CARLOS COELLO (NPI# 1356819635) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356819635 |
| Entity Type | Individual |
| Full Name | CARLOS COELLO |
| Credential | PA-C |
| Practice Address |
1 Healthy Way Oceanside NY 11572-1551 |
| Practice Telephone | 5166323900 |
| Practice Fax Number | 5163362941 |
| Mailing Telephone | 5166323900 |
| Mailing Fax Number | 5163362941 |
| Enumeration Date | 2018-11-05 |
| Last Update Date | 2019-03-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 022985 | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003838525 | Carlos A. Coello Jr. | Dentist | 1700 S Dixie Hwy, Suite 103, Boca Raton, FL 33432-7452 | 2006-07-24 |
| Street Address |
1 HEALTHY WAY |
| City | OCEANSIDE |
| State | NY |
| Zip Code | 11572-1551 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104824606 | Edward E Mullen | Specialist | 1 Healthy Way, Oceanside, NY 11572-1551 | 2005-07-08 |
| 1831796812 | Diane S Mcdevitt | Nurse Practitioner | 1 Healthy Way, Oceanside, NY 11572-1551 | 2020-10-03 |
| 1053921742 | Mount Sinai School of Medicine | Psychiatry & Neurology | 1 Healthy Way, Oceanside, NY 11572-1551 | 2020-08-06 |
| 1841809886 | Rizvi Surgical Care Pllc | Surgery | 1 Healthy Way, Oceanside, NY 11572-1551 | 2020-07-27 |
| 1760004022 | Vascular Care LLC | Surgery | 1 Healthy Way, Oceanside, NY 11572-1551 | 2020-05-09 |
| 1023639937 | Florence Dasrath | Student in an Organized Health Care Education/Training Program | 1 Healthy Way, Oceanside, NY 11572-1551 | 2020-05-01 |
| 1730709312 | Jordana Schmidt-swartz | Student in an Organized Health Care Education/Training Program | 1 Healthy Way, Oceanside, NY 11572-1551 | 2020-04-23 |
| 1336769207 | Nia Jagroop | Student in an Organized Health Care Education/Training Program | 1 Healthy Way, Oceanside, NY 11572-1551 | 2020-04-21 |
| 1366062523 | Gladys Isabel Palaguachi | Student in an Organized Health Care Education/Training Program | 1 Healthy Way, Oceanside, NY 11572-1551 | 2020-04-17 |
| 1578182846 | Amit Elazar | Student in an Organized Health Care Education/Training Program | 1 Healthy Way, Oceanside, NY 11572-1551 | 2020-04-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376152868 | True North Dialysis Center LLC | Clinic/Center | 3005 Long Beach Rd, Oceanside, NY 11572 | 2020-07-30 |
| 1508493560 | Mercedes Andreina Cardenas Pena | Student in an Organized Health Care Education/Training Program | 196 South Nassau, Oceanside, NY 11572 | 2020-03-26 |
| 1275170219 | Prohealth Dental Pllc | Dentist | 2870 Long Beach Road, Oceanside, NY 11572 | 2019-12-10 |
| 1982252409 | Fe Jaurigue | Nurse Practitioner | 2391 Washington Ave, Oceanside, NY 11572 | 2019-08-28 |
| 1689160749 | Emil A Tocci, Dc, PC | Chiropractor | 3091 Lawson Blvd, Oceanside, NY 11572 | 2018-07-02 |
| 1336652726 | Jennifer L Rodgers | Nurse Practitioner | 435 Kinsley Ct, Oceanside, NY 11572 | 2017-11-08 |
| 1205387859 | Joanne Hudkins | Nurse Practitioner | 3353 5th St, Oceanside, NY 11572 | 2016-10-19 |
| 1346693595 | Michelle Coletta-guadagno | Case Manager/Care Coordinator | 400 Oceanside Pkwy, Oceanside, NY 11572 | 2016-07-22 |
| 1831543271 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 3705 Hampton Rd, Oceanside, NY 11572 | 2016-04-22 |
| 1598170474 | Amy Daleo | Licensed Practical Nurse | 299 Waukena Ave, Oceanside, NY 11572 | 2014-06-30 |
| Find all providers in zip 11572 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902448475 | Long Tran | Physician Assistant | 4926 Bella Collina St, Oceanside, CA 92056-1911 | 2019-10-16 |
| 1134761679 | Amanda Lee Vecchio | Physician Assistant | 4171 Oceanside Blvd Ste 109, Oceanside, CA 92056-6008 | 2019-10-16 |
| 1245796366 | Christian Thompson | Physician Assistant | 1st Med Bn, Camp Pendleton, Oceanside, CA 92058 | 2019-02-13 |
| 1801368881 | Yitzchok Tzvi Rosenbaum | Physician Assistant | 3397 Park Ave, Oceanside, NY 11572-4357 | 2019-01-01 |
| 1760971626 | Frank J Saviano | Physician Assistant | 3571 Long Beach Rd, Oceanside, NY 11572-5702 | 2018-05-07 |
| 1790021186 | Lindsey Armatis-rivera | Physician Assistant | 616 S Coast Hwy, Oceanside, CA 92054-4121 | 2012-12-12 |
| 1861725202 | Matthew J Spencer | Physician Assistant | 3231 Waring Court Ste. O, Oceanside, CA 92056 | 2009-09-17 |
| 1538492319 | Carolyn Michele Thomas | Physician Assistant | 3998 Vista Way Ste 102, Oceanside, CA 92056-4515 | 2009-09-11 |
| 1770761702 | Renee J. Reinertsen | Physician Assistant | 2710 Long Beach Rd, Oceanside, NY 11572-2255 | 2008-02-01 |
| 1063448074 | Danielle Mantini-reinoso | Physician Assistant | 3142 Vista Way Suite 207, Oceanside, CA 92056-3619 | 2006-06-23 |
| Find all providers in OCEANSIDE | ||||
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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.