MRS. CARMEN MILLICENT BASSARAGH (NPI# 1679833784) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679833784 |
| Entity Type | Individual |
| Full Name | MRS. CARMEN MILLICENT BASSARAGH |
| Credential | ANP-C |
| Practice Address |
421 Deer Park Ave Babylon NY 11702-2313 |
| Practice Telephone | 6319411000 |
| Mailing Telephone | 6319411000 |
| Enumeration Date | 2012-05-22 |
| Last Update Date | 2017-02-28 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 133V00000X | Dietitian, Registered | 000575-1 | NY | Dietary & Nutritional Service Providers |
| Y | 364SA2200X |
Clinical Nurse Specialist Specialization: Adult Health |
F305792- | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
421 DEER PARK AVE |
| City | BABYLON |
| State | NY |
| Zip Code | 11702-2313 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962496968 | Long Island Diabetes & Endocrinology Associates, LLP | Internal Medicine | 421 Deer Park Ave, Babylon, NY 11702 | 2005-09-06 |
| 1952933624 | Jenna Bermudez | Nurse Practitioner | 421 Deer Park Ave, Babylon, NY 11702-2313 | 2020-02-10 |
| 1306139241 | Christina Diana | Dietitian, Registered | 421 Deer Park Ave, Babylon, NY 11702-2313 | 2011-05-25 |
| 1437453602 | Suzanne Reuter | Physician Assistant | 421 Deer Park Ave, Babylon, NY 11702-2313 | 2011-01-03 |
| 1770727935 | Long Island Diabetes & Endocrinology, PC | Clinic/Center | 421 Deer Park Ave, Babylon, NY 11702-2313 | 2009-04-30 |
| 1023061058 | Vincent Bayarri | Pediatrics | 421 Deer Park Ave, Babylon, NY 11702-2313 | 2006-05-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659972859 | Rebecca Ryan | Counselor | 8 Virginia Road, Babylon, NY 11702 | 2020-11-04 |
| 1972047124 | Joanne Renee Wenner I | Massage Therapist | 28 Yacght Club Rd, Babylon, NY 11702 | 2016-12-07 |
| 1841743846 | Brian Christopher Penta | Specialist | 11 East Jackson Avenue, Babylon, NY 11702 | 2016-07-27 |
| 1760836654 | Elizabeth Duggan | Registered Nurse | 1 Farmingdale Rd., West Babylon, NY 11702 | 2016-04-18 |
| 1679936595 | Brianna Michelle Renda | Nurse Practitioner | 38 James Street, Babylon, NY 11702 | 2016-03-29 |
| 1861801672 | Margaret Stroehlein | Nurse Practitioner | 28 Edward Ave, Babylon, NY 11702 | 2014-08-06 |
| 1164777397 | Kim Suzanne Sconzo | Speech-Language Pathologist | 10 Grant Ave W., Babylon, NY 11702 | 2012-07-13 |
| 1437459674 | Katz & Wood Inc | Audiologist-Hearing Aid Fitter | 20 Argyle Square, Babylon, NY 11702 | 2010-10-21 |
| 1053643668 | Andrea Wilkinson Ohle | Marriage & Family Therapist | 74 Fire Island Avenue, Suite 104, Babylon, NY 11702 | 2010-02-06 |
| 1477880771 | Robert E Gribbin | Physical Therapist | 400 W Main Street, Suite 340, Babylon, NY 11702 | 2009-11-06 |
| Find all providers in zip 11702 | ||||
| Taxonomy Code | 364SA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265974935 | Kit So | Clinical Nurse Specialist | 970 41st St Apt 6h, Brooklyn, NY 11219-1156 | 2016-11-13 |
| 1174974190 | Dexter Hanz Ang Yee | Clinical Nurse Specialist | 544 Beach 68th St, Far Rockaway, NY 11692-1316 | 2016-06-30 |
| 1609244037 | Thelma P Bryan | Clinical Nurse Specialist | 10 E 138th St Apt 7b, New York, NY 10037-2049 | 2015-09-02 |
| 1215336979 | Patricia Anne Buerkle | Clinical Nurse Specialist | 100 Center Drive, Sccf Jail Medical, Riverhead, NY 11971 | 2014-08-19 |
| 1568895514 | Stanislaus Dashawetz | Clinical Nurse Specialist | 236 Cragsmoor Rd, Cragsmoor, NY 12420-0344 | 2013-08-14 |
| 1992062921 | Harleen Bedi | Clinical Nurse Specialist | 270-05 69 Avenue, Interventional Radiology 2nd Floor, New Hyde Park, NY 11040 | 2012-04-16 |
| 1265706410 | Hsiaoping Chou | Clinical Nurse Specialist | 9233 53rd Avenue, Elmhurst, NY 11373-4624 | 2012-03-06 |
| 1255636288 | Judith A Blake-krickovich | Clinical Nurse Specialist | 5 Fort St, Auburn, Auburn, NY 13021-3731 | 2011-01-23 |
| 1861703662 | Patricia Mctigue | Clinical Nurse Specialist | 1220 Front Street, Uniondale, NY 11553-2049 | 2010-06-25 |
| 1649433723 | Carolyn Anne Holt | Clinical Nurse Specialist | 445 Saint Paul St, Medical, High Falls Brewing Co, Rochester, NY 14605-1775 | 2008-07-08 |
| Find all providers with the same taxonomy | ||||
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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.