JENNIFER ANN ROELL (NPI# 1942551023) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942551023 |
| Entity Type | Individual |
| Full Name | JENNIFER ANN ROELL |
| Credential | TSHH |
| Practice Address |
140 Southwestern Dr Lakewood NY 14750-2117 |
| Practice Telephone | 7163380668 |
| Practice Fax Number | 8666944979 |
| Mailing Telephone | 7163380668 |
| Mailing Fax Number | 8666944979 |
| Enumeration Date | 2012-09-28 |
| Last Update Date | 2012-09-28 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083644082 | Jennifer D. Roell | Physician Assistant | N84w16889 Menomonee Ave, Menomonee Falls, WI 53051-2810 | 2006-07-04 |
| Street Address |
140 SOUTHWESTERN DR |
| City | LAKEWOOD |
| State | NY |
| Zip Code | 14750-2117 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871751149 | Katie L Wendell-braun | Occupational Therapist | 140 Southwestern Dr, Lakewood, NY 14750-2117 | 2008-05-23 |
| 1457919599 | Kelsey Mikayla Mosier | Occupational Therapy Assistant | 140 Southwestern Dr, Lakewood, NY 14750-2117 | 2019-06-04 |
| 1184967143 | Gretchen Parker | Specialist | 140 Southwestern Dr, Lakewood, NY 14750-2117 | 2013-03-28 |
| 1922359611 | Karen J Mahon | Occupational Therapy Assistant | 140 Southwestern Dr, Lakewood, NY 14750-2117 | 2012-09-21 |
| 1770848517 | Tina M Felton | Specialist | 140 Southwestern Dr, Lakewood, NY 14750-2117 | 2012-07-09 |
| 1306133301 | Jasmine A Cusimano | Occupational Therapist | 140 Southwestern Dr, Lakewood, NY 14750-2117 | 2011-06-29 |
| 1982995429 | Sarah Rose Gilbert | Speech-Language Pathologist | 140 Southwestern Dr, Lakewood, NY 14750-2117 | 2011-05-02 |
| 1952625998 | Laura A Infurna | Speech-Language Pathologist | 140 Southwestern Dr, Lakewood, NY 14750-2117 | 2010-03-19 |
| 1861625980 | Verna Lepley | Occupational Therapy Assistant | 140 Southwestern Dr, Lakewood, NY 14750-2117 | 2009-08-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699163147 | Craig Richards | Physician Assistant | 390 E Fairmount Ave, Lakewood, NY 14750 | 2015-01-07 |
| 1982849659 | Syed Ali Raza Shamsi | Psychiatry & Neurology | 305 E. Fairmont Avenue, Unit 7, Lakewood, NY 14750 | 2008-12-10 |
| 1942417977 | Stephen C Barresi | Physician Assistant | Chd Meridian Healthcare, Jep, 4720 Bakerst, Ext., Lakewood, NY 14750 | 2007-05-17 |
| 1295947117 | Harold Ronald Carlson | Dentist | 2 East Main Street, Suite 115, Falconer, NY 14750 | 2007-05-04 |
| 1194865907 | David William Todd | Dentist | 120 Southwestern Dr, Lakewood, NY 14750 | 2007-02-08 |
| 1730271248 | Lee Ryan Anderson | Dentist | 909 Hunt Road, Lakewood, NY 14750 | 2006-09-29 |
| 1962416362 | Us Vision Optical Inc | Eyewear Supplier (Equipment, not the service) | Rt 394 Mall Blvd, Lakewood, NY 14750 | 2006-07-28 |
| 1518925437 | Israr A Abbasi | Psychiatry & Neurology | 305 E Fairmount Ave, Lakewood, NY 14750 | 2006-05-02 |
| 1992771190 | Robert Gibbon Jr. | Psychiatry & Neurology | 92 W. Summit St., Lakewood, NY 14750 | 2006-02-27 |
| 1295213684 | Allison Claire Munella | Physician Assistant | 305 E Fairmount Ave, Lakewood, NY 14750 | 2018-07-30 |
| Find all providers in zip 14750 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083199327 | Linnea Joy Wahlstrom-tarbet | Specialist | 8524 Steilacoom Blvd Sw Ste 201b, Lakewood, WA 98498-4772 | 2018-10-02 |
| 1790275857 | Sarah Freidman | Specialist | 371 Hope Chapel Rd, Lakewood, NJ 08701-2373 | 2018-05-15 |
| 1932639051 | Nj Mobile Medical, PC | Specialist | 105 River Ave Ste 103, Lakewood, NJ 08701-4267 | 2017-06-13 |
| 1104372168 | Shoshana Klein | Specialist | 128 Liberty Dr, Lakewood, NJ 08701-4137 | 2016-08-30 |
| 1467803601 | Allison Chancellor | Specialist | 467 S Reed Ct, Lakewood, CO 80226-3322 | 2016-06-29 |
| 1568811503 | Sora Zucker | Specialist | 38 Dena Ct, Lakewood, NJ 08701-3591 | 2016-06-10 |
| 1831559285 | Asia R Lundquist | Specialist | 8520 Steilacoom Blvd Sw Ste 101, Lakewood, WA 98498-4773 | 2016-02-28 |
| 1649640145 | Alejandra Martinez | Specialist | 7650 W Virginia Ave, Suite B, Lakewood, CO 80226-3131 | 2015-09-28 |
| 1225406127 | Chana Neustadt | Specialist | 154 Tudor Ct, Lakewood, NJ 08701-1471 | 2015-09-09 |
| 1194107979 | Suri Englard | Specialist | 38 Eagle Ln, Lakewood, NJ 08701-4967 | 2015-06-29 |
| Find all providers in LAKEWOOD | ||||
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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.