MR. WILLARD RAY ROBERTS III (NPI# 1528130929) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1528130929 |
Entity Type | Individual |
Full Name | MR. WILLARD RAY ROBERTS III |
Practice Address |
100 Moriches Island Rd East Moriches NY 11940-1315 |
Practice Telephone | 6313954436 |
Practice Fax Number | 6313954486 |
Mailing Telephone | 6313954436 |
Mailing Fax Number | 6313954486 |
Enumeration Date | 2006-11-14 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 247200000X | Technician, Other | Technologists, Technicians & Other Technical Service Providers |
Street Address |
100 MORICHES ISLAND RD |
City | EAST MORICHES |
State | NY |
Zip Code | 11940-1315 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1710057765 | Dawn Weaver | Technician, Other | 100 Moriches Island Rd, East Moriches, NY 11940-1315 | 2006-11-08 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1558903450 | Ambulance Committee of The Moriches, Inc | Ambulance | 275 Montauk Highway, East Moriches, NY 11940 | 2019-10-11 |
1760938328 | Erica Bove | Pharmacist | 94a Montauk Highway, East Moriches, NY 11940 | 2016-09-01 |
1700293305 | Sean D Brown | Registered Nurse | 11 Wilson Ave, East Moriches, NY 11940 | 2014-07-15 |
1255629564 | Mary Ellen Catherine Vadax | Licensed Practical Nurse | 61 Pine Edge Dr, East Moriches, NY 11940 | 2011-07-20 |
1447581178 | Vera-ellen Frances White | Family Medicine | 82 Inletview Path, East Moriches, NY 11940 | 2010-01-20 |
1144559881 | South Shore Psychological Care P.C. | Psychologist | 250 Montauk Highway, East Moriches, NY 11940 | 2009-12-09 |
1598909079 | Wendy Ann Geehreng | Nurse Practitioner | 492 Montauk Highway, East Moriches, NY 11940 | 2009-04-28 |
1013161835 | Patricia Beaujuin | Licensed Practical Nurse | 59 Linconl Blvd, Eastmoriches, NY 11940 | 2008-11-06 |
1174796635 | Independent Group Home Living | Intermediate Care Facility, Mentally Retarded | 65 Pine St, East Moriches, NY 11940 | 2008-04-07 |
1356514814 | Independent Group Home Living | Nursing Facility/Intermediate Care Facility | 120 Frowein Rd, East Moriches, NY 11940 | 2008-04-07 |
Find all providers in zip 11940 |
Taxonomy Code | 247200000X |
Grouping | Technologists, Technicians & Other Technical Service Providers |
Classification | Technician, Other |
A collective term for persons with specialized training in various narrow fields of expertise whose occupations require training and skills in specific technical processes and procedures; and where further classification is deemed unnecessary by the user. |
Notes: Sources: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988; Dorland’s Illustrated Medical Dictionary, 26th Edition. Philadelphia: W.B. Saunders Company, 1981; and Webster’s II New Riverside University Dictionary. Boston: Riverside Publishing Company, 1984. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1710057765 | Dawn Weaver | Technician, Other | 100 Moriches Island Rd, East Moriches, NY 11940-1315 | 2006-11-08 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174122865 | Shakeva Brown Nnaji | Technician, Other | 1469 Hammersley Ave, Bronx, NY 10469-3024 | 2020-10-22 |
1285245886 | Simone Gobler | Technician, Other | 35 Beech Rd, Rocky Point, NY 11778-9536 | 2020-08-17 |
1144870692 | Lucinda Jane Montano | Technician, Other | 50 Glen St Ste 316, Glen Cove, NY 11542-2701 | 2019-09-17 |
1134600620 | All Neuro Testing | Technician, Other | 11 Balfour St, Valley Stream, NY 11580-1524 | 2018-08-23 |
1417435173 | Elisebeth J Heilig | Technician, Other | 88 Red Mills Rd, Pine Bush, NY 12566-6213 | 2018-08-03 |
1447766449 | Licura, LLC | Technician, Other | 566 Merrick Road, Suite 1, Rockville Centre, NY 11570 | 2017-12-28 |
1073026746 | Patrick Frey | Technician, Other | 3082 35th St Apt 1a, Astoria, NY 11103-4710 | 2017-11-15 |
1114467842 | Licefix, Inc | Technician, Other | 227 E 81st St, New York, NY 10028-3209 | 2017-02-28 |
1942740923 | Jill Dworkin Bazos | Technician, Other | 573 Bedford Rd., 2nd Flr., Bedford Hills, NY 10507 | 2017-02-24 |
1982143780 | Joy Vanderberg | Technician, Other | 19 N William St, Pearl River, NY 10965-2316 | 2017-02-14 |
Find all providers with the same taxonomy |
City | EAST MORICHES |
Zip Code | 11940 |
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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.