Dana Cooreman

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Practice address

130 E State St Ste 2
Sherrill, NY 13461-1232

Phone

(315) 231-5268

NPI assigned

Mar 29, 2021

Last updated

Mar 29, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• State of New York Comptrollers Office

  • Developmental Disabilities Clinic/Center
  • Staten Island, NY
  • NPI 1750469912
  Medicare reassignment
• State of New York Comptrollers Office

  dba Nys Opwdd

  • Physical Therapist
  • Albany, NY
  • NPI 1346710985
  NPD
• State of New York Comptrollers Office

  • Developmental Disabilities Clinic/Center
  • Syracuse, NY
  • NPI 1972637684
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1616976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616976000000",
    "number": "1093392540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 E STATE ST STE 2",
            "city": "SHERRILL",
            "state": "NY",
            "postal_code": "134611232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 E STATE ST STE 2",
            "city": "SHERRILL",
            "state": "NY",
            "postal_code": "134611232",
            "telephone_number": "315-231-5268"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOREMAN",
        "first_name": "DANA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-29",
        "last_updated": "2021-03-29",
        "certification_date": "2021-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffry Silus Brown, PT,CERT MDT
• Ann Ryan Bruzzese
• Robert Wesley Burdick, MD
• Communicare Services, LLC
• Jennifer Lynn Conniff, OTR/L
• Erin Elizabeth Curro, M.S. CCC-SLP
• Meagan Marie Disalvo, MS, OTR/L
• Nina Anna Gallagher, PT
• Nicole Marie Giambrone, M.S. ED CCC-SLP
• Travis Goff, D.C.

• Registered Dietitian in Sherrill, NY
• Providers in Sherrill, NY by specialty
• Registered Dietitian in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.