DR. CHARLES DELACUADRA (NPI# 1972759678) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972759678 |
| Entity Type | Individual |
| Full Name | DR. CHARLES DELACUADRA |
| Credential | D.O. |
| Practice Address |
1869 Brentwood Rd Brentwood NY 11717-4625 |
| Practice Telephone | 6314165480 |
| Mailing Telephone | 6314165480 |
| Enumeration Date | 2008-08-13 |
| Last Update Date | 2020-07-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 256345 | NY | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | 49791 | CT | Allopathic & Osteopathic Physicians |
| Street Address |
1869 BRENTWOOD RD |
| City | BRENTWOOD |
| State | NY |
| Zip Code | 11717-4625 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851321152 | County of Suffolk | Clinic/Center | 1869 Brentwood Rd, Brentwood, NY 11717-4625 | 2006-07-03 |
| 1659755817 | Hudson River Healthcare,inc. | Case Management | 1869 Brentwood Rd, Hrhc Brentwood, Brentwood, NY 11717-4625 | 2015-07-16 |
| 1669726089 | Nicole Tapia | Nutritionist | 1869 Brentwood Rd, Brentwood, NY 11717-4625 | 2012-11-07 |
| 1457673071 | Chris Muggeo | Registered Nurse | 1869 Brentwood Rd, Brentwood, NY 11717-4625 | 2010-02-23 |
| 1548449226 | Alison Abrams | Nurse Practitioner | 1869 Brentwood Rd, Suffolk County Employee Health Services, Brentwood, NY 11717-4625 | 2007-10-30 |
| 1538348776 | Carol K Hardie | Nurse Practitioner | 1869 Brentwood Rd, Employee Health Services, Brentwood, NY 11717-4625 | 2007-10-24 |
| 1801926191 | Nancy Louise Hill | Nurse Practitioner | 1869 Brentwood Rd, Brentwood, NY 11717-4625 | 2007-03-06 |
| 1386787828 | Thomas A Glanz | Physician Assistant | 1869 Brentwood Rd, Brentwood, NY 11717-4625 | 2007-02-15 |
| 1639223480 | Pamela Groh | Dietitian, Registered | 1869 Brentwood Rd, Brentwood, NY 11717-4625 | 2007-01-22 |
| 1134270549 | Maria Del Rosario Vesey | Family Medicine | 1869 Brentwood Rd, Brentwood, NY 11717-4625 | 2007-01-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265998827 | Lauretta Elaine Murdock | Behavioral Analyst | C/o The Mosaic Foundation for Autism, Inc., 1725 Brentwood Rd., Brentwood, NY 11717 | 2019-02-19 |
| 1811467467 | Benjamin D. Thompkins Jr. | Social Worker | 164 3rd Avenue, Brentwood, NY 11717 | 2018-11-27 |
| 1114496262 | Timothy Eisemann | Registered Nurse | 52 Third Ave, Brentwood, NY 11717 | 2018-11-19 |
| 1245710490 | Lauren Linker | Occupational Therapist | Brentwood Union Free School District, 52 Third Avenue, Brentwood, NY 11717 | 2018-08-17 |
| 1558849786 | Anila Thomas | Registered Nurse | Pilgrims Psychiatric Center, 998 Crooked Hill Road, Brentwood, NY 11717 | 2018-07-31 |
| 1306330857 | Rhina Aguila | Licensed Practical Nurse | 162 Studley St, Brentwood, NY 11717 | 2018-06-19 |
| 1659863595 | Steven Edward Szydziak | Registered Nurse | Pilgrim State Psychiatric Center, 998crooked Hil Rd, Brentwood, NY 11717 | 2018-06-06 |
| 1881103570 | Shatevia Simpson Hickson | Behavioral Analyst | 56 Swallow Ln, Brentwood, NY 11717 | 2017-09-25 |
| 1306375753 | Shavona Layne | Behavioral Analyst | 8 Strum Streeet, Brentwood, NY 11717 | 2017-06-08 |
| 1669921334 | David Ramirez | Licensed Practical Nurse | 27 Bruce Lane, Brentwood, NY 11717 | 2016-09-23 |
| Find all providers in zip 11717 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336749571 | Chowdhury Medical PC | Family Medicine | 155 Alkier St, Brentwood, NY 11717-5129 | 2020-10-27 |
| 1295364420 | Sanitas Medical Center of Tennessee PC | Family Medicine | 330 Franklin Rd Ste 899d, Brentwood, TN 37027-3280 | 2020-04-08 |
| 1902364300 | Health Works Integrative Medicine Pllc | Family Medicine | 1612 Westgate Cir, Brentwood, TN 37027-8089 | 2019-03-05 |
| 1891278388 | Teammd Physicians PC | Family Medicine | 8 Cadillac Dr Ste 100, Brentwood, TN 37027-5325 | 2018-09-11 |
| 1992162994 | Carehere Clinic-uta | Family Medicine | 5141 Virginia Way Ste 350, Brentwood, TN 37027-2319 | 2016-01-21 |
| 1093076267 | Linda A Obekpa-agwada | Family Medicine | 2400 Balfour Rd Ste 201, Brentwood, CA 94513-4952 | 2012-06-05 |
| 1487924866 | John Spreng Putman | Family Medicine | 9511 Coronet Ln, Brentwood, TN 37027-8377 | 2012-01-03 |
| 1285904706 | Stephen Edward Stonehouse | Family Medicine | 355 Childe Harolds Cir, Brentwood, TN 37027-1814 | 2012-01-02 |
| 1639461411 | Jonathan Joseph Vitale | Family Medicine | 109 Westpark Dr Ste 180, Brentwood, TN 37027-5063 | 2011-05-11 |
| 1184873887 | Helen K Chung-hussain | Family Medicine | 782 Old Hickory Blvd Ste 203, Brentwood, TN 37027-4574 | 2008-09-17 |
| Find all providers in BRENTWOOD | ||||
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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.