Patrese Mohammed El

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

299954 Issued in NY

Practice address

11 Route 109
West Babylon, NY 11704-6207

Phone

(916) 308-4276

NPI assigned

Jan 27, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Risewell Community Services

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Medford, NY
  • NPI 1609383389
  NPD (past)

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

{
    "created_epoch": "1233014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596153600000",
    "number": "1407094659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 ROUTE 109",
            "city": "WEST BABYLON",
            "state": "NY",
            "postal_code": "117046207",
            "telephone_number": "631-669-5355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 ROUTE 109",
            "city": "WEST BABYLON",
            "state": "NY",
            "postal_code": "117046207",
            "telephone_number": "916-308-4276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOHAMMED EL",
        "first_name": "PATRESE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-01-27",
        "last_updated": "2020-07-31",
        "certification_date": "2020-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "NY",
            "license": "299954",
            "primary": false
        },
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "CA",
            "license": "VN164933",
            "primary": false
        },
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "299954",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Mingione, M.D.
• Lauren Misuraca, FNP
• Valerie Mitchelson Jasmin
• Ross Francis Mittiga, CPO
• MN Contractors LLC
• Mohammed H Idris, MD
• Donald Monaco, PH.D.
• Katelyn Monaco
• Tricia Montague
• Janely Montgomery, LMT

• Licensed Practical Nurse in West Babylon, NY
• Providers in West Babylon, NY by specialty
• Licensed Practical Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.