ROBERT DONALD BRANCH JR. (NPI# 1629293154) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1629293154 |
Entity Type | Individual |
Full Name | ROBERT DONALD BRANCH JR. |
Credential | PA |
Practice Address |
290 E Main St Ste 700 Smithtown NY 11787-2916 |
Mailing Address |
232 Merrick Rd Lynbrook NY 11563-2623 |
Practice Telephone | 7184191649 |
Practice Fax Number | 6313615376 |
Mailing Telephone | 7184191649 |
Mailing Fax Number | 6313615376 |
Enumeration Date | 2007-04-17 |
Last Update Date | 2019-10-30 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
008256-1 | NY | Physician Assistants & Advanced Practice Nursing Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891153292 | Robert Branch | Counselor | 418 N Broadway St, Knoxville, TN 37917-7401 | 2016-02-01 |
1366580862 | Robert Otis Branch | Speech-Language Pathologist | 11279 W. Grier Rd., Musd Special Education, Marana, AZ 85653 | 2007-02-05 |
1154381101 | Robert Wade Branch | Optometrist | 506 Old Lexington Hwy, Suite A, Chapin, SC 29036-9823 | 2006-03-24 |
1932171261 | Robert James Branch II | Dentist | 2816 Pointe Tremble Rd, Algonac, MI 48001-4632 | 2006-02-02 |
1871617613 | Robert Laurie Branch | Acupuncturist | 400 Main Street, Bedminster, NJ 07220 | 2007-03-19 |
1053445650 | Robert A Branch | Clinical Pharmacology | 200 Lothrop St, Montefiore 6 Ne, Pittsburgh, PA 15213-2536 | 2007-03-15 |
1649377300 | Robert Henry Branch | Dentist | 10300 Compton Ave, Los Angeles, CA 90002-3628 | 2006-09-17 |
Street Address |
290 E MAIN ST STE 700 |
City | SMITHTOWN |
State | NY |
Zip Code | 11787-2916 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1184923112 | Kate Ryan Cecchetto | Physician Assistant | 290 E Main St Ste 700, Smithtown, NY 11787 | 2011-03-16 |
1003097874 | Anne Marie Mcgrath | Nurse Practitioner | 290 E Main St Ste 700, Smithtown, NY 11787-2916 | 2007-11-20 |
1407066046 | Richard Boccio Md PC | Orthopaedic Surgery | 290 E Main St Ste 700, Smithtown, NY 11787-2916 | 2007-05-23 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1558962779 | Gwendolyn Burris | Counselor | 20 Gilbert Avenue, Suite 107-a, Smithtown, NY 11787 | 2020-11-04 |
1467051193 | Karin M Caro | Adult Companion | 9 Three Pond Road, Smithtown, NY 11787 | 2020-10-23 |
1639706641 | Nimit Khara | Student in an Organized Health Care Education/Training Program | 240 Middle Country Rd A, Smithtown, NY 11787 | 2020-03-27 |
1003469032 | Maria Teresa Gardella | Nurse Practitioner | St. Catherine of Siena Medical Center, 50 Ny-25a, Smithtown, NY 11787 | 2019-07-18 |
1558922070 | Pamella Ann Grillo | Physician Assistant | 373 Ny-111 #5, Smithtown, NY 11787 | 2019-06-25 |
1306308127 | Sherry Hansen | Social Worker | 285 Middle Country Rd, Suite Ll5, Smithtown, NY 11787 | 2019-04-01 |
1932663747 | Kayla Roundsman | Counselor | 11 Route 11, Smithtown, NY 11787 | 2019-01-25 |
1568959856 | Moreen Johnson | Registered Nurse | Christian Nursing Registry, 17 Bank Ave, Smith Town, NY 11787 | 2018-04-23 |
1992217871 | Erica Zeller Licensed Clinical Social Work Pllc | Social Worker | 15 Bellemeade Ave Ste 3, Smithtown, NY 11787 | 2017-10-31 |
1881117802 | Oisin Vincent Keenan | Case Manager/Care Coordinator | 11 Ny-111, Smithtown, NY 11787 | 2017-07-21 |
Find all providers in zip 11787 |
Taxonomy Code | 363AS0400X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Surgical Technologist |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609232883 | Patrick Fritz Greger | Physician Assistant | 50 Route 25a, Surgical Pa Services, Smithtown, NY 11787-1348 | 2016-01-04 |
1669748943 | Jessica Piccoli | Physician Assistant | 48 Route 25a, Medical Office Building, Suite 305, Smithtown, NY 11787-1431 | 2012-03-30 |
1346298197 | Robin J. Conversano | Physician Assistant | 290 E Main St, Suite 700, Smithtown, NY 11787-2916 | 2006-05-04 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1205434727 | Julia Loren Bartsch | Physician Assistant | 11791 Genesee St, Alden, NY 14004-9713 | 2020-10-16 |
1295347078 | Alana Janine Miller | Physician Assistant | 1060 5th Ave # 1b, New York, NY 10128-0104 | 2020-08-21 |
1336768647 | Abul Sarker | Physician Assistant | 2 Sagamore Ave, Suffern, NY 10901-7412 | 2020-04-16 |
1689200412 | Margaret Ann Sullivan | Physician Assistant | 7011 108th St Apt 4l, Forest Hills, NY 11375-4407 | 2020-03-12 |
1376177527 | Anabell Marina Lopez Plaza | Physician Assistant | 12 Berrywood Ct, Bay Shore, NY 11706-2058 | 2020-02-26 |
1154969053 | Joshua Reyes | Physician Assistant | 8839 Saint James Ave, Elmhurst, NY 11373 | 2019-12-11 |
1831736602 | Ll Physician Assistant PC | Physician Assistant | 2279 Coney Island Ave Fl 2, Brooklyn, NY 11223-3337 | 2019-11-29 |
1992348775 | Nafiur Rahman Chowdhury | Physician Assistant | 8268 164th St Rm A3-65, Jamaica, NY 11432-1121 | 2019-10-23 |
1376194720 | Sarah Van Eenenaam | Physician Assistant | Adult Cardiac Surgery, 750 East Adams St, Syracuse, NY 13210 | 2019-09-26 |
1578114377 | Matthew Newmark Eisenstein | Physician Assistant | 3260 43rd St Apt 2r, Astoria, NY 11103-2745 | 2019-09-23 |
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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.