MR. JEFFREY A BRAISTED (NPI# 1447573332) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447573332 |
| Entity Type | Individual |
| Full Name | MR. JEFFREY A BRAISTED |
| Credential | A.S.R.T.,R |
| Practice Address |
384 Crystal Run Rd Suite 201 Middletown NY 10941-4013 |
| Practice Telephone | 8456928780 |
| Practice Fax Number | 8456923439 |
| Mailing Telephone | 8456928780 |
| Mailing Fax Number | 8456923439 |
| Enumeration Date | 2010-03-05 |
| Last Update Date | 2010-03-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2471C3401X |
Radiologic Technologist Specialization: Computed Tomography |
465880 | NY | Technologists, Technicians & Other Technical Service Providers |
| Street Address |
384 CRYSTAL RUN RD SUITE 201 |
| City | MIDDLETOWN |
| State | NY |
| Zip Code | 10941-4013 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760456396 | Wayne Mark Weiss | Surgery | 384 Crystal Run Rd, Suite 201, Middletown, NY 10941-4013 | 2006-02-13 |
| 1316268899 | Jeanne Karson | Nurse Practitioner | 384 Crystal Run Rd, Suite 201, Middletown, NY 10941-4013 | 2010-06-18 |
| 1801993175 | Tri State Surgical Associates Pllc | Specialist | 384 Crystal Run Rd, Suite 201, Middletown, NY 10941-4013 | 2006-09-20 |
| 1356459929 | Peter H Kwon | Specialist | 384 Crystal Run Rd, Suite 201, Middletown, NY 10941-4013 | 2006-08-25 |
| 1598700536 | Kristin L. Allison | Psychiatry & Neurology | 384 Crystal Run Rd, Suite 201, Middletown, NY 10941-4013 | 2006-06-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407471428 | Jackeline Montoya | Case Manager/Care Coordinator | 13 Kensington Manor, Middletown, NY 10941 | 2020-06-15 |
| 1124502398 | Kimberly Dominique Mccormick | Licensed Practical Nurse | 29, Macintosh Drive, Middletown, NY 10941 | 2018-09-24 |
| 1750891081 | Heather Skinner | Case Manager/Care Coordinator | 75 Crystal Run Rd Suite 201, Middletown, NY 10941 | 2017-09-29 |
| 1295281012 | Christa Lloyd | Counselor | 15 Fortune Rd, West Middletown, NY 10941 | 2016-08-31 |
| 1023471109 | Lauren Battaglia | Occupational Therapy Assistant | 192 Tower Drive Suite 400, Middletown, NY 10941 | 2016-04-05 |
| 1992188718 | Brynn Sierra | Occupational Therapist | 21 Riverside Drive, Middletown, NY 10941 | 2015-06-30 |
| 1356788574 | Keren Denis Joseph | Custodial Care Facility | 16 Disco Dr, Middletown, NY 10941 | 2013-05-29 |
| 1902169204 | Susan A. Reilly | Specialist | 2277 Gosen Turnpike, Middletown, NY 10941 | 2012-06-21 |
| 1518229392 | Dena Sapp | Case Manager/Care Coordinator | 75 Crystal Run Rd. Suite 201, Middletown, NY 10941 | 2012-06-08 |
| 1770800542 | Orange County Medical Transportation Inc. | Taxi | 80 Wisner Avenue, Middletown, NY 10941 | 2010-05-03 |
| Find all providers in zip 10941 | ||||
| Taxonomy Code | 2471C3401X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Radiologic Technologist |
| Specialization | Computed Tomography |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184160236 | Alla Kruz | Radiologic Technologist | 2925 W 5th St Apt 23b, Brooklyn, NY 11224-3981 | 2017-01-12 |
| 1265803928 | Paul Harry Scaglione | Radiologic Technologist | 125 Lindell Blvd, Long Beach, NY 11561-2945 | 2015-10-07 |
| 1669782421 | Andrew Constant | Radiologic Technologist | 310 Evelyn Court, West Hempstead, NY 11552 | 2010-10-14 |
| 1285124198 | Deirdre Catherine Sullivan | Radiologic Technologist | 525 E 68th St, New York, NY 10065 | 2018-05-16 |
| 1023282803 | Radiology Today,p.c. | Radiologic Technologist | 2965 Ocean Pkwy, Bsmnt Floor, Brooklyn, NY 11235-8014 | 2008-04-14 |
| City | MIDDLETOWN |
| Zip Code | 10941 |
Please comment or provide details below to improve the information on MR. JEFFREY A BRAISTED.
| 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.