MS. CHRISTINA ROSE BRODERICK (NPI# 1619215423) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619215423 |
| Entity Type | Individual |
| Full Name | MS. CHRISTINA ROSE BRODERICK |
| Credential | MSED |
| Practice Address |
162 Broadway Bethpage NY 11714-4417 |
| Practice Telephone | 5165473658 |
| Mailing Telephone | 5165473658 |
| Enumeration Date | 2013-01-29 |
| Last Update Date | 2013-01-29 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | NY | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548828379 | Christina Broderick | Speech-Language Pathologist | 506 6th St # 2a, Brooklyn, NY 11215-3609 | 2019-06-05 |
| 1144507922 | Christina Broderick | Registered Nurse | 107 Commercial St, Mashpee, MA 02649-6507 | 2011-11-08 |
| Street Address |
162 BROADWAY |
| City | BETHPAGE |
| State | NY |
| Zip Code | 11714-4417 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023466208 | Angelika Cataldo | Physician Assistant | 96 Farmers Ave, Bethpage, NY 11714 | 2016-05-30 |
| 1215390240 | Jessica Cohen Micciulli | Counselor | 1211 Stewart Ave., Suite 100, Bethpage, NY 11714 | 2016-03-29 |
| 1295119329 | Van Tu | Physician Assistant | 72 Roosevelt Dr, Bethpage, NY 11714 | 2015-07-18 |
| 1124400072 | Nicole Simon | Speech-Language Pathologist | 28 Lee Avenue, Bethpage, NY 11714 | 2015-06-26 |
| 1083001556 | Gagandeep Sharma | Podiatrist | 255 Stewart Ave, Bethpage, NY 11714 | 2015-04-22 |
| 1245631399 | All About Kids | Local Education Agency (LEA) | 152 Sycamore Avenue, Bethpage, NY 11714 | 2014-09-09 |
| 1568871440 | Christina Healy | Home Health Aide | 49 West Millpage Drive, Bethpage, NY 11714 | 2014-08-05 |
| 1225444656 | Ryan Vincent Costello | Registered Nurse | 68 S. 2nd St., Apt A, Bethpage, NY 11714 | 2014-07-07 |
| 1598195125 | Lori-ann Perez | Case Manager/Care Coordinator | 18 Ellen Street, Bethpage, NY 11714 | 2013-11-18 |
| 1306195482 | Lisa Kozlowsky | Behavioral Analyst | 420 Kensington Lane, Bethpage, NY 11714 | 2012-09-05 |
| Find all providers in zip 11714 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659877694 | Jacqueline Hipp | Specialist | 9 Miami Rd, Bethpage, NY 11714-2218 | 2018-03-30 |
| 1417455544 | Yrma Salmeron | Specialist | 21 S Lerisa St, Bethpage, NY 11714-5542 | 2018-01-23 |
| 1851839781 | Richard Picardi | Specialist | 31 Normandy Dr, Bethpage, NY 11714-6026 | 2017-02-12 |
| 1124486576 | Kimberly Bickard | Specialist | 192 N 2nd St, Bethpage, NY 11714-2102 | 2016-01-31 |
| 1316314586 | Ashley Stack | Specialist | 4247 Clarissa Rd, Bethpage, NY 11714-6203 | 2015-08-24 |
| 1194142034 | Karen Boncic | Specialist | 18 Russell Ave, Bethpage, NY 11714-4821 | 2014-03-27 |
| 1598101537 | Allison Rachel Johnson | Specialist | 39 Columbia St, Bethpage, NY 11714-5201 | 2013-05-17 |
| 1043561012 | Teresa M Volino | Specialist | 64 S Windhorst Ave, Bethpage, NY 11714-4929 | 2012-09-30 |
| 1700134285 | Latishia Pendleton-williams | Specialist | 3856 Green Pl, Bethpage, NY 11714-4208 | 2012-08-15 |
| 1932463668 | Deborah J. Peterec | Specialist | 3901 Avoca Ave, Bethpage, NY 11714-4705 | 2012-06-27 |
| Find all providers in BETHPAGE | ||||
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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.