DR. EDWARD E MULLEN


Address: 1 Healthy Way, Oceanside, NY 11572-1551
Phone: 5166323303

DR. EDWARD E MULLEN (NPI# 1104824606) 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) 1104824606
Entity Type Individual
Full Name DR. EDWARD E MULLEN
Credential MD
Practice Address 1 Healthy Way
Oceanside
NY 11572-1551
Mailing Address Po Box 5670
Hicksville
NY 11802-5670
Practice Telephone 5166323303
Practice Fax Number 5163362930
Mailing Telephone 5166323370
Mailing Fax Number 5163362930
Enumeration Date 2005-07-08
Last Update Date 2017-02-14
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 174400000X Specialist 172604 NY Other Service Providers
Y 2085R0001X Radiology
Specialization: Radiation Oncology
172604-1 NY Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
NY 1466513 05
NY 01465513 05

Other Providers EDWARD MULLEN

NPI Name Taxonomy Address Enumeration
1174781041 Edward Mullen Speech-Language Pathologist 69 Bennett Ave Apt 407, New York, NY 10033-3024 2008-05-28

Office Location

Street Address 1 HEALTHY WAY
City OCEANSIDE
State NY
Zip Code 11572-1551

Providers in the same location

NPI Name Taxonomy Address Enumeration
1831796812 Diane S Mcdevitt Nurse Practitioner 1 Healthy Way, Oceanside, NY 11572-1551 2020-10-03
1053921742 Mount Sinai School of Medicine Psychiatry & Neurology 1 Healthy Way, Oceanside, NY 11572-1551 2020-08-06
1841809886 Rizvi Surgical Care Pllc Surgery 1 Healthy Way, Oceanside, NY 11572-1551 2020-07-27
1760004022 Vascular Care LLC Surgery 1 Healthy Way, Oceanside, NY 11572-1551 2020-05-09
1023639937 Florence Dasrath Student in an Organized Health Care Education/Training Program 1 Healthy Way, Oceanside, NY 11572-1551 2020-05-01
1730709312 Jordana Schmidt-swartz Student in an Organized Health Care Education/Training Program 1 Healthy Way, Oceanside, NY 11572-1551 2020-04-23
1336769207 Nia Jagroop Student in an Organized Health Care Education/Training Program 1 Healthy Way, Oceanside, NY 11572-1551 2020-04-21
1366062523 Gladys Isabel Palaguachi Student in an Organized Health Care Education/Training Program 1 Healthy Way, Oceanside, NY 11572-1551 2020-04-17
1578182846 Amit Elazar Student in an Organized Health Care Education/Training Program 1 Healthy Way, Oceanside, NY 11572-1551 2020-04-15
1558980094 Xiteng Yan Student in an Organized Health Care Education/Training Program 1 Healthy Way, Oceanside, NY 11572-1551 2020-04-14
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1376152868 True North Dialysis Center LLC Clinic/Center 3005 Long Beach Rd, Oceanside, NY 11572 2020-07-30
1508493560 Mercedes Andreina Cardenas Pena Student in an Organized Health Care Education/Training Program 196 South Nassau, Oceanside, NY 11572 2020-03-26
1275170219 Prohealth Dental Pllc Dentist 2870 Long Beach Road, Oceanside, NY 11572 2019-12-10
1982252409 Fe Jaurigue Nurse Practitioner 2391 Washington Ave, Oceanside, NY 11572 2019-08-28
1689160749 Emil A Tocci, Dc, PC Chiropractor 3091 Lawson Blvd, Oceanside, NY 11572 2018-07-02
1336652726 Jennifer L Rodgers Nurse Practitioner 435 Kinsley Ct, Oceanside, NY 11572 2017-11-08
1205387859 Joanne Hudkins Nurse Practitioner 3353 5th St, Oceanside, NY 11572 2016-10-19
1346693595 Michelle Coletta-guadagno Case Manager/Care Coordinator 400 Oceanside Pkwy, Oceanside, NY 11572 2016-07-22
1831543271 Costco Wholesale Corporation Eyewear Supplier (Equipment, not the service) 3705 Hampton Rd, Oceanside, NY 11572 2016-04-22
1598170474 Amy Daleo Licensed Practical Nurse 299 Waukena Ave, Oceanside, NY 11572 2014-06-30
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Taxonomy Information

Taxonomy Code 2085R0001X
Grouping Allopathic & Osteopathic Physicians
Classification Radiology
Specialization Radiation Oncology

Taxonomy Definition

A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1083614184 Louis Potters Radiology 2445 Oceanside Rd, Oceanside, NY 11572-1548 2005-07-29
1174016984 Icahn School of Medicine At Mount Sinai Radiology 1 Healthy Way, Oceanside, NY 11572 2018-06-07
1902109713 South Nassau Oncology, PC Radiology 1 Healthy Way, Oceanside, NY 11572-1551 2010-12-16
1801896998 South Shore Radiation Oncology Associates P C Radiology 1 Healthy Way, Oceanside, NY 11572-1551 2005-07-29

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1053875229 Msk Nassau Radiology 1101 Hempstead Turnpike, Uniondale, NY 11553 2019-01-22
1740733575 Nr Physician Group, Pllc Radiology 3910 N Buffalo St, Orchard Park, NY 14127 2016-07-28
1639566516 Fauzia Shaikh Radiology 525 E 68th St # 95, New York, NY 10065-4870 2015-04-18
1306231774 Lucas Resende Salgado Radiology 370 Avenue U Apt 3, Brooklyn, NY 11223-4024 2015-04-02
1083008403 Alan J. Katz, M.d., Pllc Radiology 1781 Hylan Blvd, Staten Island, NY 10305-1917 2015-03-24
1417368721 Moses Min-chi Tam Radiology 550 1st Ave Fl 2, New York, NY 10016-6402 2014-05-09
1649690629 Christine Chin Radiology 622 West 168th Street Chony North B-level, New York, NY 10032 2014-04-17
1336566272 Stanislav Lazarev Radiology 1184 5th Avenue, First Floor, Pm-124, New York, NY 10029-1002 2014-03-27
1548683022 Metropolitan Radiation Oncology Consulting PC Radiology 686 Stoneleigh Ave., Carmel, NY 10512 2014-02-04
1295070845 Ezzat T Youssef Radiology 5 Ridge Ave, Staten Island, NY 10304-1418 2012-12-09
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Competitor

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City OCEANSIDE
Zip Code 11572

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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.

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