ELIZABETH CATHERINE MEDINA (NPI# 1386289007) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386289007 |
| Entity Type | Individual |
| Full Name | ELIZABETH CATHERINE MEDINA |
| Other Name | ELIZABETH CATHERINE SALANDY |
| Credential | FNP-BC |
| Practice Address |
5141 Broadway New York NY 10034-1159 |
| Mailing Address |
1335 E 12th St Apt 4c Brooklyn NY 11230-5834 |
| Practice Telephone | 2129324245 |
| Mailing Telephone | 6469251632 |
| Enumeration Date | 2019-11-18 |
| Last Update Date | 2020-11-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 679425 | NY | Nursing Service Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
F346807-01 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 423 E 23rd St, New York, NY 100105011 | 2126867500 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255979365 | Elizabeth Anne Medina | Registered Nurse | 4320 Heavenly Ln, Prosper, TX 75078-9690 | 2019-12-19 |
| 1629549076 | Elizabeth Mary Medina | Nurse Practitioner | 1501 Trousdale Dr, Burlingame, CA 94010-4506 | 2018-12-11 |
| 1841739851 | Elizabeth Medina | Nurse Practitioner | 1000 W Carson St, Torrance, CA 90502-2004 | 2017-02-23 |
| 1285180844 | Elizabeth Medina | Specialist | 2001 The Alameda, San Jose, CA 95126-1136 | 2016-09-01 |
| 1679027056 | Elizabeth Medina | Occupational Therapy Assistant | 3027 S New Haven Ave, Tulsa, OK 74114-6131 | 2016-08-15 |
| 1710362595 | Elizabeth Medina | Case Manager/Care Coordinator | 3939 Atlantic Ave, Suite 103, Long Beach, CA 90807 | 2015-07-22 |
| 1225421936 | Elizabeth May Medina | Occupational Therapist | 111 24th Ave Nw, Norman, OK 73069-6388 | 2015-03-05 |
| 1912396664 | Elizabeth Medina | Occupational Therapy Assistant | 1835 W La Veta Ave, Orange, CA 92868-4132 | 2015-01-19 |
| 1326316852 | Elizabeth Medina | Rehabilitation Practitioner | 9650 Zelzah Ave, Northridge, CA 91325-2003 | 2011-12-12 |
| 1538466529 | Elizabeth Minges Medina | Nurse Practitioner | 261 Old York Rd, Suite 214, Jenkintown, PA 19046-3706 | 2011-02-28 |
| Street Address |
5141 BROADWAY |
| City | NEW YORK |
| State | NY |
| Zip Code | 10034-1159 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780677427 | Donald Matthew Kim | Internal Medicine | 5141 Broadway, Rm 2-095, New York, NY 10034-1159 | 2005-08-29 |
| 1063011534 | Rabiah Arooj Toppa | Physician Assistant | 5141 Broadway, New York, NY 10034-1159 | 2020-10-25 |
| 1952900599 | Renee Elizabeth Alexander | Physician Assistant | 5141 Broadway, New York, NY 10034-1159 | 2020-10-24 |
| 1548870967 | Julie Abraham | Occupational Therapist | 5141 Broadway, New York, NY 10034-1159 | 2020-08-01 |
| 1215551312 | Alana Ruth Ribowsky | Registered Nurse | 5141 Broadway, New York, NY 10034-1159 | 2020-06-04 |
| 1508492588 | Joshua Silberbush | Registered Nurse | 5141 Broadway, New York, NY 10034-1159 | 2020-03-21 |
| 1760015275 | Susan Marie Konish | Nurse Practitioner | 5141 Broadway, New York, NY 10034-1159 | 2020-02-13 |
| 1508497884 | Darya Korshukova | Physician Assistant | 5141 Broadway, New York, NY 10034-1159 | 2020-01-27 |
| 1447896196 | Diana Kim | Pharmacist | 5141 Broadway, New York, NY 10034-1159 | 2019-11-18 |
| 1376192229 | Hunter Coppes | Physician Assistant | 5141 Broadway, New York, NY 10034-1159 | 2019-09-04 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649812512 | Vilma Lantigua | Physician Assistant | 90 Vermilyea Ave #139, New York, NY 10034 | 2019-10-11 |
| 1477037125 | Alexa Paige Ruffino | Physician Assistant | 5105 Broadway, New York, NY 10034 | 2018-09-19 |
| 1821514456 | Chinara M Tate | Dietitian, Registered | 520 W 218th Street, Apt 3a, New York, NY 10034 | 2017-08-15 |
| 1770006165 | Brittany Palmer | Speech-Language Pathologist | 10 Park Ter E Apt 4l, New York, NY 10034 | 2017-07-18 |
| 1457891947 | Easy Choice Agency | Home Health | 3863 10th Avenue, Ny, NY 10034 | 2017-03-02 |
| 1598114738 | Kent Haina Jr. | Nurse Anesthetist, Certified Registered | 133 Seaman Ave Apt 5a, New York, NY 10034 | 2016-06-08 |
| 1902274756 | Rosa Ma Caram | Early Intervention Provider Agency | 601 Kappock St., Apt. 4e, Bronx, NY 10034 | 2015-09-10 |
| 1104232040 | Michael Kwakye | General Practice | 5030 Broadway Ste 816, New York, NY 10034 | 2014-07-10 |
| 1619389624 | Jay Steven Reidler | Orthopaedic Surgery | Columbia Orthopedics, 5141 Broadway, 3 Field West, New York, NY 10034 | 2014-05-25 |
| 1467718247 | Sherman Medical Care, PC | Internal Medicine | 231 Sherman Ave, 1f, New York, NY 10034 | 2012-04-06 |
| Find all providers in zip 10034 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134726540 | Alison Anne Avallone | Nurse Practitioner | 425 E 80th St Apt 6d, New York, NY 10075-0613 | 2020-10-08 |
| 1194331199 | Katie Ann Felter | Nurse Practitioner | 144 E 36th St Apt 8b, New York, NY 10016-3517 | 2020-09-16 |
| 1407462492 | Alexandra Moench | Nurse Practitioner | 225 W 23rd St Apt 5s, New York, NY 10011-2300 | 2020-09-16 |
| 1770193237 | Lenka Varekova | Nurse Practitioner | 242 E 5th St Apt 3, New York, NY 10003-8501 | 2020-08-08 |
| 1184234817 | Hyun Gyeong Im | Nurse Practitioner | 435 W 46th St Apt 2re, New York, NY 10036-9085 | 2020-08-06 |
| 1942822507 | Busime Mimy Mudekereza | Nurse Practitioner | 1885 Adam Clayton Powell Jr Blvd Apt 2c, New York, NY 10026-2892 | 2020-05-17 |
| 1366061376 | Christine Go Np In Family Health PC | Nurse Practitioner | 315 Madison Ave Ste 1200, New York, NY 10017-5441 | 2020-04-09 |
| 1427687151 | Ken Chuan Michael Chan | Nurse Practitioner | 110 Madison Ave Apt 10, New York, NY 10016-7486 | 2020-04-04 |
| 1528695004 | Marylee Ann Marre | Nurse Practitioner | 226 E 25th St Apt 3d, New York, NY 10010 | 2020-03-25 |
| 1013541275 | Albina Guzman | Nurse Practitioner | 226 5th Ave Fl 6, New York, NY 10001-7706 | 2020-02-26 |
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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.