ERTHA JETER


Address: 6209 16th Ave, Brooklyn, NY 11204-2702
Phone: 7182340073

ERTHA JETER (NPI# 1669798583) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1669798583
Entity Type Individual
Full Name ERTHA JETER
Credential NP
Practice Address 6209 16th Ave
Brooklyn
NY 11204-2702
Mailing Address 540 E 22nd St Apt 1b
Brooklyn
NY 11226-7265
Practice Telephone 7182340073
Mailing Telephone 7188595013
Enumeration Date 2010-04-16
Last Update Date 2013-06-20
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LA2200X Nurse Practitioner
Specialization: Adult Health
F305339-1 NY Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 6209 16TH AVE
City BROOKLYN
State NY
Zip Code 11204-2702

Providers in the same location

NPI Name Taxonomy Address Enumeration
1912951641 Lamia Mahhoud Mroueh Family Medicine 6209 16th Ave, Brooklyn, NY 11204-2702 2006-05-19
1891341624 Gilbert Bell Counselor 6209 16th Ave, Brooklyn, NY 11204-2702 2019-08-16
1649733320 Healthcarechoices Ny, Inc Clinic/Center 6209 16th Ave, Brooklyn, NY 11204-2702 2019-04-10
1265946404 Nicole Danielle Ajenishe Social Worker 6209 16th Ave, Brooklyn, NY 11204-2702 2017-11-27
1518402890 Jose Manuel Vazquez Registered Nurse 6209 16th Ave, Brooklyn, NY 11204-2702 2016-12-22
1104219583 Nina Statman Social Worker 6209 16th Ave, Brooklyn, NY 11204-2702 2015-03-10
1215353461 Ghc Pharmacy Inc. Pharmacy 6209 16th Ave, Brooklyn, NY 11204-2702 2014-03-12
1205137023 Odette Spencer Nurse Practitioner 6209 16th Ave, Brooklyn, NY 11204-2702 2010-11-10
1134442528 Ludmila Shklyarevsky Psychiatry & Neurology 6209 16th Ave, Brooklyn, NY 11204 2010-03-12
1376873265 Icl Medicaid Service Coordination (msc) Day Training, Developmentally Disabled Services 6209 16th Ave, Brooklyn, NY 11204-2702 2009-12-28
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1215577564 Miriam Levin Social Worker 5309 18th Avenue, Brooklyn, NY 11204 2020-01-14
1073076980 Fusion Dental, P.C. Dentist 2101 Bay Ridge Parkway, Medical/dental Center, Brooklyn, NY 11204 2019-04-08
1477019990 Daniel Silberstein Physical Therapist 1767 48th Street, Brooklyn, NY 11204 2019-02-20
1144736968 Star 1 Health Inc. Radiology 2175 70th St, Suite 1, Brooklyn, NY 11204 2017-12-15
1417462318 Betzalel Rabinowitz Np In Family Health, Pllc Nurse Practitioner 5911b 16th Ave, Brooklyn, NY 11204 2017-12-13
1588176648 Giga Gambashidze Physical Therapy Assistant 1556 W 8th St, Apt 2, Brooklyn, NY 11204 2017-10-30
1871011015 Rebecca Aida Nuzzi Speech-Language Pathologist 4715 18th Avenue, Brooklyn, NY 11204 2017-09-08
1245751882 Wise Medical Ny PC Optometrist 5918 18th Ave Ste 3, Brooklyn, NY 11204 2017-07-05
1619498326 Keisha Simmons Licensed Practical Nurse 703 Van Silcen Ave, Brooklyn, NY 11204 2017-07-03
1790205508 Enas Ahmed Physical Therapist 1924 60th Street, 2nd Floor, Brooklyn, NY 11204 2017-06-22
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Taxonomy Information

Taxonomy Code 363LA2200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Adult Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1295334100 Yin Kong Nurse Practitioner 7105 3rd Avenue, #523, 7105 3rd Avenue, #52, Brooklyn, NY 11209-1308 2020-10-21
1922612944 Rosemarie Elizabeth Crosdale Nurse Practitioner 9019 Avenue A, Brooklyn, NY 11236-1208 2020-09-08
1144832247 Marise Richard Nurse Practitioner 1106 E 57th St, Brooklyn, NY 11234-3312 2020-08-19
1487264008 Dina Levkova Nurse Practitioner 303 Webster Ave Apt 2f, Brooklyn, NY 11230-1256 2020-08-07
1972113694 Winsome Elizabeth Benain Nurse Practitioner 9621 Avenue B, Brooklyn, NY 11236-1321 2020-08-06
1396355327 Samuel S Wilburn Nurse Practitioner 75 Jackson St Apt 1, Brooklyn, NY 11211-2245 2020-08-04
1710595335 Aimee Huang Nurse Practitioner 96 Bay 10th St, Brooklyn, NY 11228-3702 2020-07-20
1700494812 Jessica B Schwab Nurse Practitioner 75 Jackson St Apt 1fh, Brooklyn, NY 11211-2245 2020-07-15
1225654916 Leasha Lindsay Nurse Practitioner 1214 E 87th St, Brooklyn, NY 11236-4929 2020-06-18
1760002323 Satchell-lee Tyrell Nurse Practitioner 537 Rogers Ave, Brooklyn, NY 11225-5445 2020-04-23
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Competitor

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City BROOKLYN
Zip Code 11204

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Dataset Information

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.

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