MRS. SUSAN DUCKHAM (NPI# 1487915336) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487915336 |
| Entity Type | Individual |
| Full Name | MRS. SUSAN DUCKHAM |
| Practice Address |
1 Scouting Blvd Medford NY 11763-2220 |
| Practice Telephone | 6312973200 |
| Mailing Telephone | 6312973200 |
| Enumeration Date | 2012-06-06 |
| Last Update Date | 2012-06-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | Other Service Providers |
| Street Address |
1 SCOUTING BLVD |
| City | MEDFORD |
| State | NY |
| Zip Code | 11763-2220 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730327941 | Maureen Teresa Escobar | Speech-Language Pathologist | 1 Scouting Blvd, Medford, NY 11763-2220 | 2009-01-26 |
| 1548819303 | Diane Marie Kubinski | Specialist | 1 Scouting Blvd, Medford, NY 11763-2220 | 2019-09-05 |
| 1508324823 | Brianna Nicole Cashman | Early Intervention Provider Agency | 1 Scouting Blvd, Medford, NY 11763-2220 | 2019-03-05 |
| 1003306010 | Lori Merck | Behavioral Analyst | 1 Scouting Blvd, Medford, NY 11763-2220 | 2018-05-15 |
| 1134616196 | Eileen Leary Roggemann | Specialist/Technologist, Other | 1 Scouting Blvd, Medford, NY 11763-2220 | 2018-04-16 |
| 1093212631 | Bevin Ann Flemming | Specialist | 1 Scouting Blvd, Medford, NY 11763-2220 | 2018-04-10 |
| 1265939904 | Olivia Ann Fertmann | Specialist | 1 Scouting Blvd, Medford, NY 11763-2220 | 2018-04-10 |
| 1154832996 | Nicole Ryann Mihalik | Early Intervention Provider Agency | 1 Scouting Blvd, Medford, NY 11763-2220 | 2017-10-19 |
| 1508316027 | Kaitlin Mcguire | Specialist | 1 Scouting Blvd, Medford, NY 11763-2220 | 2016-10-07 |
| 1417407933 | Kelly O'brien | Specialist | 1 Scouting Blvd, Medford, NY 11763-2220 | 2016-10-07 |
| Find all providers in the same location | ||||
| 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 | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629687702 | Joy Dunn | Specialist | 1801 Fire Ave, Medford, NY 11763-1783 | 2020-07-24 |
| 1316572027 | Rebecca Molino | Specialist | 9, 3251 Ny-112 #2, Medford, NY 11763 | 2020-03-03 |
| 1619450525 | Erica Sanniola | Specialist | 55 Apple Ln, Medford, NY 11763-4044 | 2018-09-07 |
| 1922592906 | Elizabeth L Oakley | Specialist | 1 Sprat St, Medford, NY 11763 | 2018-06-21 |
| 1093267114 | Rhiannon Skye Sgambati | Specialist | 152 Fordham Ave, Medford, NY 11763-3107 | 2016-10-25 |
| 1518326685 | Betty Velez | Specialist | 21 Red Pine Rd, Medford, NY 11763 | 2016-02-18 |
| 1932565660 | Vincent Giardina Jr. | Specialist | 1 Elena Ct, Medford, NJ 08055-9175 | 2016-01-11 |
| 1730551417 | Carson Mckee Case | Specialist | 924 E. Jackson, Medford, OR 97504 | 2015-10-21 |
| 1841674066 | Zachary Fisher | Specialist | 200 Peekskill Ave, Medford, NY 11763-3123 | 2015-07-17 |
| 1720472798 | Stephanie Mullen | Specialist | 173 Buffalo Ave, Medford, NY 11763-3714 | 2015-03-26 |
| 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.