MAGDALINE MERVIL


Address: 292 Jefferson Dr, Mastic Beach, NY 11951-2731
Phone: 6319496286

MAGDALINE MERVIL (NPI# 1518247030) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1518247030
Entity Type Individual
Full Name MAGDALINE MERVIL
Credential RN, NP
Practice Address 292 Jefferson Dr
Mastic Beach
NY 11951-2731
Practice Telephone 6319496286
Practice Fax Number 6312813080
Mailing Telephone 6319496286
Mailing Fax Number 6312813080
Enumeration Date 2011-08-29
Last Update Date 2019-02-22
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 163W00000X Registered Nurse 556485 NY Nursing Service Providers
N 363LF0000X Nurse Practitioner
Specialization: Family
33 336962 NY Physician Assistants & Advanced Practice Nursing Providers
Y 363LP2300X Nurse Practitioner
Specialization: Primary Care
F336962-1 NY Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 292 JEFFERSON DR
City MASTIC BEACH
State NY
Zip Code 11951-2731

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1689173577 Diana Perreco Licensed Practical Nurse 47 Montauk Dr, Mastic Beach, NY 11951 2018-02-06
1366832321 Taylor Viggers Specialist/Technologist Tangier Smith Elementary School, 336 Blanco Drive, Mastic Beach, NY 11951 2015-01-29
1497159735 Fabiola Reid Counselor 834 A East Main Street, Center Moriches, NY 11951 2014-10-15
1548674906 Jacqueline D Searing Local Education Agency (LEA) 240 Mastic Beach Road, Mastic Beach, NY 11951 2014-06-13
1275890659 Shaquana Marie Williams Nurse's Aide 143 Huntington Dr, Mastic Beach, NY 11951 2012-04-23
1790912889 Mariann Cali Developmental Therapist 215 Laurelton Drive, Mastic Beach, NY 11951 2009-06-16
1225495518 Steven Zore Acupuncturist 279 Madison St, Mastic Beach, NY 11951-1003 2016-01-19
1386907566 Raven Guy Licensed Practical Nurse 530 Mastic Rd, Mastic Beach, NY 11951-1012 2012-06-21
1790384410 Gina Siracusano Specialist/Technologist 630 Mastic Rd Ste 4, Mastic Beach, NY 11951-1020 2020-10-23
1134429939 Natalie Beth Gieser Speech-Language Pathologist 338 Blanco Dr, Mastic Beach, NY 11951-1021 2010-10-26
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Taxonomy Information

Taxonomy Code 363LP2300X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Primary Care

Taxonomy Definition

Definition to come...

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Competitor

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City MASTIC BEACH
Zip Code 11951

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Dataset Information

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.

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