MARIAMMA C OOMMEN (NPI# 1376042333) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376042333 |
| Entity Type | Individual |
| Full Name | MARIAMMA C OOMMEN |
| Practice Address |
79 25 Winchester Blvd Queens Village NY 11427 |
| Mailing Address |
7925 Winchester Blvd Queens Village NY 11427-2128 |
| Practice Telephone | 7182644420 |
| Mailing Telephone | 7182644420 |
| Enumeration Date | 2018-02-06 |
| Last Update Date | 2018-02-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WP0809X |
Registered Nurse Specialization: Psych/Mental Health, Adult |
429210 | NY | Nursing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 50150 | 05 |
| Street Address |
79 25 WINCHESTER BLVD |
| City | QUEENS VILLAGE |
| State | NY |
| Zip Code | 11427 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255970984 | Hcode LLC | Case Manager/Care Coordinator | 212-29 Hillside Avenue, 6ew, Queens Village, NY 11427 | 2019-12-28 |
| 1659929735 | Adult Choice Np In Adult Heath Pllc | Clinic/Center | 21440 Hillside Ave, Queens, NY 11427 | 2019-08-31 |
| 1063079614 | Caitlin Knapp | Social Worker | Queens Village Jamaica Wellness and Recovery Center, 80-45 Winchester Boulevard (building 73), Queens Village, NY 11427 | 2019-05-20 |
| 1336648120 | Veronica Belinda Simpson V | Licensed Practical Nurse | 79-25 Wichester Blvd, Queens Village, NY 11427 | 2018-02-07 |
| 1427557404 | Frank Oriakhi | Licensed Practical Nurse | 79-25 Winchester Blv, Queens Village, NY 11427 | 2018-02-06 |
| 1861991838 | Claudette Erica Layne | Registered Nurse | 80-45 Winchester Blvd, Queens Village, NY 11427 | 2018-02-06 |
| 1194224253 | Annamma James I | Registered Nurse | 7925 Winchestetr Blvd, Winchester Bld, Queens, NY 11427 | 2018-02-05 |
| 1740798396 | Michael Mccain | Respite Care | 80-09 Winchester Blvd, Queens Village, NY 11427 | 2018-01-17 |
| 1831600121 | Marcia Maureen Higgins | Registered Nurse | 209-04 Hillside Avenue, Queens Village, NY 11427 | 2017-10-13 |
| 1962947846 | Family Residences and Essential Enterprise, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 80-45 Winchester Blvd Building #11, Family Residences and Essential Enterprises, Inc., Queens Village, NY 11427 | 2016-12-30 |
| Find all providers in zip 11427 | ||||
| Taxonomy Code | 163WP0809X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Psych/Mental Health, Adult |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861991838 | Claudette Erica Layne | Registered Nurse | 80-45 Winchester Blvd, Queens Village, NY 11427 | 2018-02-06 |
| 1558419010 | Anne Marie Ruocco Menendez | Registered Nurse | 22005 Hartland Ave, Queens Village, NY 11427-1227 | 2007-01-08 |
| 1336610286 | Russell Miravite | Registered Nurse | 7925 Winchester Blvd, Queens Village, NY 11427-2128 | 2018-12-17 |
| 1568933901 | Dollette Patricia Ifill | Registered Nurse | 7925 Winchester Blvd, Queens Village, NY 11427-2128 | 2018-12-11 |
| 1184195604 | Anu Mathew | Registered Nurse | 7925 Winchester Blvd, Queens Village, NY 11427-2128 | 2018-12-10 |
| 1720559370 | Ma Virginia Villadiego-punto | Registered Nurse | 7925 Winchester Blvd, Queens Village, NY 11427-2128 | 2018-12-07 |
| 1760953566 | Asha Varghese | Registered Nurse | 7925 Winchester Blvd, Queens Village, NY 11427-2128 | 2018-12-06 |
| 1982175733 | Annie Mathew David | Registered Nurse | 7925 Winchester Blvd, Queens Village, NY 11427-2128 | 2018-12-05 |
| 1033689849 | Priscilla Giselle Arroyave | Registered Nurse | 7925 Winchester Blvd, Queens Village, NY 11427-2128 | 2018-12-05 |
| 1548730443 | Elzbieta Rudnicka | Registered Nurse | 7925 Winchester Blvd, Queens Village, NY 11427-2128 | 2018-12-04 |
| Find all providers in QUEENS VILLAGE | ||||
| City | QUEENS VILLAGE |
| Zip Code | 11427 |
Please comment or provide details below to improve the information on MARIAMMA C OOMMEN.
| 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.