MAUREEN VERONICA MCCANN (NPI# 1639388044) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639388044 |
| Entity Type | Individual |
| Full Name | MAUREEN VERONICA MCCANN |
| Other Name | MAUREEN VERONICA ANDREOZZI |
| Credential | NP |
| Practice Address |
150 Dark Hollow Rd Port Jefferson NY 11777-2048 |
| Mailing Address |
2820 Shipyard Ln Unit 3m East Marion NY 11939-1259 |
| Practice Telephone | 6314735400 |
| Mailing Telephone | 6314772489 |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2011-10-23 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
340175 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801148903 | Maureen Patricia Mccann | Dental Hygienist | 309 N Pope St, Bridgewater, VA 22812-1424 | 2012-10-12 |
| 1922230838 | Maureen B. Mccann | Marriage & Family Therapist | 47 Town St, Norwich, CT 06360-2315 | 2009-08-12 |
| Street Address |
150 DARK HOLLOW RD |
| City | PORT JEFFERSON |
| State | NY |
| Zip Code | 11777-2048 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396742938 | Glen Haven Residential Healthcare Fac. Inc | Skilled Nursing Facility | 150 Dark Hollow Rd, Port Jefferson, NY 11777-2048 | 2005-06-28 |
| 1558827337 | Chelsea Leshinger | Occupational Therapist | 150 Dark Hollow Rd, Port Jefferson, NY 11777-2048 | 2019-02-16 |
| 1093286585 | Port Jefferson Operating LLC | Skilled Nursing Facility | 150 Dark Hollow Rd, Port Jefferson, NY 11777-2048 | 2018-12-10 |
| 1528598950 | Julianna Gaul | Speech-Language Pathologist | 150 Dark Hollow Rd, Port Jefferson, NY 11777-2048 | 2017-06-18 |
| 1023336567 | Lisa Aymong | Clinic/Center | 150 Dark Hollow Rd, Port Jefferson, NY 11777-2048 | 2010-05-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568088615 | Aqsa Ashraf | Student in an Organized Health Care Education/Training Program | 75 N Country Road Mather Hospital Internal Medicine Res, Port Jefferson, NY 11777 | 2020-06-24 |
| 1366068975 | Manal Ahmad | Student in an Organized Health Care Education/Training Program | 75 N County Rd, Level 2 Cmo Suite, Internal Medicine Re, Mather Hospital, Port Jefferson, NY 11777 | 2020-06-19 |
| 1639794555 | Umair Ahmad Ansari | Student in an Organized Health Care Education/Training Program | 75 N Country Road Mother Hospital, Internal Medicine Re, Level 2 - Cmd Suite, Port Jefferson, NY 11777 | 2020-06-16 |
| 1578188132 | Manasi Sule | Student in an Organized Health Care Education/Training Program | 75 N Country Rd, Mather Hospital, Internal Medicine Res, Port Jefferson, NY 11777 | 2020-06-10 |
| 1508480716 | Imona Subedi | Student in an Organized Health Care Education/Training Program | 75 N Country Road, Level 2 - Cmo Suite, Mather Hospital Internal Medicine Residency Program, Port Jefferson, NY 11777 | 2020-06-03 |
| 1184252108 | Romana Imtiaz Syed | Student in an Organized Health Care Education/Training Program | Liza M Dominioni,mather Hospital,internal Medicine, Residency Program,level 2-cmo Suite,75 N Country Rd, Port Jefferson, NY 11777 | 2020-03-27 |
| 1649807348 | Mustafa Mohammed Abdulsada | Student in an Organized Health Care Education/Training Program | 75 N Country Rd, Ny, Level 2 - Cmo Suite, Port Jefferson, NY 11777 | 2020-03-24 |
| 1184264764 | Girma Moges Gamme | Surgery | 625 Belle Terre Rd, Suite 203 Mather Hospital, Port Jefferson, NY 11777 | 2020-01-10 |
| 1811554637 | Kausar Ali | Nurse Practitioner | 408 Thompson Street, Port Jefferson, NY 11777 | 2019-05-28 |
| 1073097531 | Ministry for Hope, Inc. Montfort Therapeutic Residence | Residential Treatment Facility, Physical Disabilities | 100 Stonyhill Road, Port Jefferson, NY 11777 | 2018-09-20 |
| Find all providers in zip 11777 | ||||
| Taxonomy Code | 363LG0600X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Gerontology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063013415 | Carl Mark Cacciotti | Nurse Practitioner | 81 Sweetmilk Creek Rd, Troy, NY 12180-9100 | 2020-11-03 |
| 1356942957 | Violeta Izrailov | Nurse Practitioner | 7529 187th St, Fresh Meadows, NY 11366-1725 | 2020-11-02 |
| 1063028041 | Alanna Baldassarre | Nurse Practitioner | 1 Daywood Ct, East Northport, NY 11731-3446 | 2020-09-16 |
| 1316553399 | Jacqueline Abbatiello | Nurse Practitioner | 66 Wickey Ave, Westbury, NY 11590-2005 | 2020-09-16 |
| 1235760612 | Sumra Abbasi | Nurse Practitioner | 6 S Georgia St, Valley Stream, NY 11580-2309 | 2020-02-04 |
| 1104465392 | Cindy Ha | Nurse Practitioner | 29-22 Northern Blvd, Apt 1805, Long Island City, NY 11101 | 2020-01-06 |
| 1508412503 | Julie Marie Giles | Nurse Practitioner | 1415 Portland Ave Ste 200, Rochester, NY 14621-3022 | 2019-08-15 |
| 1952874604 | Alice M Carrington | Nurse Practitioner | 61 Syracuse St, Baldwinsville, NY 13027-2929 | 2019-01-05 |
| 1629597224 | Guerdy M Michel-loiseau | Nurse Practitioner | 90-01 Broadway, Elmhurst, NY 11373 | 2017-09-14 |
| 1396297354 | Ann-marie Campbell | Nurse Practitioner | 1292 E 93rd St, Brooklyn, NY 11236-4321 | 2016-10-25 |
| Find all providers with the same taxonomy | ||||
| City | PORT JEFFERSON |
| Zip Code | 11777 |
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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.