EBONIQUE T BENNETT (NPI# 1972871523) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972871523 |
| Entity Type | Individual |
| Full Name | EBONIQUE T BENNETT |
| Credential | NP |
| Practice Address |
One Healthy Way Cardiac Services Oceanside NY 11572 |
| Mailing Address |
135 Clinton St Apt 4d Hempstead NY 11550-3201 |
| Practice Telephone | 5166323670 |
| Practice Fax Number | 5163365309 |
| Enumeration Date | 2011-12-11 |
| Last Update Date | 2017-08-10 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
305905 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
ONE HEALTHY WAY CARDIAC SERVICES |
| City | OCEANSIDE |
| State | NY |
| Zip Code | 11572 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831187533 | Paul Jean-charles | Pediatrics | One Healthy Way, Oceanside, NY 11572 | 2005-10-07 |
| 1366076168 | Kenia Palazzo | Social Worker | One Healthy Way, Care Coordination, Oceanside, NY 11572 | 2020-03-02 |
| 1033616677 | Guang Mei Fung | Pharmacist | One Healthy Way, Pharmacy Department, Oceanside, NY 11572 | 2018-04-10 |
| 1154866689 | Rosemarie Keating | Nurse Practitioner | One Healthy Way, South Nassau Communities Hospital, Oceanside, NY 11572 | 2016-12-19 |
| 1003205428 | Clare Berman | Registered Nurse | One Healthy Way, Oceanside, NY 11572 | 2015-01-22 |
| 1659674166 | Joseph Thomas Santarpia | Registered Nurse | One Healthy Way, Oceanside, NY 11572 | 2010-12-06 |
| 1831323690 | Jessica L Ng | Anesthesiology | One Healthy Way, South Nassau Hospital, Department of Anesthesia, Oceanside, NY 11572 | 2009-05-08 |
| 1396909990 | Panina Niyazova | Internal Medicine | One Healthy Way, Oceanside, NY 11572-1551 | 2008-07-11 |
| 1891988226 | Sameer B Shetty | Internal Medicine | One Healthy Way, South Nassau Community Hospital, Oceanside, NY 11572 | 2007-08-20 |
| 1356546360 | Bridget Dee Clyburn | Nurse Practitioner | One Healthy Way, South Nassau Communities Hospital, Oceanside, NY 11510 | 2007-06-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376152868 | True North Dialysis Center LLC | Clinic/Center | 3005 Long Beach Rd, Oceanside, NY 11572 | 2020-07-30 |
| 1508493560 | Mercedes Andreina Cardenas Pena | Student in an Organized Health Care Education/Training Program | 196 South Nassau, Oceanside, NY 11572 | 2020-03-26 |
| 1275170219 | Prohealth Dental Pllc | Dentist | 2870 Long Beach Road, Oceanside, NY 11572 | 2019-12-10 |
| 1982252409 | Fe Jaurigue | Nurse Practitioner | 2391 Washington Ave, Oceanside, NY 11572 | 2019-08-28 |
| 1689160749 | Emil A Tocci, Dc, PC | Chiropractor | 3091 Lawson Blvd, Oceanside, NY 11572 | 2018-07-02 |
| 1336652726 | Jennifer L Rodgers | Nurse Practitioner | 435 Kinsley Ct, Oceanside, NY 11572 | 2017-11-08 |
| 1205387859 | Joanne Hudkins | Nurse Practitioner | 3353 5th St, Oceanside, NY 11572 | 2016-10-19 |
| 1346693595 | Michelle Coletta-guadagno | Case Manager/Care Coordinator | 400 Oceanside Pkwy, Oceanside, NY 11572 | 2016-07-22 |
| 1831543271 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 3705 Hampton Rd, Oceanside, NY 11572 | 2016-04-22 |
| 1598170474 | Amy Daleo | Licensed Practical Nurse | 299 Waukena Ave, Oceanside, NY 11572 | 2014-06-30 |
| Find all providers in zip 11572 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184084295 | Np On The Go | Nurse Practitioner | 3444 Knight St, Oceanside, NY 11572-4639 | 2016-03-02 |
| 1003152323 | Annie Leela Durairaj Daniel | Nurse Practitioner | 3094 Perry Ave, Oceanside, NY 11572-4235 | 2012-12-13 |
| 1831796812 | Diane S Mcdevitt | Nurse Practitioner | 1 Healthy Way, Oceanside, NY 11572-1551 | 2020-10-03 |
| 1366077141 | Caitlin Anne Sessa | Nurse Practitioner | 1 Healthy Way, Oceanside, NY 11572-1551 | 2020-03-11 |
| 1407406200 | Katherine Oleg Khatsenko | Nurse Practitioner | 3142 Vista Way Ste 401, Oceanside, CA 92056-3619 | 2019-09-13 |
| 1073169785 | Erik Craig Lyons | Nurse Practitioner | 1 Healthy Way, Oceanside, NY 11572-1551 | 2019-08-18 |
| 1851871693 | Sam Bradley Trestman | Nurse Practitioner | 1 Healthy Way, Oceanside, NY 11572-1551 | 2018-08-21 |
| 1154866689 | Rosemarie Keating | Nurse Practitioner | One Healthy Way, South Nassau Communities Hospital, Oceanside, NY 11572 | 2016-12-19 |
| 1235586892 | Shiny Jacob | Nurse Practitioner | 1 Healthy Way, Cardiology, Oceanside, NY 11572-1551 | 2016-05-24 |
| 1144690488 | Lidia Valjan | Nurse Practitioner | 187 Dot Ct E, Oceanside, NY 11572-5920 | 2015-09-29 |
| Find all providers in OCEANSIDE | ||||
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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.