ROBERT BRUCE NELSON (NPI# 1477637890) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477637890 |
| Entity Type | Individual |
| Full Name | ROBERT BRUCE NELSON |
| Credential | P.A. |
| Practice Address |
1500 Jericho Tpke Westbury NY 11590-1045 |
| Mailing Address |
825 E Gate Blvd Ste 111 Garden City NY 11530-2136 |
| Practice Telephone | 5168772400 |
| Practice Fax Number | 5168771897 |
| Mailing Telephone | 5168045200 |
| Enumeration Date | 2006-10-24 |
| Last Update Date | 2019-09-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 000777 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 01564227 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144875600 | Robert Douglas Nelson | Counselor | 14040 480th St, Tamarack, MN 55787-4429 | 2019-08-01 |
| 1003056870 | Robert Nelson | Audiologist | 38620 Desert Mirage Dr, Palm Desert, CA 92260-0606 | 2009-03-05 |
| 1689844649 | Robert M. Nelson | Counselor | 1011 Page, Troy, NC 27371 | 2008-03-06 |
| 1891963922 | Robert Mark Nelson Sr. | Pharmacist | 8011 Ventura St Ne, Albuquerque, NM 87109-6429 | 2008-02-12 |
| 1851571194 | Robert R. Nelson | Pharmacist | 4500 Sunrise Hwy, Oakdale, NY 11769-1012 | 2007-11-03 |
| 1235332271 | Robert Howard Nelson | Family Medicine | 1309 Philomene Court, Carmichael, CA 95608 | 2007-06-07 |
| 1548386089 | Robert Elmer Nelson | Dentist | 170 Saint Andrews Rd, Saginaw, MI 48638-5938 | 2007-03-22 |
| 1104962638 | Robert Arnold Nelson | Ophthalmology | 30150 So Hwy One, Gualala, CA 95445 | 2007-01-30 |
| 1881759546 | Robert Marion Nelson | Pharmacist | 112 S 2nd Ave, Mc Rae, GA 31055-1539 | 2006-12-23 |
| 1316019763 | Robert A Nelson | Dentist | 1425 Offner Street, Portsmouth, OH 45662 | 2006-11-14 |
| Street Address |
1500 JERICHO TPKE |
| City | WESTBURY |
| State | NY |
| Zip Code | 11590-1045 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265965404 | Inho S Kay Physician Md PC | Anesthesiology | 1500 Jericho Tpke, Westbury, NY 11590-1045 | 2017-04-05 |
| 1629152053 | Island Eye Surgicenter LLC | Clinic/Center | 1500 Jericho Tpke, Westbury, NY 11590-1045 | 2006-10-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356940167 | Jacqueline Belinda Trichter | Specialist | 1400 Old Old Country Rd, Suite C103n, Westbury, NY 11590 | 2020-10-22 |
| 1306486501 | Tesa S Etchieson | Case Manager/Care Coordinator | 1400 Old Country Road Suite C103-n, Westbury, NY 11590 | 2020-01-15 |
| 1134762685 | Melissa Barry | Behavioral Analyst | 19 Sherman Street, Westbury, NY 11590 | 2019-10-28 |
| 1538713060 | Li Chen | Massage Therapist | 97 Post Ave, Westbury, NY 11590 | 2019-08-01 |
| 1942787320 | Ketsia Desrosiers | Registered Nurse | 1610 Old Country Road, Westbury, NY 11590 | 2018-07-27 |
| 1710472782 | Long Island Heart and Vascular Specialist PC | Internal Medicine | 1600 Stewart Ave Ste 105, Westbury, NY 11590 | 2018-06-22 |
| 1669962791 | Viji Joseph Meledath | Nurse Practitioner | 38 Fawn Ln, Westbury, NY 11590 | 2018-05-15 |
| 1093217911 | Orthotic Services for Children, Inc. | Orthotist | 811a Carman Ave., Westbury, NY 11590 | 2018-03-07 |
| 1356884431 | Aurus Service Center of New York, LLC | Early Intervention Provider Agency | 39 Pilgrim Lane, Westbury, NY 11590 | 2016-11-22 |
| 1376099598 | Kelly Eulner-tripodi | Social Worker | 50 East Asbury Ave, Westbury, NY 11590 | 2016-08-28 |
| Find all providers in zip 11590 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689046997 | Fariha Haji | Physician Assistant | 67 Palm Ln, Westbury, NY 11590-6344 | 2015-10-26 |
| 1952727208 | Kayla Paige Birnbaum | Physician Assistant | 1187 Bernard Dr, Westbury, NY 11590-5401 | 2014-03-11 |
| 1467734095 | Brittany M. Aksnes | Physician Assistant | 372 Post Ave., Westbury, NY 11590 | 2011-09-09 |
| 1174850119 | Daniel Varghese | Physician Assistant | 681 Sherman Court, Westbury, NY 11590 | 2009-11-12 |
| 1295757722 | Jon E Sartori | Physician Assistant | 37 Crown Lane, Westbury, NY 11590-5737 | 2006-07-24 |
| 1548742638 | Joseph Anthony Accetta | Physician Assistant | 2 5th Ave, Westbury, NY 11590-4304 | 2018-09-05 |
| 1467965517 | Lauren Katherine Hoo | Physician Assistant | 372 Post Ave, Westbury, NY 11590 | 2017-11-13 |
| 1790231751 | Michelle Walsh | Physician Assistant | 372 Post Ave, Westbury, NY 11590-2201 | 2016-08-30 |
| 1528436029 | Christina Bono | Physician Assistant | 761 Merrick Ave, Westbury, NY 11590-6608 | 2015-09-14 |
| 1750757951 | Ashley Stephanie Funes | Physician Assistant | 372 Post Ave, Westbury, NY 11590-2201 | 2015-08-11 |
| Find all providers in WESTBURY | ||||
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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.