MS. PHELAN ANTONIA CLANCY (NPI# 1598006660) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598006660 |
| Entity Type | Individual |
| Full Name | MS. PHELAN ANTONIA CLANCY |
| Credential | A.N.P |
| Practice Address |
2336 Grand Concourse Bronx NY 10458-6903 |
| Mailing Address |
145 W Montauk Hwy Hampton Bays NY 11946-4012 |
| Practice Telephone | 7182200439 |
| Practice Fax Number | 7189332914 |
| Mailing Telephone | 7182200439 |
| Mailing Fax Number | 7189332914 |
| Enumeration Date | 2013-03-13 |
| Last Update Date | 2019-10-30 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 6573601 | NY | Nursing Service Providers |
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
306844-1 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2336 GRAND CONCOURSE |
| City | BRONX |
| State | NY |
| Zip Code | 10458-6903 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043505522 | Pinnacle Dental Care P.C. | Dentist | 2336 Grand Concourse, Bronx, NY 10458-6903 | 2011-06-13 |
| 1457900904 | Andrea Cummings | Registered Nurse | 2336 Grand Concourse, Bronx, NY 10458-6903 | 2019-09-07 |
| 1417469263 | Tanging D Sherpa | Physician Assistant | 2336 Grand Concourse, Bronx, NY 10458-6903 | 2017-11-02 |
| 1851848618 | Wellcare of Bx Medical PC | Family Medicine | 2336 Grand Concourse, Bronx, NY 10458-6903 | 2016-09-08 |
| 1184011728 | Maria A. Muniz | Dentist | 2336 Grand Concourse, Bronx, NY 10458-6903 | 2015-04-21 |
| 1497151476 | Shirley Carlos-cu | Nurse Practitioner | 2336 Grand Concourse, Bronx, NY 10458-6903 | 2014-11-18 |
| 1629486600 | Bronx Family Eye Care Inc | Optometrist | 2336 Grand Concourse, Bronx, NY 10458-6903 | 2014-07-23 |
| 1629319108 | Planet Pharmacy LLC | Pharmacy | 2336 Grand Concourse, Bronx, NY 10458-6903 | 2013-03-08 |
| 1811241631 | Grand Concourse Health Wellness Medical, PC | Pediatrics | 2336 Grand Concourse, Bronx, NY 10458-6903 | 2012-10-31 |
| 1396090932 | Southern Wellcare Medical PC | Family Medicine | 2336 Grand Concourse, Bronx, NY 10458-6903 | 2012-07-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154954493 | Belmont Medical PC | Specialist | 2525 Belmont Ave, Bronx, NY 10458 | 2020-02-14 |
| 1730731787 | Abreu Child and Parent Services Inc. | Speech-Language Pathologist | 2870 Marion Ave. Apt. 3c, Bronx, NY 10458 | 2019-07-10 |
| 1801457080 | Family Adult Day Care, Inc. | Clinic/Center | 2332 Hoffman Street, 2nd & 3rd Floor, Bronx, NY 10458 | 2019-06-27 |
| 1366005969 | Janet Jeonghwa Lee | Dentist | 260 E 188th Street, St. Barnabas Hospital, 1st Floor, Division of Orthodontics, Bronx, NY 10458 | 2019-04-18 |
| 1205308004 | Feben Kurban | Audiologist | 625 East Fordham Road, Bronx, NY 10458 | 2018-12-19 |
| 1306328737 | Lauretta Marie Tomaso | Nurse Practitioner | 500 East Fordham Road, Bronx, NY 10458 | 2018-09-01 |
| 1457831992 | Cinthia Isabel Morales | Counselor | 2488 Grandconcourse Suite 417, Bronx, NY 10458 | 2018-08-15 |
| 1588159156 | Raquel Lamarche | Student in an Organized Health Care Education/Training Program | 2505 Lorillard Pl Apt 1d, Bronx, NY 10458 | 2018-06-26 |
| 1750832929 | Classic Home Care, Inc. | In Home Supportive Care | 2655a Webster Avenue, 2nd Floor, Bronx, NY 10458 | 2016-10-21 |
| 1023565637 | Emily Hemingway | Physical Therapist | 397 E 198th St, Bronx, NY 10458 | 2016-09-01 |
| Find all providers in zip 10458 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770184673 | Annette Virosami | Nurse Practitioner | 890 Trinity Ave Apt 8d, Bronx, NY 10456-7419 | 2020-11-06 |
| 1205449113 | Alexandra Gomez | Nurse Practitioner | 2521 Hone Ave, Bronx, NY 10469-4401 | 2020-08-29 |
| 1457979510 | Judith Brady | Nurse Practitioner | 3240 Paulding Ave, Bronx, NY 10469-3843 | 2020-07-06 |
| 1023650850 | Andrew Lai | Nurse Practitioner | 2736 Independence Ave Apt 5g, Bronx, NY 10463-4655 | 2019-10-14 |
| 1881113652 | Vivian Grace Parham | Nurse Practitioner | 1395 Nelson Ave., 2a, Bronx, NY 10452 | 2017-09-13 |
| 1649794744 | Natasha Ann Pinheiro | Nurse Practitioner | 441 E Fordham Rd Lowr Level, Bronx, NY 10458-5149 | 2017-07-31 |
| 1467984633 | Analiza Benjamin | Nurse Practitioner | 1930 Mulford Ave, Bronx, NY 10461-4009 | 2017-03-28 |
| 1437558244 | Sherin Shijo Zacharias | Nurse Practitioner | Mosholu Medical Group, 5750 Mosholu Ave., Bronx, NY 10471 | 2014-08-18 |
| 1790113355 | Marisa Brown | Nurse Practitioner | 245 Admiral Ln, Bronx, NY 10473-2446 | 2013-10-17 |
| 1568704591 | Sophia Nurani | Nurse Practitioner | 3144 3rd Ave, Bronx, NY 10451-4629 | 2013-03-15 |
| Find all providers in BRONX | ||||
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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.