MR. ALEX ANDREW DI MATTEO (NPI# 1548451198) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548451198 |
| Entity Type | Individual |
| Full Name | MR. ALEX ANDREW DI MATTEO |
| Credential | LPN |
| Practice Address |
8 Brookside Dr Dryden NY 13053 |
| Practice Telephone | 6072797476 |
| Mailing Telephone | 6072797476 |
| Enumeration Date | 2007-08-08 |
| Last Update Date | 2007-08-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | 2602151 | NY | Nursing Service Providers |
| Street Address |
8 BROOKSIDE DR |
| City | DRYDEN |
| State | NY |
| Zip Code | 13053 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164923959 | Lyndsey Jean Sidle | Registered Nurse | 9 Library Street, Dryden, NY 13053 | 2018-02-27 |
| 1770902504 | Cynthia Lane Price | Registered Nurse | 118 Freeville Rd., Dryden, NY 13053 | 2014-04-09 |
| 1033430590 | Dana Michelle Carruth | Acupuncturist | 87 West Main Street, Dryden, NY 13053 | 2010-06-18 |
| 1275769606 | Linda Karen Delong | Registered Nurse | 118 Freeville Rd, Dryden, NY 13053 | 2009-05-29 |
| 1073765954 | Jason R Coburn | Chiropractor | 87 West Main St., Dryden, NY 13053 | 2008-10-22 |
| 1134303258 | Michael Stanley Niziol | Family Medicine | 83 Lewis Street, Dryden, NY 13053 | 2007-12-26 |
| 1184771602 | Dryden Csd | Local Education Agency (LEA) | 118 Freeville Road, Dryden, NY 13053 | 2007-01-05 |
| 1922178045 | Shannon Elizabeth Johnson | Physician Assistant | 83 Lewis St, Dryden, NY 13053 | 2006-11-08 |
| 1780785592 | Eckerd Corporation | Durable Medical Equipment & Medical Supplies | 13 15 Main Street, Dryden, NY 13053 | 2006-09-26 |
| 1144230020 | Melita J Mertz | Podiatrist | 52 1/2 North St, Dryden, NY 13053 | 2006-08-09 |
| Find all providers in zip 13053 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295161891 | Ashley Lynn Cross | Licensed Practical Nurse | 26 Rochester St, Apt A #1, Dryden, NY 13053-9627 | 2013-09-16 |
| 1548502685 | Nancy Holmes | Licensed Practical Nurse | 1 Highland Cres, Dryden, NY 13053-9705 | 2013-03-26 |
| 1003139759 | Racheal Jade Myers | Licensed Practical Nurse | 249 Lake Rd, Dryden, NY 13053-9752 | 2010-03-09 |
| 1902005259 | Jean M Dennis | Licensed Practical Nurse | 155 Dryden Harford Rd, Dryden, NY 13053-9773 | 2007-07-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730780503 | Michael Lee Hendryx | Licensed Practical Nurse | 803 Bell St, Olean, NY 14760-3005 | 2020-11-06 |
| 1720689664 | Chynna S Brown | Licensed Practical Nurse | 483 Newbury St, Rochester, NY 14615-3209 | 2020-11-06 |
| 1588265433 | Deanna Lucas | Licensed Practical Nurse | 206 Prospect Pl, Bay Shore, NY 11706-1537 | 2020-11-06 |
| 1659972511 | Katiesianna Marie Kovalsky | Licensed Practical Nurse | 718 Griswold Hts, Troy, NY 12180-5168 | 2020-11-05 |
| 1538760608 | Shanequa Marshall | Licensed Practical Nurse | 100 Park Ave Apt 1, Amityville, NY 11701-3165 | 2020-11-05 |
| 1780285007 | Jarleyn Severino | Licensed Practical Nurse | 10 Waterview Pl, Lynbrook, NY 11563-1921 | 2020-11-03 |
| 1023619590 | Lisa A Loomis | Licensed Practical Nurse | 2198 Us Highway 20, Nassau, NY 12123-1733 | 2020-11-02 |
| 1235739061 | Kathleen Zalamea | Licensed Practical Nurse | 37 Howells Rd, Bay Shore, NY 11706-6502 | 2020-10-30 |
| 1649870494 | Khairat Salami | Licensed Practical Nurse | 1538 Washington Ave Apt 1, Bronx, NY 10457-8334 | 2020-10-30 |
| 1518567437 | Catherine Grullon | Licensed Practical Nurse | 32 Crescent Ave, Newburgh, NY 12550-3134 | 2020-10-29 |
| Find all providers with the same taxonomy | ||||
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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.