CHRISTOPHER JORDAN BROOKS (NPI# 1497292437) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497292437 |
| Entity Type | Individual |
| Full Name | CHRISTOPHER JORDAN BROOKS |
| Credential | PA-C |
| Practice Address |
300 Community Dr Manhasset NY 11030-3816 |
| Practice Telephone | 5165620100 |
| Enumeration Date | 2017-01-29 |
| Last Update Date | 2017-01-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 020576 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578900817 | Christopher Ray Brooks | Counselor | 7357 Sepulveda Blvd, 50, Van Nuys, CA 91405-1759 | 2013-05-28 |
| 1831486869 | Christopher Benjamin Brooks | Family Medicine | Womack Army Medical Center 2817 Reilly St, Family Medicine Clinic, Fort Bragg, NC 28310-7324 | 2011-06-28 |
| 1396952016 | Christopher Paul Brooks | Dentist | 608 W State St, Fox Lake, WI 53933 | 2007-05-16 |
| 1184694952 | Christopher J M Brooks | Plastic Surgery | 3800 Johnson St, Ste G, Hollywood, FL 33021-6030 | 2006-01-25 |
| 1003349630 | Christopher David Brooks | Student in an Organized Health Care Education/Training Program | 915 Olentangy River Rd, Columbus, OH 43212-3153 | 2017-04-10 |
| 1821140237 | Christopher Michael Brooks | Psychologist | 2920 Marietta Hwy, Suite 104, Canton, GA 30114-8212 | 2007-01-17 |
| 1871674812 | Christopher S. Brooks | Physician Assistant | 55 Lake Ave N, Department of Critical Care Medicine, Worcester, MA 01655-0002 | 2006-10-18 |
| 1891890257 | Christopher Kim Brooks | Emergency Medicine | 3601 Sw 160th Ave, Suite 250, Miramar, FL 33027-6308 | 2006-09-13 |
| 1871511568 | Christopher B Brooks | Emergency Medicine | 400 S Kingshighway Blvd, Dept Emergency Medicine, Saint Louis, MO 63110-1014 | 2006-07-18 |
| 1033119193 | Christopher Kyle Brooks | Chiropractor | 3065 S Cobb Dr Se, Suite B, Smyrna, GA 30080-7809 | 2005-07-29 |
| Street Address |
300 COMMUNITY DR |
| City | MANHASSET |
| State | NY |
| Zip Code | 11030-3816 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487659777 | Rudy Neptune | Anesthesiology | 300 Community Dr, Manhasset, NY 11030-3816 | 2005-06-15 |
| 1013518935 | Vikram Gajulapalli | Pharmacist | 300 Community Dr, Manhasset, NY 11030-3816 | 2020-11-06 |
| 1568062396 | Caroline Smolenski | Nurse Anesthetist, Certified Registered | 300 Community Dr, Manhasset, NY 11030-3876 | 2020-10-30 |
| 1265031256 | James Jiwon Song | Pharmacy Technician | 300 Community Dr, Manhasset, NY 11030-3816 | 2020-10-20 |
| 1437757739 | Andy Sunwoo Lim | Pharmacy Technician | 300 Community Dr, Manhasset, NY 11030-3876 | 2020-10-09 |
| 1548867450 | Shiva Moshtagh | Nurse Practitioner | 300 Community Dr, Manhasset, NY 11030-3816 | 2020-10-04 |
| 1457968943 | Bryanna Colleen Kelly | Nurse Practitioner | 300 Community Dr, Manhasset, NY 11030-3816 | 2020-09-28 |
| 1902412463 | Tara Shelley | Physician Assistant | 300 Community Dr, Manhasset, NY 11030-3876 | 2020-09-21 |
| 1548875644 | Julius E Wilson Jr. | Pharmacy Technician | 300 Community Dr, Manhasset, NY 11030-3816 | 2020-09-15 |
| 1114532215 | Sarah Iqbal | Pharmacy Technician | 300 Community Dr, Manhasset, NY 11030-3816 | 2020-09-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831754126 | Diana Fox | Registered Nurse | 330 Community Drive, Manhasset, NY 11030 | 2019-05-02 |
| 1215470257 | Melissa Fackler | Registered Nurse | 1350 Northern Blvd Ste 202, Manhasset, NY 11030 | 2016-11-23 |
| 1821443391 | Sarah Javdan | Family Medicine | 800 Community Dr Ste 206, Manhasset, NY 11030 | 2016-05-03 |
| 1891167458 | Stacie Thaw Lcsw Pllc | Social Worker | 115 Park Ave., Manhasset, NY 11030 | 2015-10-22 |
| 1538547971 | Aarti Kumar | Podiatrist | 535 Plandome Rd # 2, Manhasset, NY 11030 | 2015-05-18 |
| 1073933586 | Rachel Durante | Occupational Therapist | 600 Community Drive, Manhasset, NY 11030 | 2014-04-23 |
| 1831436435 | Anesthesia Care, P.C. | General Practice | 565 Plandome Road, Manhasset, NY 11030 | 2013-01-16 |
| 1821350091 | Sylvia Yoonsun Kim | Pharmacist | 139 Vanderbilt Ave, Manhasset, NY 11030 | 2012-06-13 |
| 1699062588 | Rod Stern | Dentist | 444 Community Dr Ste 201, Manhasset, NY 11030 | 2011-06-30 |
| 1558654798 | Alexandria Pace Kress | Speech-Language Pathologist | 31 Circle Dr, Manhasset, NY 11030 | 2011-05-20 |
| Find all providers in zip 11030 | ||||
| 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 |
|---|---|---|---|---|
| 1902412463 | Tara Shelley | Physician Assistant | 300 Community Dr, Manhasset, NY 11030-3876 | 2020-09-21 |
| 1477167104 | Kirstie Chia | Physician Assistant | 300 Community Dr, Manhasset, NY 11030-3816 | 2020-09-01 |
| 1588297923 | Affra Husain | Physician Assistant | 300 Community Dr, Manhasset, NY 11030-3816 | 2020-02-13 |
| 1215579081 | Sadaf Jalili | Physician Assistant | 300 Community Dr, Manhasset, NY 11030-3816 | 2019-10-14 |
| 1174165278 | Dalila Campbell | Physician Assistant | 300 Community Dr, Manhasset, NY 11030-3816 | 2019-10-10 |
| 1790326486 | Nicole Ashley Tavarez | Physician Assistant | 300 Community Dr, Manhasset, NY 11030-3816 | 2019-10-03 |
| 1295381242 | Tanbir Samra | Physician Assistant | 300 Community Dr, Manhasset, NY 11030-3816 | 2019-08-15 |
| 1003462193 | Rebecca Kelly Vicente | Physician Assistant | 300 Community Dr, Manhasset, NY 11030-3816 | 2019-08-14 |
| 1457907982 | Colleen Mary Lamberson | Physician Assistant | 300 Community Dr, Manhasset, NY 11030-3816 | 2019-08-12 |
| 1083269120 | Ali N/a Imran | Physician Assistant | 300 Community Dr, Manhasset, NY 11030-3876 | 2019-08-06 |
| Find all providers in MANHASSET | ||||
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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.