MRS. MAUREEN ANN TITA (NPI# 1578670741) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578670741 |
| Entity Type | Individual |
| Full Name | MRS. MAUREEN ANN TITA |
| Credential | NP |
| Practice Address |
111 Seventh Street Suite 111 Garden City NY 11570 |
| Mailing Address |
111 Seventh Street Suite 111 Garden City NY 11530 |
| Practice Telephone | 5166391787 |
| Practice Fax Number | 5165945019 |
| Mailing Telephone | 5166391787 |
| Mailing Fax Number | 5165945019 |
| Enumeration Date | 2006-08-24 |
| Last Update Date | 2011-10-25 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163WP0808X |
Registered Nurse Specialization: Psych/Mental Health |
340084-1 | NY | Nursing Service Providers |
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
401075 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
F401075 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 01666971 | 05 |
| Street Address |
111 SEVENTH STREET SUITE 111 |
| City | GARDEN CITY |
| State | NY |
| Zip Code | 11570 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811462419 | Jessica Ilana Smuckler | Occupational Therapist | 90 S Park Ave Apt C2, Rockville Centre, NY 11570 | 2018-10-10 |
| 1356831309 | Pure Medical Services PC | Specialist | 2000 N Village Ave Ste 202, Rockville Centre, NY 11570 | 2018-05-15 |
| 1447766449 | Licura, LLC | Technician, Other | 566 Merrick Road, Suite 1, Rockville Centre, NY 11570 | 2017-12-28 |
| 1427505858 | Shera M Goodridge | Specialist | 134 Shellbank Place, Rockville Center, NY 11570 | 2016-09-01 |
| 1669830634 | Barbara Massina, Lcsw | Clinic/Center | 161 N Village Ave, Rockville Centre, NY 11570 | 2016-02-05 |
| 1972973428 | Medscript Pharmacy LLC | Pharmacy | 180-184 Sunrise Highway, Rockville Centre, NY 11570 | 2015-09-28 |
| 1265813703 | Jeffrey Michael Nozius | Registered Nurse | 1000 Hempstead Ave, Rockville Centre, NY 11570 | 2015-06-10 |
| 1568855971 | Meredith Kreinbihl | Counselor | 119 North Park Avenue, Suite 210, Rockville Centre, NY 11570 | 2015-03-09 |
| 1174921647 | Pamela Leake | Behavioral Analyst | 88 Hendrickson Ave, Rvc, NY 11570 | 2014-12-15 |
| 1467851584 | Lisa Brown-eisel, Lcsw, P.C. | Social Worker | 100 North Village Avenue, Suite 32, Rockville Centre, NY 11570 | 2014-08-14 |
| Find all providers in zip 11570 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437540754 | Kathleen Thelian | Nurse Practitioner | 176 Nassau Blvd, Garden City, NY 11530-5553 | 2015-02-09 |
| 1154654481 | Ekm Family Center P.a | Nurse Practitioner | 1807 E Mary St Ste 4, Garden City, KS 67846-3877 | 2009-09-18 |
| 1033242920 | Kathleen Mary Lynch | Nurse Practitioner | 108 Lee Rd, Garden City, NY 11530-2520 | 2007-03-13 |
| 1982628707 | Allen Sutton | Nurse Practitioner | 520 Franklin Ave Ste 211, Garden City, NY 11530-5815 | 2006-07-26 |
| 1215964317 | Claire Durkin | Nurse Practitioner | 395 Oak Street, Garden City, NY 11530 | 2006-06-26 |
| 1184169369 | Jennifer Eden | Nurse Practitioner | 601 Franklin Ave Ste 120, Garden City, NY 11530-5760 | 2016-12-27 |
| 1003224932 | Marco Katada | Nurse Practitioner | 1111 E Spruce St, Garden City, KS 67846-5958 | 2014-07-23 |
| 1053561738 | Alena Debrosse | Nurse Practitioner | 520 Franklin Ave, Garden City, NY 11530-5806 | 2008-09-30 |
| 1265622864 | Michael J Southern | Nurse Practitioner | 302 Fleming St Ste 4, Garden City, KS 67846-6162 | 2007-07-30 |
| 1639121247 | Elizabeth Gant | Nurse Practitioner | 1145 E Kansas Plz, Garden City, KS 67846-5870 | 2006-05-16 |
| Find all providers in GARDEN CITY | ||||
| City | GARDEN CITY |
| Zip Code | 11570 |
Please comment or provide details below to improve the information on MRS. MAUREEN ANN TITA.
| 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.