SARA KRIVAN (NPI# 1487150785) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1487150785 |
Entity Type | Individual |
Full Name | SARA KRIVAN |
Practice Address |
205 Jamaica Ave Medford NY 11763-3239 |
Practice Telephone | 6313538818 |
Mailing Telephone | 6313538818 |
Enumeration Date | 2018-04-04 |
Last Update Date | 2018-04-04 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NY | EMPIRE BLUE CROSS BLUE SHEILD | CDKSC8727058 | 01 |
Street Address |
205 JAMAICA AVE |
City | MEDFORD |
State | NY |
Zip Code | 11763-3239 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316572027 | Rebecca Molino | Specialist | 9, 3251 Ny-112 #2, Medford, NY 11763 | 2020-03-03 |
1295203677 | Hajar Taman | Pharmacist | 2975 Horseblock Road, Medford, NY 11763 | 2018-11-05 |
1265917041 | Bay Taxi Inc | Taxi | 36/94 Horseblock Rd, Medford, NY 11763 | 2018-09-27 |
1184108383 | Bay Taxi Inc | Taxi | 36/94 Horsblock Road, Medford, NY 11763 | 2018-09-24 |
1215419650 | Megan Bell | Speech-Language Pathologist | 135 Buffalo Avenue, Medford, NY 11763 | 2018-09-01 |
1922592906 | Elizabeth L Oakley | Specialist | 1 Sprat St, Medford, NY 11763 | 2018-06-21 |
1609383389 | Federation of Organizations for The New York State Mentally Disabled | Clinic/Center | 3390 Route 112 Ste B, Medford, NY 11763 | 2018-01-04 |
1497109607 | Tabitha Aitken | Massage Therapist | 28 Masem Ct, Medford, NY 11763 | 2016-04-14 |
1518326685 | Betty Velez | Specialist | 21 Red Pine Rd, Medford, NY 11763 | 2016-02-18 |
1134527054 | Angelo L D'esposito | Social Worker | 77 Robinson Ave, Medford, NY 11763 | 2014-12-09 |
Find all providers in zip 11763 |
Taxonomy Code | 390200000X |
Grouping | Student, Health Care |
Classification | Student in an Organized Health Care Education/Training Program |
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
Notes: [1/1/2005: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1821696261 | Julia Elizabeth Erskine | Student in an Organized Health Care Education/Training Program | 119 Boston Ave Apt 1, Medford, MA 02155-3570 | 2020-10-16 |
1720695695 | Elizabeth Moynihan | Student in an Organized Health Care Education/Training Program | 9 Marion St, Medford, MA 02155-6219 | 2020-09-25 |
1043820764 | Shane L Totten | Student in an Organized Health Care Education/Training Program | 19 Hamilton St, Medford, MA 02155-4207 | 2020-08-06 |
1649810136 | Kelly Alaina Walsh | Student in an Organized Health Care Education/Training Program | 289 Elm St Apt 62c, Medford, MA 02155-1068 | 2020-01-13 |
1508316829 | Sierra Ruth Fuller | Student in an Organized Health Care Education/Training Program | 345 Salem St, Medford, MA 02155-3308 | 2016-10-11 |
1447605159 | Andrew Allen Fryer | Student in an Organized Health Care Education/Training Program | 32 Nottingham Dr, Medford, NJ 08055-8533 | 2016-05-01 |
1376959411 | Parham Shahkar | Student in an Organized Health Care Education/Training Program | 3920 Mystic Valley Pkwy Apt 1121, Medford, MA 02155-6911 | 2014-07-09 |
1669895181 | Louise Haddock | Student in an Organized Health Care Education/Training Program | 12 Hadley Pl, #2, Medford, MA 02155-3905 | 2014-02-04 |
1275964256 | Steven Matta | Student in an Organized Health Care Education/Training Program | 100 Station Lndg Unit 405, Medford, MA 02155-5179 | 2013-12-02 |
1922610286 | Kimberly Patricia Rosalia | Student in an Organized Health Care Education/Training Program | 12 Platinum Ct, Medford, NY 11763-2247 | 2020-08-18 |
Find all providers in MEDFORD |
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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.