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Active NPI 1124660782 Individual Practitioner Female Practitioner

Doris Wade , LPN

Licensed Practical Nurse • Glen Cove, NY

Professional Overview & Biography Verified Profile Summary

Doris Wade, LPN is a registered healthcare professional specializing in Licensed Practical Nurse in Glen Cove, NY. Practice services are available at 113 GLEN COVE AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

113 Glen Cove Ave

Glen Cove, NY 115423438

Telephone 5166762388
Fax 5167595259
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Licensed Practical Nurse in Glen Cove, NY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 8.0 Yrs
Regional Practice Density
15 Specialists

Practicing in Glen Cove, NY (23738 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Licensed Practical Nurse Primary Specialty

NUCC Taxonomy Code: 164W00000X

State License NY 212401-1

An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

37 Associated Practitioners
Daniel Giedt , NP

Nurse Practitioner - Psychiatric/Mental Health

NPI 1043308190

Nurse Practitioner

Sarah Cupka , LMHC

Counselor - Mental Health

NPI 1164121158

Licensed Mental Health Counselor

Jane Collins , LCSW

Social Worker - Clinical

NPI 1215143219

Licensed Clinical Social Worker

Annemarie La Rosa

Licensed Practical Nurse

NPI 1235482530
Anne Castelluzzo , MHC

Counselor - Mental Health

NPI 1245858570
Katherine Lazo

Counselor - Mental Health

NPI 1265214985

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active October 15, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location October 15, 2019

Registered at 113 GLEN COVE AVE, GLEN COVE, NY 115423438 (Tel: 5166762388)

📍
Updated Business Mailing Address October 15, 2019

Registered at 113 GLEN COVE AVE, GLEN COVE, NY 115423438 (Tel: 5166762388)

👤
Provider Name / Credentials Updated October 15, 2019

Recorded as DORIS WADE, LPN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 15, 2019

Licensed Practical Nurse (License #212401-1 in NY)

🟢
Initial NPI Registration & Enumeration October 15, 2019

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1124660782
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 15, 2019
Last Update: October 15, 2019
Sole Proprietor: No

Mailing Address

113 Glen Cove Ave

Glen Cove, NY 115423438

Phone: 5166762388

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.