MARIO A GUERRERO (NPI# 1588107072) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588107072 |
| Entity Type | Individual |
| Full Name | MARIO A GUERRERO |
| Credential | AGNP-C |
| Practice Address |
6655 Fresh Pond Rd Ridgewood NY 11385-3261 |
| Practice Telephone | 7184971919 |
| Practice Fax Number | 7184972152 |
| Mailing Telephone | 7184971919 |
| Mailing Fax Number | 7184972152 |
| Enumeration Date | 2016-12-01 |
| Last Update Date | 2016-12-01 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
F3078871 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235490004 | Mario Guerrero | Behavioral Analyst | 1900 Covina Dr, Sparks, NV 89431-2971 | 2012-06-07 |
| 1285013847 | Mario Guerrero | Social Worker | 10 Nw 42nd Ave, Suite 500, Miami, FL 33126-5473 | 2015-05-28 |
| 1548606189 | Mario Alberto Guerrero Jr. | Counselor | 2275 Arlington Dr, San Leandro, CA 94578-1132 | 2013-05-21 |
| 1851452536 | Mario G Guerrero | Marriage & Family Therapist | 2777 Ventura Ave, Santa Rosa, CA 95403-2226 | 2006-12-13 |
| Street Address |
6655 FRESH POND RD |
| City | RIDGEWOOD |
| State | NY |
| Zip Code | 11385-3261 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477530285 | Steven L Goodman | Orthopaedic Surgery | 6655 Fresh Pond Rd, Ridgewood, NY 11385 | 2005-12-22 |
| 1366097719 | Mingmar Doma Sherpa | Nurse Practitioner | 6655 Fresh Pond Rd, Ridgewood, NY 11385-3261 | 2019-08-02 |
| 1255837407 | Melissa Antonow | Registered Nurse | 6655 Fresh Pond Rd, Ridgewood, NY 11385-3261 | 2018-04-04 |
| 1114469962 | Milana Chulpayev | Nurse Practitioner | 6655 Fresh Pond Rd, Ridgewood, NY 11385-3261 | 2016-11-10 |
| 1437599792 | Olga Slootsky | Nurse Practitioner | 6655 Fresh Pond Rd, Ridgewood, NY 11385-3261 | 2013-07-01 |
| 1255695276 | Danielle Vilsaint | Nurse Practitioner | 6655 Fresh Pond Rd, Ridgewood, NY 11385-3261 | 2012-06-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326650425 | Nicole Jablonska | Speech-Language Pathologist | 60-24 Grove Street, Ridgewood, NY 11385 | 2020-08-19 |
| 1295393296 | Ila Debra Christmas | Clinic/Center | 67-29 Myrtle Avenue, Glendale, NY 11385 | 2019-06-04 |
| 1164929584 | Carmen E. Vidal | Case Manager/Care Coordinator | 61-06 Metropolitan Ave., Ridgewood, NY 11385 | 2018-04-11 |
| 1467955385 | Avchemists LLC | Pharmacy | 68-28 Myrtle Ave, Glendale, NY 11385 | 2018-03-16 |
| 1235639667 | Yu-jen Hwang | Physical Therapist | 55-05 Myrtle Avenue, 2nd Floor, Ridgewood, NY 11385 | 2018-02-12 |
| 1477069185 | Selena Delgado | Behavior Technician | 64-07 Cooper Avenue, Glendale, NY 11385 | 2017-12-18 |
| 1851806913 | Myrtle Medical Equipment Inc | Durable Medical Equipment & Medical Supplies | 7933 Myrtle Ave, Flushing, NY 11385 | 2017-12-11 |
| 1104345727 | Suzanne Eng | Counselor | 1080 Wykoff Ave., Suite D4, Ridgewood, NY 11385 | 2017-09-14 |
| 1588183339 | Geri P Services Inc. | Early Intervention Provider Agency | 5938 Gates Ave, Ridgewood, NY 11385 | 2017-09-13 |
| 1922523935 | Kristen Michele Spang | Speech-Language Pathologist | 79-56 77th Road, Glendale, NY 11385 | 2017-08-10 |
| Find all providers in zip 11385 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386040905 | Mary L Simmons | Nurse Practitioner | 29 Richmond Ave, Ridgewood, NJ 07450-4224 | 2014-11-10 |
| 1649564568 | Kathleen Pirozzi | Nurse Practitioner | 316 Van Emburgh Ave, Ridgewood, NJ 07450-9998 | 2011-06-08 |
| 1427254523 | Virginia V Ilie | Nurse Practitioner | 1819 Menahan St, 2 R, Ridgewood, NY 11385-1846 | 2007-06-25 |
| 1306840913 | Donna Mae Rudesyle | Nurse Practitioner | 223 N Van Dien Ave, Ridgewood, NJ 07450-2726 | 2005-06-10 |
| 1336692011 | Daniela Cavallaro | Nurse Practitioner | 330 Franklin Tpke, Ridgewood, NJ 07450 | 2016-07-28 |
| 1831563345 | Allison Makowsky | Nurse Practitioner | 85 S Maple Ave, Ridgewood, NJ 07450 | 2015-11-20 |
| 1184016826 | Laura Kennedy Flynn | Nurse Practitioner | 223 N Van Dien Ave, Ridgewood, NJ 07450-2726 | 2015-03-03 |
| 1043601131 | Jennifer Polizzano | Nurse Practitioner | 223 N Van Dien Ave, Ridgewood, NJ 07450-2726 | 2015-02-10 |
| 1275938250 | Yusimi Sobrino-bonilla | Nurse Practitioner | 223 N Van Dien Ave, Ridgewood, NJ 07450-2726 | 2014-11-03 |
| 1639467566 | Komal Saggu | Nurse Practitioner | 223 N Van Dien Ave, Ridgewood, NJ 07450-2726 | 2011-07-12 |
| Find all providers in RIDGEWOOD | ||||
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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.