ESSENTIALYZE HEALTHCARE, LLC
Nurse Practitioner (Primary Care)

Address: 180 Broome St, Apt 1303, New York, NY 10002-1000

ESSENTIALYZE HEALTHCARE, LLC (NPI# 1588255467) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1588255467
Entity Type Organization
Organization Name ESSENTIALYZE HEALTHCARE, LLC
Practice Address 180 Broome St
Apt 1303
New York
NY 10002-1000
Practice Telephone 3059276391
Mailing Address 2207 Hedgerow Way
Jonesboro
GA 30236-9002
Mailing Telephone 3059276391
Certification Date 2021-01-17
Enumeration Date 2021-02-02
Last Update Date 2021-02-02
Authorized Official Telephone 3059276391
Authorized Official Credential NURSE PRACTITIONER
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification Taxonomy Group License Number License State Taxonomy Group
Y 363LP2300X Nurse Practitioner
Specialization: Primary Care
193400000X SINGLE SPECIALTY GROUP Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 180 BROOME ST
APT 1303
City NEW YORK
State NY
Zip Code 10002-1000

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1003014002 Lipton Eyecare Optometrist 141 Division St, New York, NY 10002-1000 2007-07-11

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1528558616 Center for All Abilities, Inc. Music Therapist 136 Henry Street, New York, NY 10002 2018-05-14
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1174031546 Vanessa Lisa Cruz Specialist 211 Eldridge Street, 3d, New York, NY 10002 2018-01-18
1295243889 Robert Shum Peer Specialist 275 Cherry Street Apt.7a, New York, NY 10002 2018-01-17
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Taxonomy Information

Taxonomy Code 363LP2300X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Primary Care

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1457961062 Rosaleen Christine Galvin 415 East 80th St, Apt. 1n, New York, NY 10075 2020-08-07
1750915344 Stacyann S Foster · Stacyann Smith 1305 York Avenue 2nd Floor, New York, NY 10021 2020-02-24
1760033294 Jacqueline Connery 560 1st Ave # 11east, New York, NY 10016-6402 2019-09-25
1548818198 Emily Davidson 300 E 66th St Fl 10, New York, NY 10065-6800 2019-08-27
1003311721 Catherine Ossei 695 Park Ave, New York, NY 10065-5024 2018-03-26
1053729616 Johanna Maggio 444 E 118th St, Apt 4, New York, NY 10035-4337 2014-07-28
1427176833 Evangeline Martinez Orpilla 21 Audubon Ave., Urgent Care Center, New York, NY 10032 2007-03-26
1033708565 Megan Markland 222 E 41st St, New York, NY 10017-6739 2021-01-11
1942898457 Shonette O Kingston 622 W 168th St, New York, NY 10032-3720 2021-01-10
1508472713 Kjersten Diane Evans 161 Fort Washington Ave, New York, NY 10032-3729 2020-09-22
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City NEW YORK
Zip Code 10002

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Dataset Information

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.