DR. DESIREE MERRELL (NPI# 1326019878) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326019878 |
| Entity Type | Individual |
| Full Name | DR. DESIREE MERRELL |
| Credential | M.D. |
| Practice Address |
2901 216th St St. Mary's Hospital for Children Bayside NY 11360-2810 |
| Practice Telephone | 7182818569 |
| Practice Fax Number | 7182818590 |
| Mailing Telephone | 7182818569 |
| Mailing Fax Number | 7182818590 |
| Enumeration Date | 2006-01-31 |
| Last Update Date | 2015-04-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080A0000X |
Pediatrics Specialization: Adolescent Medicine |
174782 | NY | Allopathic & Osteopathic Physicians |
| Street Address |
2901 216TH ST ST. MARY'S HOSPITAL FOR CHILDREN |
| City | BAYSIDE |
| State | NY |
| Zip Code | 11360-2810 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891794798 | Paul Michael Berger-gross | Clinical Neuropsychologist | 2901 216th St, Bayside, NY 11360-2810 | 2005-07-21 |
| 1891308409 | Kristina Hartig | Nurse Practitioner | 2901 216th St, Bayside, NY 11360-2810 | 2020-08-25 |
| 1417567991 | Angela Sora Han | Registered Nurse | 2901 216th St, Bayside, NY 11360-2810 | 2020-08-09 |
| 1801411053 | Mary Beth Hollywood | Registered Nurse | 2901 216th St, Bayside, NY 11360-2810 | 2020-06-13 |
| 1174145486 | Savannah Rose Yablonski | Physical Therapist | 2901 216th St, Bayside, NY 11360-2810 | 2020-05-08 |
| 1780229179 | Dilia Rivera | Dietitian, Registered | 2901 216th St, Bayside, NY 11360-2810 | 2019-11-09 |
| 1003374737 | Natasha Hayden | Licensed Practical Nurse | 2901 216th St, Bayside, NY 11360-2810 | 2019-03-12 |
| 1649746595 | Samantha Petrakis | Nursing Care | 2901 216th St, Bayside, NY 11360-2810 | 2018-10-18 |
| 1447745070 | Sheena Coley | Licensed Practical Nurse | 2901 216th St, Bayside, NY 11360-2810 | 2018-06-26 |
| 1184126104 | Zhiling Han | Registered Nurse | 2901 216th St, Bayside, NY 11360-2810 | 2018-03-06 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003446345 | Astride Mompremier | Behavior Technician | 214-10 24thavenue, Suite2, Bayside, NY 11360 | 2020-01-24 |
| 1992208144 | Accredited Dermatologic Surgery, PC | Clinic/Center | 23-83 Bell Blvd, Bayside, NY 11360 | 2018-03-14 |
| 1972041820 | Claudia Gina Block | Specialist | 1815 215 Street, Apt 9r, Bayside, NY 11360 | 2017-02-10 |
| 1720524358 | Ellen Tsang | Occupational Therapist | 215-26 23rd Road, Apt #1, Bay Terrace, NY 11360 | 2017-01-06 |
| 1982051082 | Sonya Sheppard | Registered Nurse | 29-01 216th St, St. Marys Community Care Professionals, Bayside, NY 11360 | 2016-05-18 |
| 1912364373 | Tiffany Ann Avon | Psychologist | 207-28 Jordan Drice, Bayside, NY 11360 | 2016-01-15 |
| 1992178925 | Ira Knobler | Behavioral Analyst | 15-50 212th St, Bayside, NY 11360 | 2015-11-13 |
| 1386028595 | Annalisa Macaluso | Nurse Practitioner | 20568 Brian Crescent, Bayside, NY 11360 | 2015-07-17 |
| 1821497728 | Arthur Ernest Schwartz | General Practice | 216-12 31st Road, Bayside, NY 11360 | 2014-08-15 |
| 1124448121 | Anne Chan-ly, Dds, Pllc | Clinic/Center | 208-54 Cross Island Parkway, Bayside, NY 11360 | 2014-04-17 |
| Find all providers in zip 11360 | ||||
| Taxonomy Code | 2080A0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Adolescent Medicine |
| A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083828032 | Marigold C Castillo | Pediatrics | 4205 Francis Lewis Blvd, Bayside, NY 11361-2573 | 2007-05-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902438039 | Joanna Catherine Cross | Pediatrics | 6049 Transit Rd Ste 101, East Amherst, NY 14051-1803 | 2020-02-06 |
| 1720498306 | Ashley M Yazdani | Pediatrics | 3950 East Robinson Road, Suite 205, West Amherst, NY 14228 | 2014-05-05 |
| 1699103879 | Pediatric&adolescent Medical Care Pllc | Pediatrics | 450 76th St, Brooklyn, NY 11209-3204 | 2013-10-24 |
| 1962837377 | Mariam Machabeli | Pediatrics | 765 Grand St, Brooklyn, NY 11211-5797 | 2013-09-05 |
| 1013352392 | Pediatric Associates of Plainview | Pediatrics | 400 S Oyster Bay Rd Ste 207, Hicksville, NY 11801-3500 | 2013-05-01 |
| 1174876650 | Theodore Fink | Pediatrics | 1 Rudolph Dr, Apt. 1s, Carle Place, NY 11514-1095 | 2012-10-20 |
| 1376804096 | Melissa Ellen Dere | Pediatrics | 732 5th Ave, Brooklyn, NY 11232 | 2012-05-30 |
| 1386915544 | Marvin Lieber | Pediatrics | 58 Sycamore Cir, Stony Brook, NY 11790-3147 | 2012-01-19 |
| 1508134578 | Hicksville Pediatrics PC | Pediatrics | 535 S Broadway, Suite 1, Hicksville, NY 11801-5029 | 2011-12-06 |
| 1245523513 | Khalida Itriyeva | Pediatrics | 410 Lakeville Rd Ste 108, New Hyde Park, NY 11042 | 2011-05-19 |
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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.