Melissa J Tiedemann (NPI# 1306837109, PAC ID# 0143386607) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1306837109 |
| PAC ID by PECOS | 0143386607 |
| Professional Enrollment ID | I20090309000001 |
| Full Name | Melissa J Tiedemann |
| Organization Legal Name | PROHEALTH CARE ASSOCIATES LLP |
| Address |
2800 Marcus Ave Lake Success NY 11042-1008 |
| Phone Number | 5166226000 |
| Gender | F |
| Graduation Year | 2001 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 4486544186 |
| Number of Group Practice Members | 656 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 366 N Broadway, Suite 305, Jericho, NY 11753-2000 | 5169357272 | PROHEALTH CARE ASSOCIATES LLP |
| 2800 Marcus Ave, Lake Success, NY 11042-1008 | 5166226000 | PROHEALTH CARE ASSOCIATES LLP |
| 994 W Jericho Tpke, Smithtown, NY 11787-3235 | 6315437770 | PROHEALTH CARE ASSOCIATES LLP |
| 994 W Jericho Tpke, Suite 103, Smithtown, NY 11787-3235 | 6318646647 | PROHEALTH CARE ASSOCIATES LLP |
| Organization Legal Name | PROHEALTH CARE ASSOCIATES LLP |
| Physicians | 676 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Dominique Rowe | Physical Therapy | Prohealth Care Associates LLP | 3202 Bainbridge Ave, Apt D, Bronx, NY 10467-3947 |
| Phyllis G Simon-goldman | Pediatric Medicine | Prohealth Care Associates LLP | 270 Union Ave, Holbrook, NY 11741-1823 |
| Jack Baker Renfroe | Physical Therapy | Prohealth Care Associates LLP | 120 W 23rd St, New York, NY 10011-2473 |
| Christie G Mathew | Physical Therapy | Prohealth Care Associates LLP | 70 Maple Ave, Rockville Centre, NY 11570-4225 |
| Leslianne Barabash | Nurse Practitioner | Prohealth Care Associates LLP | 2840 Jerusalem Ave, Wantagh, NY 11793-2017 |
| Susanne Michelle Labarba | Allergy/immunology | Prohealth Care Associates LLP | 2 Lincoln Ave, Suite 201, Rockville Centre, NY 11570-5775 |
| Costantinos Stamboulis | Occupational Therapy | Prohealth Care Associates LLP | 994 W Jericho Tpke, Smithtown, NY 11787-3235 |
| Laura J Sheridan-kelchner | Obstetrics/gynecology | Prohealth Care Associates LLP | 720 Montauk Hwy, West Islip, NY 11795-4411 |
| Veronica Mastrogiacomo | Nurse Practitioner | Prohealth Care Associates LLP | 1610 Williamsbridge Rd, Bronx, NY 10461-6289 |
| Jennifer Olivella | Nurse Practitioner | Prohealth Care Associates LLP | 19616 Hillside Ave, Hollis, NY 11423-2125 |
| Street Address |
2800 MARCUS AVE |
| City | LAKE SUCCESS |
| State | NY |
| Zip | 11042-1008 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Anupama Ananda | Internal Medicine | Prohealth Care Associates LLP | 2800 Marcus Ave, Lake Success, NY 11042-1008 |
| Lucelle M Del Rosario | Obstetrics/gynecology | Prohealth Care Associates LLP | 2800 Marcus Ave, Lake Success, NY 11042-1008 |
| Kathleen C Finzel | Diagnostic Radiology | Prohealth Care Associates LLP | 2800 Marcus Ave, Lake Success, NY 11042-1008 |
| Kenneth A Scioscia | Otolaryngology | Prohealth Care Associates LLP | 2800 Marcus Ave, Lake Success, NY 11042-1008 |
| Allen J Wiesenfeld | Diagnostic Radiology | Prohealth Care Associates LLP | 2800 Marcus Ave, Lake Success, NY 11042-1008 |
| Hon Cheung Chan | Hematology/oncology | Prohealth Care Associates LLP | 2800 Marcus Ave, Lake Success, NY 11042-1008 |
| Mike Holchendler | Physician Assistant | Prohealth Care Associates LLP | 2800 Marcus Ave, Lake Success, NY 11042-1008 |
| Wendy Lynn Horn | Diagnostic Radiology | Prohealth Care Associates LLP | 2800 Marcus Ave, Lake Success, NY 11042-1008 |
| Kenneth R Ackerman | Internal Medicine | Prohealth Care Associates LLP | 2800 Marcus Ave, Lake Success, NY 11042-1008 |
| Caralyn Digangi | Nurse Practitioner | Prohealth Care Associates LLP | 2800 Marcus Ave, Lake Success, NY 11042-1008 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Deborah Parrella | Nurse Practitioner | Prohealth Care Associates LLP | 3 Vermont Dr, Lake Success, NY 11042-0000 |
| Erica B Sneider | Colorectal Surgery (proctology) | Prohealth Care Associates LLP | 3 Vermont Dr, Lake Success, NY 11042-0000 |
| Leonardo Saulle | Cardiovascular Disease (cardiology) | Premier Cardiology Consultants, Pllc | 2001 Marcus Ave, Suite E249, New Hyde Park, NY 11042-1000 |
| Sumit Mittle | Cardiovascular Disease (cardiology) | Premier Cardiology Consultants, Pllc | 2001 Marcus Ave, Suite E249, New Hyde Park, NY 11042-1000 |
| Bhupesh Dhama | Cardiovascular Disease (cardiology) | Premier Cardiology Consultants, Pllc | 2001 Marcus Ave, Suite E249, New Hyde Park, NY 11042-1000 |
| Kartikya Ahuja | Cardiac Electrophysiology | Premier Cardiology Consultants, Pllc | 2001 Marcus Ave, Suite E249, New Hyde Park, NY 11042-1000 |
| Vikrum Malhotra | Cardiovascular Disease (cardiology) | Premier Cardiology Consultants, Pllc | 2001 Marcus Ave, Suite E249, New Hyde Park, NY 11042-1000 |
| Yuly Lyandres | Cardiovascular Disease (cardiology) | Premier Cardiology Consultants, Pllc | 2001 Marcus Ave, Suite E249, New Hyde Park, NY 11042-1000 |
| Shabnam Tabaroki | Physician Assistant | Premier Cardiology Consultants, Pllc | 2001 Marcus Ave, Suite E249, New Hyde Park, NY 11042-1000 |
| Deepa Malineni | Internal Medicine | Premier Cardiology Consultants, Pllc | 2001 Marcus Ave, Suite E249, New Hyde Park, NY 11042-1000 |
| Find all physicians in zip 11042 | |||
| City | LAKE SUCCESS |
| Zip Code | 11042 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | LAKE SUCCESS + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Melissa J Tiedemann.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.