MS. KELLY LEDERMANN (NPI# 1942362215) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942362215 |
| Entity Type | Individual |
| Full Name | MS. KELLY LEDERMANN |
| Credential | N.P. |
| Practice Address |
54 New Hyde Park Rd Garden City NY 11530-3909 |
| Practice Telephone | 5164881313 |
| Practice Fax Number | 5164883449 |
| Mailing Telephone | 5164881313 |
| Mailing Fax Number | 5164883449 |
| Enumeration Date | 2006-12-14 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 334555 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
54 NEW HYDE PARK RD |
| City | GARDEN CITY |
| State | NY |
| Zip Code | 11530-3909 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376595215 | Carolyn A. Willis | Dermatology | 54 New Hyde Park Rd, Garden City, NY 11530-3909 | 2006-05-17 |
| 1881245876 | Katherine Ann Murphy | Physician Assistant | 54 New Hyde Park Rd, Garden City, NY 11530-3909 | 2019-09-22 |
| 1609365352 | Andrew Thomas Clark | Registered Nurse | 54 New Hyde Park Rd, Garden City, NY 11530 | 2018-05-08 |
| 1306187711 | Eran Sykes | Registered Nurse | 54 New Hyde Park Rd, Garden City, NY 11530-3909 | 2013-03-09 |
| 1255603817 | Shelley Hannah Fox | Nurse Practitioner | 54 New Hyde Park Rd, Garden City, NY 11530 | 2012-01-29 |
| 1265727333 | Michael Steven Mclemore | Pathology | 54 New Hyde Park Rd, Garden City, NY 11530-3909 | 2011-06-16 |
| 1366742744 | Renee Drobinski | Physician Assistant | 54 New Hyde Park Rd, Garden City, NY 11530-3948 | 2010-11-01 |
| 1598820698 | Joseph Onorato M.d., P.C. | Specialist | 54 New Hyde Park Rd, Garden City, NY 11530-3909 | 2006-12-27 |
| 1013084763 | Dina Marie Puglissi | Specialist | 54 New Hyde Park Rd, Garden City, NY 11530-3909 | 2006-11-29 |
| 1992882773 | Joseph Onorato | Dermatology | 54 New Hyde Park Rd, Garden City, NY 11530-3909 | 2006-11-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144850207 | Ellen Jay Palacio Mabatid | Physical Therapist | 66 New Hyde Park, Garden City, NY 11530 | 2020-01-16 |
| 1255991022 | Rubin Anesthesia Pain Management, Pllc | Anesthesiology | 1103 Stewart Avenue, Suite 300, Garden City, NY 11530 | 2019-06-14 |
| 1144793720 | Jack Doby Garden City, LLC | Eyewear Supplier (Equipment, not the service) | Jack Doby Garden City, LLC, 928 Old Country Road, Garden City, NY 11530 | 2019-01-07 |
| 1386135051 | Granger & Sahasra | Dentist | 1103 Stewart Avenue Suite 104, Garden City, NY 11530 | 2018-05-29 |
| 1598262537 | Suzanne P. Reid-bradshaw | Specialist | Kidz Therapy, 300 Garden City Plaza, Garden City, NY 11530 | 2018-04-06 |
| 1972021129 | Nicole Maria Gaudino | Nurse Practitioner | One South Avenue, Waldo Hall, Garden City, NY 11530 | 2017-09-07 |
| 1619495645 | Christine Scheppa | Registered Nurse | 225 Brompton Rd South, Garden City South, NY 11530 | 2017-08-30 |
| 1699290981 | Deborah Ann Pontosky | Registered Nurse | 104 Fifth Street, Garden City, NY 11530 | 2017-08-08 |
| 1932648748 | Tahmina Jahir | Student in an Organized Health Care Education/Training Program | 15 Hilton Ave, Garden City, NY 11530 | 2017-02-14 |
| 1598209173 | Dino Michelli | Specialist | 300 Garden City Plaza, Ste 350, Kidz Therapy/ Gayle E. Kligman Therapeutic Resources, Garden City, NY 11530 | 2016-12-15 |
| Find all providers in zip 11530 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427426360 | James M Clements | Nurse Practitioner | 401 East Spruce, Garden City, KS 67846-5679 | 2015-09-09 |
| 1003883307 | Sunshines Nursing Horizons Inc | Nurse Practitioner | 2718 N Cummings Rd, Suite W, Garden City, KS 67846 | 2006-03-06 |
| 1881231140 | Olivia Christine Poplin | Nurse Practitioner | 401 E Spruce St, Garden City, KS 67846-5679 | 2019-12-05 |
| 1023650512 | Thiago Alberto | Nurse Practitioner | 5601 W Chinden Blvd, Garden City, ID 83714-1463 | 2019-10-16 |
| 1336601004 | Tamara N Moody | Nurse Practitioner | 401 E Spruce St, Garden City, KS 67846-5679 | 2019-04-02 |
| 1992286421 | Cynthia Monique Leon | Nurse Practitioner | 200 Garden City Plz Ste 100, Garden City, NY 11530-3337 | 2018-08-23 |
| 1780182188 | Tracy Britton Flynn | Nurse Practitioner | 1401 Franklin Ave, Garden City, NY 11530 | 2018-01-31 |
| 1366953473 | Jamie Fineran | Nurse Practitioner | 29150 Ford Rd, Garden City, MI 48135-2848 | 2017-10-16 |
| 1801319181 | Kandi L Arwine | Nurse Practitioner | 712 Saint John St, Garden City, KS 67846 | 2017-07-19 |
| 1356862510 | Megan M Stoppel | Nurse Practitioner | 311 E Spruce St, Garden City, KS 67846-5614 | 2017-06-28 |
| Find all providers in GARDEN CITY | ||||
| City | GARDEN CITY |
| Zip Code | 11530 |
Please comment or provide details below to improve the information on MS. KELLY LEDERMANN.
| 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.