MR. KEITH ALEXANDER CLEMENT (NPI# 1528058732) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528058732 |
| Entity Type | Individual |
| Full Name | MR. KEITH ALEXANDER CLEMENT |
| Credential | NP-C |
| Practice Address |
444 Merrick Rd Lynbrook NY 11563-2460 |
| Mailing Address |
94 Cuba Hill Rd Greenlawn NY 11740-2720 |
| Practice Telephone | 5168870890 |
| Mailing Telephone | 6317544472 |
| Enumeration Date | 2005-10-27 |
| Last Update Date | 2009-07-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
F302992 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639500762 | Keith Clement | Social Worker | 1332 Prospect Ave, Caro, MI 48723-9288 | 2013-11-27 |
| Street Address |
444 MERRICK RD |
| City | LYNBROOK |
| State | NY |
| Zip Code | 11563-2460 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659375632 | South Shore Ambulatory Surgery Center | Clinic/Center | 444 Merrick Rd, Ste 400, Lynbrook, NY 11563-2400 | 2005-06-08 |
| 1790391019 | Christopher Louis Palladino | Physical Therapist | 444 Merrick Rd, Lynbrook, NY 11563-2460 | 2020-09-22 |
| 1992311138 | Judyanne E Donohue | Specialist/Technologist | 444 Merrick Rd, Lynbrook, NY 11563-2460 | 2020-09-22 |
| 1508484916 | Sports Physical Therapy Occupational Therapy and Rehabilitation Servic | Physical Therapist | 444 Merrick Rd, Lynbrook, NY 11563-2460 | 2020-07-12 |
| 1700421500 | Darwin Davis | Occupational Therapist | 444 Merrick Rd, Lynbrook, NY 11563-2460 | 2019-11-15 |
| 1346740602 | North Shore-lij Cardiovascular Medicine PC | Occupational Therapist | 444 Merrick Rd, Lynbrook, NY 11563-2460 | 2018-02-13 |
| 1003322751 | Thomas Denapoli | Physician Assistant | 444 Merrick Rd, Lynbrook, NY 11563-2460 | 2017-12-18 |
| 1518486455 | Christie George Mathew | Physical Therapist | 444 Merrick Rd, Lynbrook, NY 11563-2460 | 2017-09-12 |
| 1093259178 | David S Bensol | Pharmacist | 444 Merrick Rd, Ll5, Lynbrook, NY 11563-2460 | 2016-12-08 |
| 1588056030 | Mary C Barry | Physician Assistant | 444 Merrick Rd, Suite 100, Lynbrook, NY 11563-2460 | 2015-02-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396392072 | Anisha O Jenkins | Social Worker | 33 Allen Street, Lynbrook, NY 11563 | 2019-08-19 |
| 1093377327 | Ivan Karl Levenson | Occupational Therapist | Sunrise of Lynbrook, 53 Frankling Ave, N Lynbrook, NY 11563 | 2019-07-08 |
| 1124583125 | Maria Theresa Fasano | Speech-Language Pathologist | 111 Atlantic Avenue Lynbrook School District, Lynbrook, NY 11563 | 2019-02-04 |
| 1720561509 | Marianne Muldoon | Social Worker | 326 Vincent Avenue, Lynbrook, NY 11563 | 2018-09-08 |
| 1134659972 | Jaclyn Gonsch | Specialist | 136 Stuart Street, Lynbrook, NY 11563 | 2017-06-14 |
| 1497294797 | Ryan James Doupe | Counselor | 42 Fowler Ave, Lynbrook, NY 11563 | 2017-02-20 |
| 1902261647 | Allegra Grace D'alo | Social Worker | 90 Driving Park Ave, Lynbrook, NY 11563 | 2015-12-23 |
| 1699106039 | Elizabeth Gaudet Physical Therapy, P.l.l.c. | Physical Therapist | 34 Whittier Street, Lynbrook, NY 11563 | 2013-12-11 |
| 1427496439 | Jennifer Breen | Psychologist | 303 Merrick Rd Ste 302, Lynbrook, NY 11563 | 2013-06-12 |
| 1588000640 | Kelly Patrice Gallagher | Speech-Language Pathologist | 40-20 235th St, Douglaston, NY 11563 | 2013-05-16 |
| Find all providers in zip 11563 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801267182 | Michele Blyskal | Nurse Practitioner | 271 Sherman St, Lynbrook, NY 11563-1448 | 2015-10-13 |
| 1578839619 | Charles Thomas Carre | Nurse Practitioner | 60 Hampton Rd, Lynbrook, NY 11563-3845 | 2012-03-22 |
| 1114205531 | Tamara B Desvarieux | Nurse Practitioner | 95 Pearsall Ave, Lynbrook, NY 11563-1542 | 2011-08-02 |
| 1982817482 | Margaret Marion O'donnell | Nurse Practitioner | 185 Merrick Rd, Suite 1a, Lynbrook, NY 11563-2700 | 2007-05-08 |
| 1659357028 | Lorraine Farucci | Nurse Practitioner | 777 Sunrise Hwy, Suite 200, Lynbrook, NY 11563-2950 | 2005-12-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104427871 | Tammie Kae Copp | Nurse Practitioner | 8266 Casson Rd, Lindley, NY 14858-9697 | 2020-11-08 |
| 1770184673 | Annette Virosami | Nurse Practitioner | 890 Trinity Ave Apt 8d, Bronx, NY 10456-7419 | 2020-11-06 |
| 1972104958 | Jonathan Dillera Nietes | Nurse Practitioner | 4411 Macnish St Apt 1g, Elmhurst, NY 11373-3609 | 2020-11-05 |
| 1407457088 | Sanjana Kumari | Nurse Practitioner | 62 Albertson Pl, Mineola, NY 11501-4601 | 2020-11-02 |
| 1780284927 | Hannah Catan | Nurse Practitioner | 473 W 158th St Apt 10, New York, NY 10032-5361 | 2020-10-27 |
| 1700486248 | Amandeep Kaur | Nurse Practitioner | 7638 270th St, New Hyde Park, NY 11040-1418 | 2020-10-26 |
| 1861091324 | Stacey M Jantsch | Nurse Practitioner | 8237 Cicero Mills Rd, Cicero, NY 13039-8344 | 2020-10-25 |
| 1871192468 | Adult Health Np House Calls, PC | Nurse Practitioner | 7954 Transit Rd # 134, Williamsville, NY 14221-4117 | 2020-10-23 |
| 1104425891 | Tze-hsuan Chao | Nurse Practitioner | 3916 Prince St Ste 257, Flushing, NY 11354-5367 | 2020-10-22 |
| 1992304968 | Nicholas Robinson | Nurse Practitioner | 295 Essjay, Williamsville, NY 14221 | 2020-10-21 |
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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.