WANDA MEDERO (NPI# 1942894076) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942894076 |
| Entity Type | Individual |
| Full Name | WANDA MEDERO |
| Gender | Female |
| Credential | MSW, CASAC-T |
| Practice Address | 946 E 211th St Bronx NY 10469-1108 |
| Practice Telephone | 7183233275 |
| Mailing Address | 946 E 211th St Bronx NY 10469-1108 |
| Mailing Telephone | 7186323275 |
| Mailing Fax Number | 7186321568 |
| Certification Date | 2021-03-01 |
| Enumeration Date | 2021-03-01 |
| Last Update Date | 2021-03-01 |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | Group | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|---|
| Y | 101YA0400X | Counselor Specialization: Addiction (Substance Use Disorder) | 193400000X SINGLE SPECIALTY GROUP | 36328 | NY | Behavioral Health & Social Service Providers |
| Street Address | 946 E 211TH ST |
| City | BRONX |
| State | NY |
| Zip Code | 10469-1108 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609434315 | Bereta Mills | Counselor · Addiction (Substance Use Disorder) | 946 E 211th St, Bronx, NY 10469-1108 | 2019-05-29 |
| 1477099836 | Wendy Hoe | Counselor · Addiction (Substance Use Disorder) | 946 E 211th St, Bronx, NY 10469-1108 | 2017-01-10 |
| 1558759936 | Tyrrell Carbury | Counselor · Addiction (Substance Use Disorder) | 946 E 211th St, Bronx, NY 10469-1108 | 2015-01-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427670884 | Morris Park Rehabilitation and Nursing Center LLC | Skilled Nursing Facility | 1235 Pelham Parkway North, Bronx, NY 10469 | 2020-05-08 |
| 1437705720 | Wafaa Khoury | Behavior Analyst | Important Steps,Inc, 2447 Eastchester Road, Bronx, NY 10469 | 2019-08-13 |
| 1124671771 | Arthur Chua Reyes | Licensed Practical Nurse | 2411 Wilson Ave, Bronx, NY 10469 | 2019-07-23 |
| 1033775432 | Sally Mendoza | Licensed Practical Nurse | 2506 Woodhul Ave, Bronx, NY 10469 | 2019-05-13 |
| 1215495221 | Fasilat Ibrahim | Registered Nurse | 1117 Adee St, Bronx, NY 10469 | 2019-03-08 |
| 1467922096 | Patience Marku Kitcher | Registered Nurse | 954 East 211 Street, Bronx, NY 10469 | 2018-11-27 |
| 1316422546 | Leon Anibal Guzman | Registered Nurse · Registered Nurse First Assistant | 3230 Paulding Ave 1fl, New York, NY 10469 | 2018-10-03 |
| 1205328358 | Yesenia A. Arias | Case Manager/Care Coordinator | 1501 Astor Ave., Suite 1a, Bronx, NY 10469 | 2018-06-05 |
| 1720578719 | Kimberly Carrion Alicea | Psychologist · Clinical | 2323 Eastchester Rd #27, Bronx, NY 10469 | 2018-05-15 |
| 1235627993 | Kayon Donaldson · Kayon Francis | Nurse Practitioner · Family | 2904 Yates Ave, Bronx, NY 10469 | 2018-04-27 |
| Find all providers in zip 10469 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740872886 | Daiana Altagracia Mendez | 5676 Riverdale Ave Ste 201, Bronx, NY 10471-2100 | 2021-02-10 | |
| 1295321883 | Morelis G Salgado | 1157 Burke Ave Apt B, Bronx, NY 10469-5005 | 2020-12-17 | |
| 1164024626 | Jah-See Martin | 804 E 138th St, Bronx, NY 10454-1932 | 2020-11-10 | |
| 1386245595 | Liliana Maria Calle | 1510 Waters Pl Fl 2, Bronx, NY 10461-2700 | 2020-11-04 | |
| 1245831528 | Multi Assistance Resource Centers Inc. | 509 Willis Ave Fl 4, Bronx, NY 10455-4001 | 2020-11-04 | |
| 1235740614 | Wilfredo Acevedo | 1064 Franklin Ave, Bronx, NY 10456-6704 | 2020-08-11 | |
| 1013528512 | Koly J. Guilavogui | 770 E 176th St Ste 315, Bronx, NY 10460-4617 | 2020-08-10 | |
| 1689283905 | Sherife Simnica | 804 E 138th St, Bronx, NY 10454-1932 | 2020-07-23 | |
| 1427676246 | Jacqueline M Jaquez | 770 E 176th St, Bronx, NY 10460-4617 | 2020-07-08 | |
| 1881218063 | Courtney Follweiler | 609 Kappock St Apt 5c, Bronx, NY 10463-7777 | 2020-06-03 | |
| Find all providers in BRONX | ||||
| City | BRONX |
| Zip Code | 10469 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063644193 | Roberto Medero Colon · Roberto Medero | Emergency Medicine | 114 F Ave, Coronado, CA 92118-1212 | 2009-08-24 |
| 1881831238 | Medero Medical of Lake, LLC · Medero Medical Lake | Preventive Medicine · Occupational Medicine | 1109 Sw 10th St, Ocala, FL 34471-0325 | 2009-01-07 |
| 1144467507 | Medero Medical of Orange, LLC · Medero Medical Orange | Preventive Medicine · Occupational Medicine | 1109 Sw 10th St, Ocala, FL 34471-0325 | 2009-01-07 |
| 1700023157 | Medero Medical of Marion, LLC · Medero Medical Marion | Preventive Medicine · Occupational Medicine | 1109 Sw 10th St, Ocala, FL 34471-0325 | 2009-01-07 |
| 1770720138 | Medero Medical of Orange South, LLC · Medero Medical Orange South | Preventive Medicine · Occupational Medicine | 1109 Sw 10th St, Ocala, FL 34471-0325 | 2009-01-07 |
| 1932346392 | Medero Medical of Tampa West · Medero Medical Tampa West | Preventive Medicine · Occupational Medicine | 1109 Sw 10th St, Ocala, FL 34471-0325 | 2009-01-07 |
| 1104063569 | Medero Medical of Tampa East, LLC · Medero Medical Tampa East | Preventive Medicine · Occupational Medicine | 1109 Sw 10th St, Ocala, FL 34471-0325 | 2009-01-07 |
| 1104227776 | Andres J. De Leon Medero | Student in an Organized Health Care Education/Training Program | 506 6th St, Brooklyn, NY 11215 | 2014-09-14 |
| 1043855117 | Ariane Medero | Counselor · Mental Health | 814 Monroe St Ste 101, Stroudsburg, PA 18360-1744 | 2019-11-13 |
| 1265402523 | Eris M. Medero | Pharmacist | D1 Calle Frontera, Ste 6, San Juan, PR 00926-2578 | 2006-01-26 |
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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.