MR. BRYAN BARACALDO (NPI# 1528599396) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528599396 |
| Entity Type | Individual |
| Full Name | MR. BRYAN BARACALDO |
| Practice Address |
13519 77th Ave Flushing NY 11367-2823 |
| Practice Telephone | 5166624487 |
| Mailing Telephone | 5166624487 |
| Enumeration Date | 2017-03-23 |
| Last Update Date | 2017-04-07 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
308171 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073120739 | Bryan Baracaldo | Physical Therapist | 1000 Northern Blvd, Great Neck, NY 11021-5338 | 2020-09-28 |
| Street Address |
13519 77TH AVE |
| City | FLUSHING |
| State | NY |
| Zip Code | 11367-2823 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821638008 | Scarlett Sea | Speech-Language Pathologist | 31-36 88th St, Jackson Heights, NY 11367 | 2020-01-15 |
| 1528612090 | Leora A Shimunov | Specialist | 147-32 70th Ave, Flushing, NY 11367 | 2019-08-01 |
| 1922651918 | Triborough Medical Pllc | Anesthesiology | 150-31 Union Tpke, Office of Daniel Khaimov, Md, Flushing, NY 11367 | 2019-07-19 |
| 1700343993 | Steven Bernard Markowitz | Preventive Medicine | Queens College - 65-30 Kissena Blvd, Commoner Center- Remsen 311, Queens, NY 11367 | 2019-02-25 |
| 1336617406 | Amira Awadallah | Pharmacist | 15315 79 Ave, Flushing, NY 11367 | 2018-11-07 |
| 1336624097 | Diana Yocheved Shalev | Pharmacist | 14905 79th Ave Apt 511, Flushing, NY 11367 | 2018-09-28 |
| 1417447731 | Yashuo Fazilova | Registered Nurse | 144-60 Gravett Road, Apt. 2c, Flushing, NY 11367 | 2018-05-11 |
| 1467951947 | Edward Pineles, M.d., P.C. | Internal Medicine | 69-20 Main Street, Flushing, NY 11367 | 2018-02-09 |
| 1164920500 | L & M Caring Services Inc | Occupational Therapist | 144-29 Melbourne Ave, Flushing, NY 11367 | 2018-01-31 |
| 1720597610 | Christine Simmons | Licensed Practical Nurse | 67-39 Kissena Blvd #1a, Flushing, NY 11367 | 2017-09-24 |
| Find all providers in zip 11367 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104425891 | Tze-hsuan Chao | Nurse Practitioner | 3916 Prince St Ste 257, Flushing, NY 11354-5367 | 2020-10-22 |
| 1568091759 | Ziting Zhao | Nurse Practitioner | 3907 Prince St Ste 4f, Flushing, NY 11354-5308 | 2020-04-08 |
| 1083260095 | Anna Park | Nurse Practitioner | 4004 Bowne St Apt 1i, Flushing, NY 11354-6129 | 2019-08-15 |
| 1649603846 | Yun J Kim | Nurse Practitioner | 14748 Roosevelt Ave Ste L9, Flushing, NY 11354-4708 | 2013-08-12 |
| 1720321722 | Christina Chan | Nurse Practitioner | 3907 Prince St Ste 3a, Flushing, NY 11354-5321 | 2013-03-28 |
| 1073895520 | Lin Li | Nurse Practitioner | 13220 41st Ave, Flushing, NY 11355-3628 | 2011-09-11 |
| 1952598328 | Araceli C Carrera | Nurse Practitioner | 56-45 Main St., Flushing, NY 11355 | 2007-10-01 |
| 1922607829 | Kai-jung Lin | Nurse Practitioner | 13620 38th Ave Ste 6f, Flushing, NY 11354-4263 | 2020-10-21 |
| 1871129957 | Shan Liu | Nurse Practitioner | 13421 Maple Ave, Flushing, NY 11355-4527 | 2020-03-20 |
| 1710532353 | Jing Tian | Nurse Practitioner | 4500 Parsons Blvd, Flushing, NY 11355-2205 | 2019-08-08 |
| Find all providers in FLUSHING | ||||
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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.