MRS. MARY A PENSERO (NPI# 1477000610) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477000610 |
| Entity Type | Individual |
| Full Name | MRS. MARY A PENSERO |
| Credential | RN |
| Practice Address |
12 Meaney Circle Ext Oswego NY 13126-6180 |
| Mailing Address |
12 Meaney Circle Ext 12 M Oswego NY 13126-6180 |
| Practice Telephone | 3153423410 |
| Mailing Telephone | 3153423410 |
| Enumeration Date | 2016-09-06 |
| Last Update Date | 2016-09-06 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251300000X | Local Education Agency (LEA) | 477587-1 | NY | Agencies |
| Street Address |
12 MEANEY CIRCLE EXT |
| City | OSWEGO |
| State | NY |
| Zip Code | 13126-6180 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992303572 | Elise Fitzsimmons | Specialist/Technologist | 9 Laker Hall, Oswego, NY 13126 | 2020-10-15 |
| 1023651742 | Jessica Lynn Metzger | Physician Assistant | 300 Ny-104 Suite 1, Oswego, NY 13126 | 2019-10-25 |
| 1245887009 | Maureen Adams | Technician | 30 Stone Ridge Drive, Oswego, NY 13126 | 2019-08-26 |
| 1285128314 | Justin Raymond Beebe | Nurse Practitioner | 300 State Route 104 Ste 2, Oswego, NY 13126 | 2018-06-21 |
| 1801311220 | Lynne M Wallace | Registered Nurse | 29 Birch Lane 17b, Oswego, NY 13126 | 2017-08-07 |
| 1497203962 | Lindsay Cheslock | Local Education Agency (LEA) | 529 County Route 25, Oswego, NY 13126 | 2016-09-14 |
| 1942757919 | Aimee Devinny | Registered Nurse | 21 Twin Orchard Drive, Oswego, NY 13126 | 2016-09-07 |
| 1083160295 | Cameron Delmotte | Specialist | 159 West Frist Street, Oswego, NY 13126 | 2016-08-28 |
| 1508319187 | Samantha Thayer | Occupational Therapist | 159 West First Oswego St, Oswego, NY 13126 | 2016-07-29 |
| 1104279595 | Vikram Jala | Internal Medicine | 105 County Route 45a Ste 400, Oswego, NY 13126 | 2016-07-20 |
| Find all providers in zip 13126 | ||||
| Taxonomy Code | 251300000X |
| Grouping | Agencies |
| Classification | Local Education Agency (LEA) |
| The term local education agency means a public board of education or other public authority legally constituted within a State to either provide administrative control or direction of, or perform a service function for public schools serving individuals ages 0 - 21 in a state, city, county, township, school district, or other political subdivision including a combination of school districts or counties recognized in a State as an administrative agency for its public schools. An LEA may provide, or employ professional who provide, services to children included in the Individuals with Disabilities Education Act (IDEA), such services may include, but are not limited to, such medical services as physical, occupational, and speech therapy. |
| Notes: Source: Portions of IDEA Regulations Part B (34 CFR Part 300.18, Assistance to States for the Education of Children with Disabilities) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124578265 | Sarah Miller I | Local Education Agency (LEA) | 93 Edwards Cir, Oswego, NY 13126-6068 | 2016-10-13 |
| 1497203962 | Lindsay Cheslock | Local Education Agency (LEA) | 529 County Route 25, Oswego, NY 13126 | 2016-09-14 |
| 1538616784 | Jean-marie Ruggio | Local Education Agency (LEA) | 122 W Mohawk St, Oswego, NY 13126-2422 | 2016-09-06 |
| 1396292538 | Annalee Harrell | Local Education Agency (LEA) | 664 Rathburn Rd, Oswego, NY 13126-5635 | 2016-09-06 |
| 1659504090 | Oswego Usd504 | Local Education Agency (LEA) | 719 4th St, Oswego, KS 67356-1601 | 2009-09-02 |
| 1811024573 | Oswego Community Unit School District 308 | Local Education Agency (LEA) | 4175 State Route 71, Oswego, IL 60543-8340 | 2007-02-28 |
| 1326105834 | Oswego City School District | Local Education Agency (LEA) | 120 E 1st St, Oswego, NY 13126-2114 | 2007-01-03 |
| 1477005684 | Ellen Rowberry | Local Education Agency (LEA) | 120 E 1st St, Oswego, NY 13126-2111 | 2016-11-04 |
| 1679621577 | Oswego County Health Department | Local Education Agency (LEA) | 70 Bunner St, Oswego, NY 13126-3357 | 2007-01-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528666161 | Jenice Nicolette Gill-richardson | Local Education Agency (LEA) | 33 Elizabeth St, Staten Island, NY 10310-1933 | 2020-10-15 |
| 1205440468 | Cheryl Mindi Lachant | Local Education Agency (LEA) | 8 Elizabeth Ln, New Windsor, NY 12553-7202 | 2020-09-04 |
| 1114544228 | Rina Veras | Local Education Agency (LEA) | 2156 Cruger Ave Apt 5a, Bronx, NY 10462-1623 | 2020-07-06 |
| 1588288120 | You Can Thrive Foundation | Local Education Agency (LEA) | 535 W 23rd St Apt S8r, New York, NY 10011-1124 | 2020-05-29 |
| 1689207425 | Westchester Independent Living Center | Local Education Agency (LEA) | 1441 Route 22 Ste 204, Brewster, NY 10509-4358 | 2020-02-20 |
| 1710529201 | Marcia Joan Meshel | Local Education Agency (LEA) | 5809 246th Cres, Douglaston, NY 11362-2053 | 2019-10-16 |
| 1770130163 | Ching Ha Jenny Wu | Local Education Agency (LEA) | 6811 15th Ave, Brooklyn, NY 11219-6310 | 2019-08-21 |
| 1437704418 | Boquet Valley Central School | Local Education Agency (LEA) | 25 Sisco St, Westport, NY 12993 | 2019-08-06 |
| 1124672993 | Josh Pesin | Local Education Agency (LEA) | 239 Bay 34th St Apt 1e, Brooklyn, NY 11214-5896 | 2019-07-30 |
| 1649738261 | Innovative Lifestyle Solutions | Local Education Agency (LEA) | 2013 Chestnut St, North Baldwin, NY 11510-2539 | 2019-03-04 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on MRS. MARY A PENSERO.
| 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.