MS. NEENU PUTHUSSERIL (NPI# 1508421363) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508421363 |
| Entity Type | Individual |
| Full Name | MS. NEENU PUTHUSSERIL |
| Practice Address |
1129 Northern Blvd Manhasset NY 11030-3045 |
| Mailing Address |
25414 74th Ave Glen Oaks NY 11004-1106 |
| Practice Telephone | 5163655570 |
| Enumeration Date | 2019-05-07 |
| Last Update Date | 2019-05-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
308787 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1129 NORTHERN BLVD |
| City | MANHASSET |
| State | NY |
| Zip Code | 11030-3045 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588669519 | Robert N Corriel | Allergy & Immunology | 1129 Northern Blvd, Ste 300, Manhasset, NY 11030-3022 | 2005-06-16 |
| 1659855930 | Breakthrough Foundations LLC | Behavioral Analyst | 1129 Northern Blvd, Manhasset, NY 11030-3045 | 2018-09-21 |
| 1043754856 | Ignite Health Chiropractic PC | Chiropractor | 1129 Northern Blvd, Suite 404, Manhasset, NY 11030-3045 | 2016-12-13 |
| 1518413772 | Abc Care Inc | Home Health | 1129 Northern Blvd, Suite 404, Manhasset, NY 11030-3045 | 2016-08-28 |
| 1962858266 | Lionrock Behavioral Health, Inc | Community/Behavioral Health | 1129 Northern Blvd, Suite 404, Manhasset, NY 11030 | 2016-05-05 |
| 1720482755 | Dr. Jeffrey H. Markowtiz, D.d.s., P.C. | Dentist | 1129 Northern Blvd, Suite #401, Manhasset, NY 11030-3045 | 2014-10-20 |
| 1811396864 | Andrea Marie Mccloy | Nurse Practitioner | 1129 Northern Blvd, Suite 101, Manhasset, NY 11030-3045 | 2014-08-15 |
| 1659702686 | Rebecca Sofferman | Physician Assistant | 1129 Northern Blvd, Suite 408, Manhasset, NY 11030-3045 | 2013-12-02 |
| 1053757567 | Mohammad Rasheed | Physician Assistant | 1129 Northern Blvd, Suite 101, Manhasset, NY 11030-3045 | 2013-05-13 |
| 1568805935 | Kimberly Pav | Physician Assistant | 1129 Northern Blvd, Manhasset, NY 11030-3045 | 2013-04-16 |
| 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 | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194856120 | John Michael Depietro | Nurse Practitioner | 139 Plandome Rd, Manhasset, NY 11030-2331 | 2007-03-08 |
| 1740298439 | Jayne Greene | Nurse Practitioner | 110 Chestnut Rd, Manhasset, NY 11030-1237 | 2006-08-04 |
| 1467082453 | Shantel Leeander Coleman | Nurse Practitioner | 300 Community Dr, Manhasset, NY 11030-3816 | 2020-01-19 |
| 1629542691 | Julie Lauren Pennetti | Nurse Practitioner | 400 Community Dr, Manhasset, NY 11030-3815 | 2019-01-14 |
| 1861991002 | Jessy Koshy Zachariah | Nurse Practitioner | 300 Community Dr, Manhasset, NY 11030-3816 | 2018-02-02 |
| 1568981132 | Thomas Villani | Nurse Practitioner | 300 Community Dr, Manhasset, NY 11030-3816 | 2017-09-14 |
| 1851816342 | Anuja Shrestha | Nurse Practitioner | 300 Community Dr, Manhasset, NY 11030-3816 | 2017-08-07 |
| 1043767155 | Radica Palmer | Nurse Practitioner | 400 Community Dr, Manhasset, NY 11030-3815 | 2016-09-07 |
| 1376904946 | Gina Lespinasse | Nurse Practitioner | 300 Community Dr, Manhasset, NY 11030-3816 | 2016-03-10 |
| 1114398229 | Lisa Helaine Gallagher | Nurse Practitioner | 300 Community Dr, Manhasset, NY 11030-3816 | 2015-10-14 |
| 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.