MS. SERENA MARGARET ALLEN (NPI# 1326231721) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1326231721 |
Entity Type | Individual |
Full Name | MS. SERENA MARGARET ALLEN |
Credential | C-PNP |
Practice Address |
165 Main St Open Door Family Medical Center Ossining NY 10562-4702 |
Practice Telephone | 9149411263 |
Practice Fax Number | 9149418626 |
Mailing Telephone | 9149411263 |
Mailing Fax Number | 9149418626 |
Enumeration Date | 2007-08-20 |
Last Update Date | 2016-02-09 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
F382534 | NY | Physician Assistants & Advanced Practice Nursing Providers |
N | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
NP 17375 | CA | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NY | 04219072 | 05 |
Street Address |
165 MAIN ST OPEN DOOR FAMILY MEDICAL CENTER |
City | OSSINING |
State | NY |
Zip Code | 10562-4702 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568467868 | Andrew Christopher Swiderski | Pediatrics | 165 Main St, Ossining, NY 10562-4702 | 2005-06-15 |
1861099970 | Paula Thamires Caetano | Dietitian, Registered | 165 Main St, Ossining, NY 10562-4702 | 2020-10-02 |
1215569777 | Open Door Family Medical Center, Inc. | Clinic/Center | 165 Main St, Ossining, NY 10562-4702 | 2020-02-12 |
1801428032 | Alicia Ruth Christian | Pediatrics | 165 Main St, Ossining, NY 10562-4702 | 2020-02-05 |
1467083535 | Lori-beth Villalobos | Health Educator | 165 Main St, Ossining, NY 10562-4702 | 2020-01-28 |
1770113102 | Leanna Rose D'agostino | Community Health Worker | 165 Main St, Ossining, NY 10562-4702 | 2020-01-24 |
1457991861 | Comprehensive Optometry Eyewear, Pllc | Optometrist | 165 Main St, Ossining, NY 10562-4702 | 2020-01-14 |
1205398286 | Tammie C Carey | Nurse Practitioner | 165 Main St, Ossining, NY 10562-4702 | 2019-04-01 |
1871064592 | Kristen Ruth Heavens | Physician Assistant | 165 Main St, Ossining, NY 10562-4702 | 2018-12-06 |
1437651783 | Jennifer O Molina | Social Worker | 165 Main St, Ossining, NY 10562-4702 | 2018-03-02 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013370600 | Zachary Vonderach | Optometrist | 217 N Highland Ave Apt 1308, Ossining, NY 10562 | 2016-03-31 |
1265824494 | Inese B. Cederbaums | Pharmacist | 105 Croton Av, Ossining, NY 10562 | 2015-02-25 |
1578902151 | Kevork Basmaci | Psychiatry & Neurology | 21 Grandview Ave, Ossining, NY 10562 | 2013-06-18 |
1831453893 | Laura Pizzuto Lividini | Specialist | 807 Syska Road, Ossining, NY 10562 | 2012-06-25 |
1700149622 | Madeline Alicea | Licensed Practical Nurse | 29 South Highland Ave, Ossining High School, Ossining, NY 10562 | 2012-06-18 |
1720363930 | Annette Marie Washington | Licensed Practical Nurse | 6 Washington Avenue, Ossining, NY 10562 | 2011-10-19 |
1063708758 | Susan Fay Kelly | Social Worker | 100 So. Highland, Ossining, NY 10562 | 2011-06-22 |
1679883193 | Msaf Group LLC | Skilled Nursing Facility | 15 Spring Valley Road, Pharmacy, Ossining, NY 10562 | 2010-10-18 |
1770801045 | Ryford Estores | Licensed Practical Nurse | 9 Sparta View, Ossining, NY 10562 | 2010-05-12 |
1528386745 | Kimberly Alichia Mair | Licensed Practical Nurse | 35 Snowden Ave Apt 6r, Ossining, NY 10562 | 2010-05-12 |
Find all providers in zip 10562 |
Taxonomy Code | 363LP0200X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Pediatrics |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649617119 | Jie Sue Choi | Nurse Practitioner | 15 Spring Valley Rd, Ossining, NY 10562-2001 | 2013-05-24 |
1578645867 | Elizabeth Zalduondo | Nurse Practitioner | 15 Spring Valley Rd, Ossining, NY 10562-2001 | 2006-10-19 |
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1952909012 | Marina Byshovets | Nurse Practitioner | 164 Admiralty Loop, Staten Island, NY 10309-3964 | 2020-10-12 |
1700483799 | Dmitry Pediatrics, Pediatric Nurse Practitioner PC | Nurse Practitioner | 10 Shore Blvd Apt 1g, Brooklyn, NY 11235-4022 | 2020-10-03 |
1427664572 | Leigh Ann Cohen | Nurse Practitioner | 2 Lincoln Ave Ste 301, Rockville Centre, NY 11570-5775 | 2020-09-23 |
1295341436 | Tatiana Margaret Masone | Nurse Practitioner | 3142 Victory Blvd, Staten Island, NY 10314-6717 | 2020-09-22 |
1992311567 | Jyneva W Pickel | Nurse Practitioner | 3959 Broadway Rm 722, New York, NY 10032-1559 | 2020-09-19 |
1902410186 | Katie Elise Boyd | Nurse Practitioner | 725 Irving Ave Ste 504, Syracuse, NY 13210-1683 | 2020-09-03 |
1437763877 | Tiffany Yu | Nurse Practitioner | 1746 W 12th St, Brooklyn, NY 11223-1101 | 2020-09-02 |
1134733710 | Khristan Heagle Haller | Nurse Practitioner | 20 Locust Ln, Bronxville, NY 10708-4933 | 2020-09-01 |
1831703412 | Marijana Waite | Nurse Practitioner | 6544 Saunders St Apt A7, Rego Park, NY 11374-4209 | 2020-09-01 |
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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.