MINDI DERRY


Address: 53 Pennsylvania Ave, Long Beach, NY 11561-1621
Phone: 9298884791

MINDI DERRY (NPI# 1538625793) 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) 1538625793
Entity Type Individual
Full Name MINDI DERRY
Practice Address 53 Pennsylvania Ave
Long Beach
NY 11561-1621
Practice Telephone 9298884791
Mailing Telephone 9298884791
Enumeration Date 2019-02-13
Last Update Date 2019-02-13
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 251J00000X Nursing Care Agencies

Office Location

Street Address 53 PENNSYLVANIA AVE
City LONG BEACH
State NY
Zip Code 11561-1621

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1437679354 Alana Doonachar Physician Assistant 100 Belmont Avenue, Long Beach, NY 11561 2017-06-21
1023547452 Tina Bayer Nurse Practitioner 427 East Chester Street 2nd Floor, Long Beach, NY 11561 2017-06-08
1316483977 Taylor Nicole Paganini Massage Therapist 252 Grand Blvd, Long Beach, NY 11561 2017-01-06
1265803688 Stop and Shop Supermarket Co LLC Durable Medical Equipment & Medical Supplies 85 East Park Ave, Long Beach, NY 11561 2015-10-12
1588048797 Carol Bell Behavioral Analyst 121 Harding Avenue, Long Beach, NY 11561 2015-07-17
1811378821 Patricia Harris Case Manager/Care Coordinator 72 Illinios Avenue, Long Beach, NY 11561 2015-06-16
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Taxonomy Information

Taxonomy Code 251J00000X
Grouping Agencies
Classification Nursing Care

Taxonomy Definition

A Nursing Care Agency is an entity that provides skilled nursing care through the services of a Registered Nurse (RN) or a Licensed Practical Nurse (LPN), by employees, contracted individuals, or via a registry, in a variety of settings. The agency may engage in providing private duty nursing and/or staffing services.
Notes: Source: National Uniform Claim Committee, 2008 [7/1/2008: modified definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1497967343 City of Long Beach Nursing Care 2525 Grand Ave., 183, Long Beach, CA 90815 2007-05-04
1285106112 First To Assist, LLC. Nursing Care 1703 Termino Ave Ste 207, Long Beach, CA 90804-2128 2018-12-17
1366970154 Mha Village Nursing Care 456 Elm Ave, Long Beach, CA 90802-2426 2017-05-24

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1770181141 Kristy Lee Rogonia Nursing Care 160 2nd St, Buchanan, NY 10511-1412 2020-10-16
1275130569 Holistic Care Connections LLC Nursing Care 3632 Kingsbridge Ave Fl 2, Bronx, NY 10463-2339 2020-10-08
1699380022 Remo Soriano Jr. Nursing Care 28 Trapper Ln, Levittown, NY 11756-5231 2020-09-11
1992310569 Maria Clear Nursing Care 59 Brewster Dr, Carmel, NY 10512-6413 2020-09-10
1992314439 Philip Boadu Nursing Care 140 Donizetti Pl Apt 18f, Bronx, NY 10475-2069 2020-07-30
1497371058 Regina Arnold Nursing Care 590 Mill Rd Apt 1, Rhinebeck, NY 12572-2512 2020-06-19
1063035574 Fidelity Home Care Inc Nursing Care 1829 E 13th St Ste 1b, Brooklyn, NY 11229-2887 2020-05-19
1629699632 Bonus Salus Nursing Care 222 Blair Ave, Bronx, NY 10465-3756 2020-04-30
1003435835 Cindy Mei Nursing Care 1736 Dahill Rd Fl 1, Brooklyn, NY 11223-1751 2020-04-12
1659903581 Christine Charles, Aprn, Inc. Nursing Care 1428 Granada Pl, Far Rockaway, NY 11691-1708 2020-02-09
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Competitor

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City LONG BEACH
Zip Code 11561

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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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