JENNA BERMUDEZ (NPI# 1952933624) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952933624 |
| Entity Type | Individual |
| Full Name | JENNA BERMUDEZ |
| Credential | ANP-C |
| Practice Address |
421 Deer Park Ave Babylon NY 11702-2313 |
| Mailing Address |
80 Country Club Rd Bellport NY 11713-2325 |
| Practice Telephone | 6319411000 |
| Mailing Telephone | 6318072786 |
| Enumeration Date | 2020-02-10 |
| Last Update Date | 2020-02-10 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
F309438-01 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
421 DEER PARK AVE |
| City | BABYLON |
| State | NY |
| Zip Code | 11702-2313 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962496968 | Long Island Diabetes & Endocrinology Associates, LLP | Internal Medicine | 421 Deer Park Ave, Babylon, NY 11702 | 2005-09-06 |
| 1679833784 | Carmen Millicent Bassaragh | Dietitian, Registered | 421 Deer Park Ave, Babylon, NY 11702-2313 | 2012-05-22 |
| 1306139241 | Christina Diana | Dietitian, Registered | 421 Deer Park Ave, Babylon, NY 11702-2313 | 2011-05-25 |
| 1437453602 | Suzanne Reuter | Physician Assistant | 421 Deer Park Ave, Babylon, NY 11702-2313 | 2011-01-03 |
| 1770727935 | Long Island Diabetes & Endocrinology, PC | Clinic/Center | 421 Deer Park Ave, Babylon, NY 11702-2313 | 2009-04-30 |
| 1023061058 | Vincent Bayarri | Pediatrics | 421 Deer Park Ave, Babylon, NY 11702-2313 | 2006-05-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659972859 | Rebecca Ryan | Counselor | 8 Virginia Road, Babylon, NY 11702 | 2020-11-04 |
| 1972047124 | Joanne Renee Wenner I | Massage Therapist | 28 Yacght Club Rd, Babylon, NY 11702 | 2016-12-07 |
| 1841743846 | Brian Christopher Penta | Specialist | 11 East Jackson Avenue, Babylon, NY 11702 | 2016-07-27 |
| 1760836654 | Elizabeth Duggan | Registered Nurse | 1 Farmingdale Rd., West Babylon, NY 11702 | 2016-04-18 |
| 1679936595 | Brianna Michelle Renda | Nurse Practitioner | 38 James Street, Babylon, NY 11702 | 2016-03-29 |
| 1861801672 | Margaret Stroehlein | Nurse Practitioner | 28 Edward Ave, Babylon, NY 11702 | 2014-08-06 |
| 1164777397 | Kim Suzanne Sconzo | Speech-Language Pathologist | 10 Grant Ave W., Babylon, NY 11702 | 2012-07-13 |
| 1437459674 | Katz & Wood Inc | Audiologist-Hearing Aid Fitter | 20 Argyle Square, Babylon, NY 11702 | 2010-10-21 |
| 1053643668 | Andrea Wilkinson Ohle | Marriage & Family Therapist | 74 Fire Island Avenue, Suite 104, Babylon, NY 11702 | 2010-02-06 |
| 1477880771 | Robert E Gribbin | Physical Therapist | 400 W Main Street, Suite 340, Babylon, NY 11702 | 2009-11-06 |
| Find all providers in zip 11702 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679936595 | Brianna Michelle Renda | Nurse Practitioner | 38 James Street, Babylon, NY 11702 | 2016-03-29 |
| 1407196959 | Charytin Maresco | Nurse Practitioner | 200 West Main St, Building B 1st Floor, Babylon, NY 11702-2787 | 2013-02-20 |
| 1639658586 | Virginia Estelle Lawrence | Nurse Practitioner | 38 James St, Babylon, NY 11702-2808 | 2018-08-11 |
| 1356893127 | Kristen F Beach | Nurse Practitioner | 38 James St, Babylon, NY 11702 | 2016-10-27 |
| 1053702209 | Ann M Higgins | Nurse Practitioner | 38 James St, Babylon, NY 11702-2808 | 2015-02-10 |
| 1093036394 | Terri Anne Piezzo | Nurse Practitioner | 38 James St, Babylon, NY 11702-2808 | 2010-06-21 |
| 1336387083 | Christine Ann Stamatos | Nurse Practitioner | 500 W Main St, Suite #110, Babylon, NY 11702-3027 | 2009-02-02 |
| 1164670238 | Lynn M Raimo | Nurse Practitioner | 38 James St, Babylon, NY 11702-2808 | 2008-09-03 |
| 1114099819 | Veronica Rocco | Nurse Practitioner | 38 James St, Babylon, NY 11702-2808 | 2006-11-15 |
| 1528025434 | Jane Ann Koop | Nurse Practitioner | 500 W Main St, Suite 110, Babylon, NY 11702-3027 | 2006-04-26 |
| Find all providers in BABYLON | ||||
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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.