MRS. JACQUELINE CONCEPCION (NPI# 1467976506) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1467976506 |
Entity Type | Individual |
Full Name | MRS. JACQUELINE CONCEPCION |
Other Name | JACQUELINE IBARRA |
Credential | AGNP-BC |
Practice Address |
410 Lakeville Rd Ste 107 New Hyde Park NY 11042-1102 |
Mailing Address |
62 Twig Ln Levittown NY 11756-1810 |
Practice Telephone | 5164655400 |
Enumeration Date | 2017-07-31 |
Last Update Date | 2017-07-31 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
F308226-1 | NY | Physician Assistants & Advanced Practice Nursing Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144682535 | Jacqueline Concepcion | Social Worker | 42 Craig St, Hazlet, NJ 07730-1625 | 2016-03-24 |
Street Address |
410 LAKEVILLE RD STE 107 |
City | NEW HYDE PARK |
State | NY |
Zip Code | 11042-1102 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1730389172 | Kennedy Onome Omonuwa | Internal Medicine | 410 Lakeville Rd Ste 107, New Hyde Park, NY 11042-1102 | 2007-07-24 |
1508475468 | Jessica Trentacoste | Nurse Practitioner | 410 Lakeville Rd Ste 107, New Hyde Park, NY 11042-1102 | 2020-07-27 |
1518501485 | Shannon Brown | Specialist/Technologist | 410 Lakeville Rd Ste 107, New Hyde Park, NY 11042-1102 | 2019-11-04 |
1114413770 | Sean Mahoney | Nurse Practitioner | 410 Lakeville Rd Ste 107, New Hyde Park, NY 11042-1102 | 2018-07-07 |
1447771514 | Tessy Thomas | Nurse Practitioner | 410 Lakeville Rd Ste 107, New Hyde Park, NY 11042-1102 | 2017-06-29 |
1154749067 | Juliana Derfel | Internal Medicine | 410 Lakeville Rd Ste 107, New Hyde Park, NY 11042-1102 | 2014-03-29 |
1487094082 | Abhinav Agrawal | Internal Medicine | 410 Lakeville Rd Ste 107, New Hyde Park, NY 11042-1102 | 2013-06-27 |
1811263098 | Ayelet B Hilewitz | Internal Medicine | 410 Lakeville Rd Ste 107, New Hyde Park, NY 11042-1102 | 2012-04-01 |
1952625477 | Stella Saerom Hahn | Internal Medicine | 410 Lakeville Rd Ste 107, New Hyde Park, NY 11042-1102 | 2010-03-26 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649871260 | Advanced Cardiovascular Diagnostics, Pllc | Internal Medicine | 410 Lakeville Road Suite 209, New Hyde Park, NY 11042 | 2020-11-02 |
1568093771 | Global Slp Ot Pt & Psychological Services, Pllc | Physical Therapist | 1979 Marcus Avenue - Suite 204, Attn: Jon Polish, Lake Success, NY 11042 | 2020-01-28 |
1730745761 | Miriam Korbman | Psychologist | 2001 Marcus Ave Suite E128, Lake Success, NY 11042 | 2019-05-15 |
1306402409 | Swachi Jain | Student in an Organized Health Care Education/Training Program | Northwell Health Pathology, 6 - Ohio Drive, Suite 202, Lake Success, NY 11042 | 2019-05-14 |
1215407432 | Samara Carly Badash | Physical Therapist | Brookville Center for Children's Services, 1983 Marcus Avenue, Suite E100, New Hyde Park, NY 11042 | 2018-11-30 |
1720578578 | Nidhi Kataria | Student in an Organized Health Care Education/Training Program | Department of Pathology and Laboratory Medicine, Northw, 6 Ohio Drive, Suite 202, Lake Success, NY 11042 | 2018-05-17 |
1558870162 | Rosemary Elizabeth Fine | Nurse Practitioner | 1999 Marcus Ave Ste 306, New Hyde Park, NY 11042 | 2017-09-26 |
1255861159 | Nicole Renee Cohen | Speech-Language Pathologist | 1893 Marcus Ave, C118, New Hyde Park, NY 11042 | 2017-06-14 |
1366807943 | Molly Rubinoff | Nurse Practitioner | 1215 One Hollow Lane, #301, New Hyde Park, NY 11042 | 2015-12-23 |
1255701959 | Prohealth Dental Pllc | Dentist | 1 Pro Health Plz, Suite 115, New Hyde Park, NY 11042 | 2015-10-07 |
Find all providers in zip 11042 |
Taxonomy Code | 363LP2300X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Primary Care |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053964650 | Paz Menjivar | Nurse Practitioner | 1991 Lakeville Rd, New Hyde Park, NY 11040-1972 | 2019-07-23 |
1699256958 | Ella Margaret Radcliffe | Nurse Practitioner | 27005 76th Ave Rm 327, New Hyde Park, NY 11040-1496 | 2018-08-24 |
1851788970 | Min Young Kim | Nurse Practitioner | 34 Patton Blvd, New Hyde Park, NY 11040-1731 | 2015-04-16 |
1063712446 | Lucia Dispigno | Nurse Practitioner | 26901 76th Ave, New Hyde Park, NY 11040-1433 | 2010-11-01 |
1528292000 | Roslyn Coreen Hazell | Nurse Practitioner | 450 Lakeville Rd, Pre-surgical Testing, New Hyde Park, NY 11042-1117 | 2009-05-12 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528667169 | Noemi Villanueva Sta Ana | Nurse Practitioner | 1738 Newbridge Rd Unit 1, North Bellmore, NY 11710-1657 | 2020-10-24 |
1881292050 | Andrew Hirschhorn | Nurse Practitioner | 1435 Weaver St, Scarsdale, NY 10583-7018 | 2020-10-11 |
1154932036 | Brian Lorenzen | Nurse Practitioner | 25 Barker St Apt 513, Mount Kisco, NY 10549-1635 | 2020-08-13 |
1457961062 | Rosaleen Christine Galvin | Nurse Practitioner | 415 East 80th St, Apt. 1n, New York, NY 10075 | 2020-08-07 |
1477171684 | Rejane Duarte | Nurse Practitioner | 2600 Netherland Ave Ste 104, Bronx, NY 10463-4813 | 2020-07-14 |
1962029009 | Sharon Wu | Nurse Practitioner | 2426 W 3rd St, Brooklyn, NY 11223-5930 | 2020-07-05 |
1598381535 | Xue Qin Gao | Nurse Practitioner | 71-44 160th St. Unit 1, Flushing, NY 11365-3088 | 2020-06-24 |
1619590486 | Jan Jeremiah | Nurse Practitioner | 3839 Flatlands Ave Ste 100, Brooklyn, NY 11234-3535 | 2020-05-27 |
1205459534 | Shyan Indera Jagdeo | Nurse Practitioner | 645 W Broadway, Long Beach, NY 11561-2956 | 2020-05-21 |
1487276002 | Rosemary Elizabeth Carro | Nurse Practitioner | 21 Adams Farm Rd, Katonah, NY 10536-3166 | 2020-05-18 |
Find all providers with the same taxonomy |
City | NEW HYDE PARK |
Zip Code | 11042 |
Please comment or provide details below to improve the information on MRS. JACQUELINE CONCEPCION.
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.