DEVON ADARE DOUGHERTY (NPI# 1790345148) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790345148 |
| Entity Type | Individual |
| Full Name | DEVON ADARE DOUGHERTY |
| Practice Address |
300 Community Dr Manhasset NY 11030-3816 |
| Practice Telephone | 5165620100 |
| Enumeration Date | 2019-06-18 |
| Last Update Date | 2019-06-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
300 COMMUNITY DR |
| City | MANHASSET |
| State | NY |
| Zip Code | 11030-3816 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487659777 | Rudy Neptune | Anesthesiology | 300 Community Dr, Manhasset, NY 11030-3816 | 2005-06-15 |
| 1013518935 | Vikram Gajulapalli | Pharmacist | 300 Community Dr, Manhasset, NY 11030-3816 | 2020-11-06 |
| 1568062396 | Caroline Smolenski | Nurse Anesthetist, Certified Registered | 300 Community Dr, Manhasset, NY 11030-3876 | 2020-10-30 |
| 1265031256 | James Jiwon Song | Pharmacy Technician | 300 Community Dr, Manhasset, NY 11030-3816 | 2020-10-20 |
| 1437757739 | Andy Sunwoo Lim | Pharmacy Technician | 300 Community Dr, Manhasset, NY 11030-3876 | 2020-10-09 |
| 1548867450 | Shiva Moshtagh | Nurse Practitioner | 300 Community Dr, Manhasset, NY 11030-3816 | 2020-10-04 |
| 1457968943 | Bryanna Colleen Kelly | Nurse Practitioner | 300 Community Dr, Manhasset, NY 11030-3816 | 2020-09-28 |
| 1902412463 | Tara Shelley | Physician Assistant | 300 Community Dr, Manhasset, NY 11030-3876 | 2020-09-21 |
| 1548875644 | Julius E Wilson Jr. | Pharmacy Technician | 300 Community Dr, Manhasset, NY 11030-3816 | 2020-09-15 |
| 1114532215 | Sarah Iqbal | Pharmacy Technician | 300 Community Dr, Manhasset, NY 11030-3816 | 2020-09-15 |
| 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 | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912067083 | Charles Cinone | Physician Assistant | Nsuh Dept of Cardiovascular and Thoracic Surgery, 300 Community Drive, Manhasset, NY 11030 | 2006-12-11 |
| 1255404562 | Bijan Saedi | Physician Assistant | Nsuh - Department of Neurosurgery, 300 Community Drive, Manhasset, NY 11030 | 2006-11-16 |
| 1629148754 | Farina Ijaz Sial | Physician Assistant | Nsuh-dept of Neurosurgery, 300 Community Drive, Manhasset, NY 11030 | 2006-11-08 |
| 1033289194 | Yelena Iglanova | Physician Assistant | Nsuh - Dept of Neurosurgery, 300 Community Drive, Manhasset, NY 11030 | 2006-11-08 |
| 1750451886 | Kelly Felix | Physician Assistant | Nsuh - Cardiovascular & Thoracic Surgery, 300 Community Drive, Manhasset, NY 11030 | 2006-11-08 |
| 1659920767 | Justin Michael Fallacaro | Physician Assistant | 300 Community Dr, Manhasset, NY 11030-3816 | 2019-09-11 |
| 1790268209 | Ivy Nicole Tueller | Physician Assistant | 300 Community Dr, Manhasset, NY 11030-3816 | 2018-09-11 |
| 1669915922 | Vivien Jiewen Hogan | Physician Assistant | 300 Community Dr, Manhasset, NY 11030-3816 | 2016-11-18 |
| 1144687211 | Jamila Makkawi | Physician Assistant | 300 Community Dr, Manhasset, NY 11030-3816 | 2016-01-20 |
| 1619340486 | Anthony Quintana | Physician Assistant | 600 Community Dr, Manhasset, NY 11030-3802 | 2015-11-02 |
| 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.