GARNERVILLE PEDIATRICS (NPI# 1619105954) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619105954 |
| Entity Type | Organization |
| Organization Name | GARNERVILLE PEDIATRICS |
| Practice Address |
124 Ramapo Rd Garnerville NY 10923-1571 |
| Practice Telephone | 8452714794 |
| Practice Fax Number | 8452714795 |
| Mailing Telephone | 8452714794 |
| Mailing Fax Number | 8452714795 |
| Enumeration Date | 2009-06-25 |
| Last Update Date | 2009-06-25 |
| Authorized Official Name | DR. MAUREEN F COONEY (OWNER) |
| Authorized Official Telephone | 8452714794 |
| Authorized Official Credential | D.O. |
| Is Organization Subpart | Y |
| Parent Organization Name | NYACK PEDIATRIC ASSOCIATES |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080A0000X |
Pediatrics Specialization: Adolescent Medicine |
193032 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 01827421 | 05 |
| Street Address |
124 RAMAPO RD |
| City | GARNERVILLE |
| State | NY |
| Zip Code | 10923-1571 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417285222 | Andrew Michael Pereira | Specialist | 46 W Ramapo Rd, Garnerville, NY 10923 | 2009-12-07 |
| 1952638090 | Sean Ambrey | Occupational Therapist | 10 Grove St, Garnerville, NY 10923 | 2009-11-10 |
| 1205075330 | Haverstraw Pharmacy Inc | Pharmacy | 124 E Ramapo Road, Garnerville, NY 10923 | 2009-02-12 |
| 1073703195 | Christine Marie Matushefske | Social Worker | 21 F Hasbrouck Rd, Garnerville, NY 10923 | 2007-07-25 |
| 1093937088 | Cherrylene Rodrigo Contreras | Registered Nurse | 16 Hasbrouck Road, Apt. C, Garnerville, NY 10923 | 2007-05-02 |
| 1942399282 | Warren Andrew Cohen | Pharmacist | 150 West Railroad Ave, Garnerville, NY 10923 | 2006-10-12 |
| 1710074075 | Daniel Harold Cohen | Pediatrics | 171 Ramapo Road, Daniel Cohen Md North Rockland Pediatric Assoc, Garnerville, NY 10923 | 2006-10-06 |
| 1780799569 | Inserra Supermarket Inc | Pharmacy | 56 Ramapo Road, Garnerville, NY 10923 | 2006-08-20 |
| 1689164584 | Northeast Foot Care Podiatry PC | Clinic/Center | 16 Seminara Cir, Garnerville, NY 10923 | 2018-05-16 |
| 1710480371 | Johanne Leveille | Registered Nurse | 66 Cleary Ct, Garnerville, NY 10923 | 2018-03-09 |
| Find all providers in zip 10923 | ||||
| Taxonomy Code | 2080A0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Adolescent Medicine |
| A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902438039 | Joanna Catherine Cross | Pediatrics | 6049 Transit Rd Ste 101, East Amherst, NY 14051-1803 | 2020-02-06 |
| 1720498306 | Ashley M Yazdani | Pediatrics | 3950 East Robinson Road, Suite 205, West Amherst, NY 14228 | 2014-05-05 |
| 1699103879 | Pediatric&adolescent Medical Care Pllc | Pediatrics | 450 76th St, Brooklyn, NY 11209-3204 | 2013-10-24 |
| 1962837377 | Mariam Machabeli | Pediatrics | 765 Grand St, Brooklyn, NY 11211-5797 | 2013-09-05 |
| 1013352392 | Pediatric Associates of Plainview | Pediatrics | 400 S Oyster Bay Rd Ste 207, Hicksville, NY 11801-3500 | 2013-05-01 |
| 1174876650 | Theodore Fink | Pediatrics | 1 Rudolph Dr, Apt. 1s, Carle Place, NY 11514-1095 | 2012-10-20 |
| 1376804096 | Melissa Ellen Dere | Pediatrics | 732 5th Ave, Brooklyn, NY 11232 | 2012-05-30 |
| 1386915544 | Marvin Lieber | Pediatrics | 58 Sycamore Cir, Stony Brook, NY 11790-3147 | 2012-01-19 |
| 1508134578 | Hicksville Pediatrics PC | Pediatrics | 535 S Broadway, Suite 1, Hicksville, NY 11801-5029 | 2011-12-06 |
| 1245523513 | Khalida Itriyeva | Pediatrics | 410 Lakeville Rd Ste 108, New Hyde Park, NY 11042 | 2011-05-19 |
| Find all providers with the same taxonomy | ||||
| City | GARNERVILLE |
| Zip Code | 10923 |
Please comment or provide details below to improve the information on GARNERVILLE PEDIATRICS.
| 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.