REBECCA SOFFERMAN (NPI# 1659702686) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659702686 |
| Entity Type | Individual |
| Full Name | REBECCA SOFFERMAN |
| Practice Address |
1129 Northern Blvd Suite 408 Manhasset NY 11030-3045 |
| Practice Telephone | 5166272121 |
| Practice Fax Number | 5166274922 |
| Mailing Telephone | 5166272121 |
| Mailing Fax Number | 5166274922 |
| Enumeration Date | 2013-12-02 |
| Last Update Date | 2013-12-02 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
017229 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1129 NORTHERN BLVD SUITE 408 |
| City | MANHASSET |
| State | NY |
| Zip Code | 11030-3045 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588669519 | Robert N Corriel | Allergy & Immunology | 1129 Northern Blvd, Ste 300, Manhasset, NY 11030-3022 | 2005-06-16 |
| 1508421363 | Neenu Puthusseril | Nurse Practitioner | 1129 Northern Blvd, Manhasset, NY 11030-3045 | 2019-05-07 |
| 1659855930 | Breakthrough Foundations LLC | Behavioral Analyst | 1129 Northern Blvd, Manhasset, NY 11030-3045 | 2018-09-21 |
| 1043754856 | Ignite Health Chiropractic PC | Chiropractor | 1129 Northern Blvd, Suite 404, Manhasset, NY 11030-3045 | 2016-12-13 |
| 1518413772 | Abc Care Inc | Home Health | 1129 Northern Blvd, Suite 404, Manhasset, NY 11030-3045 | 2016-08-28 |
| 1962858266 | Lionrock Behavioral Health, Inc | Community/Behavioral Health | 1129 Northern Blvd, Suite 404, Manhasset, NY 11030 | 2016-05-05 |
| 1720482755 | Dr. Jeffrey H. Markowtiz, D.d.s., P.C. | Dentist | 1129 Northern Blvd, Suite #401, Manhasset, NY 11030-3045 | 2014-10-20 |
| 1811396864 | Andrea Marie Mccloy | Nurse Practitioner | 1129 Northern Blvd, Suite 101, Manhasset, NY 11030-3045 | 2014-08-15 |
| 1053757567 | Mohammad Rasheed | Physician Assistant | 1129 Northern Blvd, Suite 101, Manhasset, NY 11030-3045 | 2013-05-13 |
| 1568805935 | Kimberly Pav | Physician Assistant | 1129 Northern Blvd, Manhasset, NY 11030-3045 | 2013-04-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831754126 | Diana Fox | Registered Nurse | 330 Community Drive, Manhasset, NY 11030 | 2019-05-02 |
| 1215470257 | Melissa Fackler | Registered Nurse | 1350 Northern Blvd Ste 202, Manhasset, NY 11030 | 2016-11-23 |
| 1821443391 | Sarah Javdan | Family Medicine | 800 Community Dr Ste 206, Manhasset, NY 11030 | 2016-05-03 |
| 1891167458 | Stacie Thaw Lcsw Pllc | Social Worker | 115 Park Ave., Manhasset, NY 11030 | 2015-10-22 |
| 1538547971 | Aarti Kumar | Podiatrist | 535 Plandome Rd # 2, Manhasset, NY 11030 | 2015-05-18 |
| 1073933586 | Rachel Durante | Occupational Therapist | 600 Community Drive, Manhasset, NY 11030 | 2014-04-23 |
| 1831436435 | Anesthesia Care, P.C. | General Practice | 565 Plandome Road, Manhasset, NY 11030 | 2013-01-16 |
| 1821350091 | Sylvia Yoonsun Kim | Pharmacist | 139 Vanderbilt Ave, Manhasset, NY 11030 | 2012-06-13 |
| 1699062588 | Rod Stern | Dentist | 444 Community Dr Ste 201, Manhasset, NY 11030 | 2011-06-30 |
| 1558654798 | Alexandria Pace Kress | Speech-Language Pathologist | 31 Circle Dr, Manhasset, NY 11030 | 2011-05-20 |
| Find all providers in zip 11030 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396395380 | Robert J Brown Jr Rpa PC | Physician Assistant | 1165 Northern Blvd Ste 400, Manhasset, NY 11030-3048 | 2019-09-12 |
| 1497985014 | Anna Zaldivar | Physician Assistant | 1129 Northern Blvd Ste 408, Manhasset, NY 11030-3022 | 2009-07-16 |
| 1275176745 | Faiza Ali | Physician Assistant | 600 Community Dr Ste 304, Manhasset, NY 11030-3818 | 2019-10-28 |
| 1821644915 | Natalie Zenou | Physician Assistant | 300 Community Dr, Manhasset, NY 11030-3816 | 2019-08-14 |
| 1457906398 | Freddy Mendez Jr. | Physician Assistant | 300 Community Dr, Manhasset, NY 11030-3816 | 2019-08-07 |
| 1033681820 | Tanairi Hesperides Quezada | Physician Assistant | 300 Community Dr, Manhasset, NY 11030-3816 | 2018-12-18 |
| 1508391509 | Chitwan Dhindsa | Physician Assistant | 300 Community Dr, Manhasset, NY 11030-3816 | 2017-04-27 |
| 1255889200 | Melanie Bissetta | Physician Assistant | 300 Community Dr, Manhasset, NY 11030-3816 | 2016-09-20 |
| 1336694744 | Ravikumar Patel | Physician Assistant | 300 Community Dr, Manhasset, NY 11030-3816 | 2016-08-16 |
| 1881014488 | Talani Bertram | Physician Assistant | 300 Community Dr, Manhasset, NY 11030-3816 | 2014-04-22 |
| Find all providers in MANHASSET | ||||
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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.