MGF WELLNESS VISITS LLC (NPI# 1720453046) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720453046 |
| Entity Type | Organization |
| Organization Name | MGF WELLNESS VISITS LLC |
| Practice Address |
1618 Park St Atlantic Beach NY 11509-1520 |
| Practice Telephone | 5164519355 |
| Mailing Telephone | 5164519355 |
| Enumeration Date | 2015-12-11 |
| Last Update Date | 2015-12-11 |
| Authorized Official Name | MELANIE GAY FORMAN (ADULT NURSE PRACTITIONER) |
| Authorized Official Telephone | 5164519355 |
| Authorized Official Credential | NP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1618 PARK ST |
| City | ATLANTIC BEACH |
| State | NY |
| Zip Code | 11509-1520 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245560390 | Lisa Beth Cohen | Social Worker | 82 Mark Lane, Atlantic Beach, NY 11509 | 2010-01-12 |
| 1922163245 | Jo Ann Dattilo Trabouls | Psychologist | 137 Broome Ave, Atlantic Beach, NY 11509 | 2006-12-27 |
| 1467554840 | Baruch Kassover | Internal Medicine | 2001 Ocean Blvd, Atlantic Beach, NY 11509 | 2006-09-05 |
| 1023370194 | Bill Scott Silberman | Emergency Medical Technician, Basic | 2131 Atlantic Blvd, Atlantic Beach, NY 11509-1002 | 2012-06-13 |
| 1306045026 | Joseph Franca | Physical Therapist | 159 Daytona St, Atlantic Beach, NY 11509-1015 | 2007-07-12 |
| 1124125273 | Jerome Henry Brander | Specialist | 169 Daytona St, Atlantic Beach, NY 11509-1015 | 2006-09-20 |
| 1871778035 | Joseph R. Franca, P.t,, P.C. | Physical Therapist | 159 Daytona St, Atlantic Beach, NY 11509-1015 | 2008-01-07 |
| 1063701928 | Lori R Hearst | Licensed Practical Nurse | 171 Flamingo St, Atlantic Beach, NY 11509-1024 | 2011-03-31 |
| 1215298302 | Flora Lynch | Case Manager/Care Coordinator | 1 Granada Ln, Atlantic Beach, NY 11509-1026 | 2012-06-05 |
| 1114398963 | Nicole Buttafuoco | Counselor | 49 Daytona St, Atlantic Beach, NY 11509-1029 | 2015-10-19 |
| Find all providers in zip 11509 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720422397 | Diane Miller Schulman | Nurse Practitioner | 138 Coronado St, Atlantic Beach, NY 11509-1128 | 2013-04-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104427871 | Tammie Kae Copp | Nurse Practitioner | 8266 Casson Rd, Lindley, NY 14858-9697 | 2020-11-08 |
| 1770184673 | Annette Virosami | Nurse Practitioner | 890 Trinity Ave Apt 8d, Bronx, NY 10456-7419 | 2020-11-06 |
| 1972104958 | Jonathan Dillera Nietes | Nurse Practitioner | 4411 Macnish St Apt 1g, Elmhurst, NY 11373-3609 | 2020-11-05 |
| 1407457088 | Sanjana Kumari | Nurse Practitioner | 62 Albertson Pl, Mineola, NY 11501-4601 | 2020-11-02 |
| 1780284927 | Hannah Catan | Nurse Practitioner | 473 W 158th St Apt 10, New York, NY 10032-5361 | 2020-10-27 |
| 1700486248 | Amandeep Kaur | Nurse Practitioner | 7638 270th St, New Hyde Park, NY 11040-1418 | 2020-10-26 |
| 1861091324 | Stacey M Jantsch | Nurse Practitioner | 8237 Cicero Mills Rd, Cicero, NY 13039-8344 | 2020-10-25 |
| 1871192468 | Adult Health Np House Calls, PC | Nurse Practitioner | 7954 Transit Rd # 134, Williamsville, NY 14221-4117 | 2020-10-23 |
| 1104425891 | Tze-hsuan Chao | Nurse Practitioner | 3916 Prince St Ste 257, Flushing, NY 11354-5367 | 2020-10-22 |
| 1992304968 | Nicholas Robinson | Nurse Practitioner | 295 Essjay, Williamsville, NY 14221 | 2020-10-21 |
| Find all providers with the same taxonomy | ||||
| City | ATLANTIC BEACH |
| Zip Code | 11509 |
Please comment or provide details below to improve the information on MGF WELLNESS VISITS LLC.
| 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.