MS. ELIZABETH C SANTANIELLO (NPI# 1851822175) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1851822175 |
Entity Type | Individual |
Full Name | MS. ELIZABETH C SANTANIELLO |
Credential | NP |
Practice Address |
267 Hill Rd Rome NY 13441 |
Mailing Address |
702 Grove St Haddonfield NJ 08033-1050 |
Practice Telephone | 3153387540 |
Practice Fax Number | 3153387538 |
Enumeration Date | 2017-03-27 |
Last Update Date | 2018-07-05 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 363LF0000X |
Nurse Practitioner Specialization: Family |
SP016721 | PA | Physician Assistants & Advanced Practice Nursing Providers |
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
341459 | NY | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NY | 04820119 | 05 |
Address | Telephone Number | Fax Number |
---|---|---|
2133 45th Ave, 2nd Floor, Long Island City, NY 111014703 | 8567802020 |
Street Address |
267 HILL RD |
City | ROME |
State | NY |
Zip Code | 13441 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1598765042 | Shuban K Moza | Surgery | 267 Hill Rd, Suite 300, Rome, NY 13441-4203 | 2005-07-27 |
1104235274 | Lindsey Sampo | Physician Assistant | 267 Hill Rd, Suite 300, Rome, NY 13441-4203 | 2014-08-04 |
1508272287 | Sarah Eanniello | Nurse Practitioner | 267 Hill Rd, Suite 300, Rome, NY 13441-4203 | 2014-07-02 |
1346655834 | Katherine Freeman | Nurse Practitioner | 267 Hill Rd, Suite 300, Rome, NY 13441-4239 | 2014-06-24 |
1861750010 | Rome Medical Practice | Psychiatry & Neurology | 267 Hill Rd, Suite 100, Rome, NY 13441-4203 | 2012-04-25 |
1831311588 | Glady Jacob | Psychiatry & Neurology | 267 Hill Rd, Suite 100, Rome, NY 13441-4203 | 2007-05-03 |
1740318070 | Jessica Lisa Hurwitz | Surgery | 267 Hill Rd, Suite 300, Rome, NY 13441-4239 | 2007-02-28 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1831484567 | Griffiss Ec, LLC | Clinic/Center | 105 Dart Circle, Rome, NY 13441 | 2011-06-10 |
1437328713 | Duane Leo Wallace | Dentist | 63 Geiger Road, Rome, NY 13441 | 2008-02-21 |
1316008311 | Upstate Cerebral Palsy, Inc | Intermediate Care Facility, Mentally Retarded | 124 Brookley Road, Crp #7, Rome, NY 13441 | 2006-12-13 |
1821102161 | Nicholas S Peters | Internal Medicine | 267 Hill Road, Suite 200, Rome, NY 13441 | 2006-08-17 |
1396769048 | Judy Norman Wilburn | Nurse Practitioner | Rome Cboc of The Syracuse Va, 125 Brookley Ave., Rome, NY 13441 | 2006-07-26 |
1275590408 | Antonietta Luisi | Optometrist | 125 Brookley Road, Rome, NY 13441 | 2006-05-01 |
1730521964 | Kathleen Grabo Pallay | Nurse Practitioner | 91 Perimeter Rd, Rome, NY 13441 | 2013-07-30 |
1316208002 | Robert Firth Pickels Jr. | Surgery | 267 Hill Road, Rome, NY 13441 | 2012-05-30 |
1598851545 | Faxton-st. Lukes Healthcare | Clinic/Center | 91 Perimeter Rd, Ste. 140, Rome, NY 13441 | 2006-10-05 |
1609937697 | Upstate Cerebral Palsy, Inc | Intermediate Care Facility, Mentally Retarded | 126 Brookley Road, Rome, NY 13441-0000 | 2006-12-13 |
Find all providers in zip 13441 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801409966 | Jamie Marcinkowski | Nurse Practitioner | 1617 N James Street, Suite 100, Rome, NY 13440 | 2020-08-28 |
1174141196 | Amy Wheeler | Nurse Practitioner | 10 Walking Horse Dr Nw, Rome, GA 30165-2586 | 2020-07-07 |
1871115345 | Brooke Combs | Nurse Practitioner | 200 Marable Way Nw, Rome, GA 30165-1387 | 2020-05-07 |
1942768296 | Tina Annette Witt | Nurse Practitioner | 330 Turner Mccall Blvd Sw Ste 206, Rome, GA 30165-5632 | 2019-03-06 |
1821336629 | Wendy Pence | Nurse Practitioner | 3001 Turner Mccall Blvd, Rome, GA 30161 | 2013-01-29 |
1124268784 | Linda Josephine Wynn | Nurse Practitioner | 101 Watson St Nw, Rome, GA 30165-2172 | 2009-02-23 |
1831379940 | Barbara Lillian Gibson | Nurse Practitioner | 80 Redmond Rd Nw, Rome, GA 30165-1534 | 2007-11-06 |
1427123645 | Michael Anthony Carter | Nurse Practitioner | 327 E 11th St Se, Rome, GA 30161-6206 | 2006-11-22 |
1902845159 | Jennifer Lynn Maher | Nurse Practitioner | 7901 Ridge Mills Rd, Rome, NY 13440-2203 | 2006-06-05 |
1073511283 | Lynne S Rollins | Nurse Practitioner | 3 Broad St, Rome, GA 30161-3017 | 2005-07-12 |
Find all providers in ROME |
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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.