island NY 10304-2604 |
| Mailing Address |
26 Winfield St Staten Island NY 10305 |
| Practice Telephone | 7184470701 |
| Enumeration Date | 2019-09-14 |
| Last Update Date | 2019-09-14 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | F30911-01 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
135 VANDERBILT AVE |
| City | STATEN ISLAND |
| State | NY |
| Zip Code | 10304-2604 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639247042 | Donna M Cugini | Nurse Practitioner | 135 Vanderbilt Ave, Staten Island, NY 10304-2604 | 2006-12-01 |
| 1760905459 | Dialysis Clinic Inc | Clinic/Center | 135 Vanderbilt Ave, Staten Island, NY 10304-2604 | 2017-07-25 |
| 1548323157 | New Vanderbilt Rehabilitation and Care Center Inc | Skilled Nursing Facility | 135 Vanderbilt Ave, Staten Island, NY 10304-2604 | 2006-12-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215542923 | Margaret Chifong Tam | Nurse Practitioner | 85 Venice Avenue, Staten Island, NY 10304 | 2020-09-10 |
| 1598397788 | Alexandria & Akea's Playhouse, Inc. | Day Training, Developmentally Disabled Services | 1864 Clove Road, Staten Island, NY 10304 | 2020-02-06 |
| 1548746811 | Bryant Edward Pearson | Technician/Technologist | 664 Bay Street, Staten Island, NY 10304 | 2018-07-19 |
| 1366941668 | Safwat Attia Youssef | Orthopaedic Surgery | 25 Sunrise Terrace, Staten Island, New York, NY 10304 | 2018-02-02 |
| 1699294090 | Kate Lynn Chimienti | Specialist/Technologist | 52 Smith Ter Fl1, Staten Island, NY 10304 | 2017-09-17 |
| 1881117315 | Fun Speech Therapy, P.C. | Early Intervention Provider Agency | 367 St Pauls Ave., Staten Island, NY 10304 | 2017-07-17 |
| 1720517097 | Senada Pelinkovic | Speech-Language Pathologist | 29 Remsen St, Staten Island, NY 10304 | 2017-06-08 |
| 1760927255 | Kpannah Moore | Licensed Practical Nurse | 492 Vanderbilt Avenue, Staten Island, NY 10304 | 2016-12-20 |
| 1689116592 | Rena Li | Registered Nurse | 30 Celebration Lane, Staten Island, NY 10304 | 2016-11-09 |
| 1407304835 | Esther Mitnick | Counselor | 285 Vanderbilt Avenue, State Island, NY 10304 | 2016-09-14 |
| Find all providers in zip 10304 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528676855 | Soniya Mathai | Nurse Practitioner | 281 Brielle Ave, Staten Island, NY 10314-6421 | 2020-07-22 |
| 1972076107 | Alla Nusonovna Adler | Nurse Practitioner | 76winchester Ave, Staten Island, NY 10312 | 2019-01-10 |
| 1922579879 | Telanp Online Inc | Nurse Practitioner | 198 Willowbrook Rd, Staten Island, NY 10302-2447 | 2018-12-17 |
| 1861813222 | Gabriella Sari Ciarlante | Nurse Practitioner | 2960 Victory Blvd., Circle Urgent Care, Staten Island, NY 10314 | 2014-01-02 |
| 1366533119 | Evelyn M Goldstein | Nurse Practitioner | 4247 Richmond Ave, Staten Island, NY 10312-6220 | 2006-09-27 |
| 1740263839 | Dana Materia | Nurse Practitioner | 1147 Richmond Rd, Staten Island, NY 10304-2423 | 2005-11-22 |
| 1013905132 | Sandra Blandon | Nurse Practitioner | 235 Port Richmond Ave, Staten Island, NY 10302-1701 | 2005-10-12 |
| 1518955244 | Catherine Ann Hudgens | Nurse Practitioner | 10 Cherokee St, Staten Island, NY 10305-4004 | 2005-10-06 |
| 1407251119 | Christine Masucci | Nurse Practitioner | 1551 Richmond Ave, Staten Island, NY 10314-1520 | 2014-10-24 |
| 1710389390 | Sarah Ahmed | Nurse Practitioner | 1050 Clove Rd, Staten Island, NY 10301-3627 | 2014-09-25 |
| Find all providers in STATEN ISLAND | ||||
| City | STATEN ISLAND |
| Zip Code | 10304 |
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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.