AGNES PERCOCO (NPI# 1568852150) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568852150 |
| Entity Type | Individual |
| Full Name | AGNES PERCOCO |
| Practice Address |
627 Jayne Blvd Port Jefferson NY 11776-2947 |
| Mailing Address |
627 Jayne Blvd Port Jefferson Station NY 11776-2947 |
| Practice Telephone | 6313315218 |
| Mailing Telephone | 6313315218 |
| Enumeration Date | 2015-02-03 |
| Last Update Date | 2015-02-03 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | 144237-1 | NY | Nursing Service Providers |
| Street Address |
627 JAYNE BLVD |
| City | PORT JEFFERSON |
| State | NY |
| Zip Code | 11776-2947 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205304219 | Melissa E Germano | Acupuncturist | 5225 Nesconset Highway Rte 347, Davis Professional Park Building 1 Suite 1, Port Jefferson Station, NY 11776 | 2018-11-07 |
| 1366962185 | Michael Louis Scicchitano Sr. | Physical Therapist | 3 Colgate Street, Port Jefferson Station, NY 11776 | 2017-06-22 |
| 1063969517 | Dana Adamkiewicz | Acupuncturist | 432 North Bicycle Path, Port Jefferson Station, NY 11776 | 2016-09-01 |
| 1538531819 | Jacqueline Rambo | Specialist | 5225 Nesconset Highway Suite 30, Port Jefferson Station, NY 11776 | 2015-10-26 |
| 1821474297 | Michael Leuci | Social Worker | 3 Premier Court, Port Jefferson Station, NY 11776 | 2015-08-07 |
| 1578978078 | Carol A. Palmer I | Acupuncturist | 34 Champlain St, Port Jefferson Station, NY 11776 | 2014-06-24 |
| 1659783371 | Janette M Sperandeo | Nurse Practitioner | 5 Roosevelt Avenue, Port Jefferson Station, NY 11776 | 2014-05-29 |
| 1578973079 | James Buchrieser | Specialist | 525 Nesconset Highway Suite 30, Port Jefferson Station, NY 11776 | 2014-05-06 |
| 1871923227 | Duran Thomas Murphy | Licensed Practical Nurse | 8 Carolyn Road, Port Jefferson Station, NY 11776 | 2013-11-22 |
| 1699104562 | Julio Genao | Massage Therapist | 213 Jayne Blvd, Portjefferson Station, NY 11776 | 2013-11-01 |
| Find all providers in zip 11776 | ||||
| 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 |
|---|---|---|---|---|
| 1376157388 | Keith Adam Krupa | Licensed Practical Nurse | 19 Laurita Gate, Port Jefferson, NY 11777-2113 | 2020-09-08 |
| 1790321362 | Katey Lynn Burt | Licensed Practical Nurse | 101 Stonyhill Rd, Port Jefferson, NY 11777-1734 | 2019-11-19 |
| 1881252542 | Jessica Anne Lindberg | Licensed Practical Nurse | 201 Avenue A, Port Jefferson, NY 11777-1877 | 2019-05-29 |
| 1972911584 | Niole Kelly | Licensed Practical Nurse | 3 Ranger Ln, Port Jefferson, NY 11777-2081 | 2014-07-28 |
| 1265783955 | Cameron Callirgos | Licensed Practical Nurse | 508 W Broadway, Port Jefferson, NY 11777-1332 | 2012-09-21 |
| 1003068545 | Eileen Margaret Moretti | Licensed Practical Nurse | 7 Comseque Dr, Port Jefferson, NY 11776 | 2008-10-15 |
| 1104073626 | Regina Alvarez | Licensed Practical Nurse | 107 Glenwood Ln, Port Jefferson, NY 11777-1504 | 2008-08-27 |
| 1790244317 | Michael Kenneth Tax | Licensed Practical Nurse | 125 Oakland Ave Ste 204, Port Jefferson, NY 11777-2130 | 2019-03-13 |
| 1962534263 | Patricia Slokovitz | Licensed Practical Nurse | 75 N Country Rd, Port Jefferson, NY 11777-2119 | 2007-03-12 |
| 1588745533 | Lorraine Farrell | Licensed Practical Nurse | 75 N Country Rd, Port Jefferson, NY 11777-2119 | 2006-10-18 |
| Find all providers in PORT JEFFERSON | ||||
| City | PORT JEFFERSON |
| Zip Code | 11776 |
Please comment or provide details below to improve the information on AGNES PERCOCO.
| 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.