DR. MICHAEL JAMES REARDON (NPI# 1144540022) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1144540022 |
Entity Type | Individual |
Full Name | DR. MICHAEL JAMES REARDON |
Credential | M.D. |
Practice Address |
41 Dunlop Rd Huntington NY 11743-3932 |
Practice Telephone | 6314635686 |
Mailing Telephone | 6314635686 |
Enumeration Date | 2010-06-02 |
Last Update Date | 2010-06-02 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207QA0401X |
Family Medicine Specialization: Addiction Medicine |
162904-1 | NY | Allopathic & Osteopathic Physicians |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861939100 | Michael Reardon | Counselor | 987 Rc Hoag Drive, Lionel R John Health Center, Salamanca, NY 14779-1365 | 2017-01-25 |
1558372813 | Michael Joseph Reardon | Dentist | 2 Stark Ave, Dover, NH 03820-4263 | 2006-08-11 |
1447243712 | Michael L Reardon | Internal Medicine | 906 Wb Mclean Blvd, Cape Carteret, NC 28584-9211 | 2005-08-23 |
1710222385 | Michael Reardon | Hearing Instrument Specialist | 160 Winthrop Ave, Lawrence, MA 01843-3840 | 2012-12-07 |
1740448497 | Michael A. Reardon | Radiology | 3155 Maplewood Ave, Winston Salem, NC 27103-3903 | 2008-05-29 |
1427258409 | Michael Douglas Reardon | Dentist | 2315 Hickory Valley Rd, Chattanooga, TN 37421-1723 | 2007-07-19 |
1487607057 | Michael S Reardon | Radiology | 900 Welch Rd, Suite 101, Palo Alto, CA 94304-1805 | 2006-05-18 |
1053363366 | Michael S. Reardon | Psychiatry & Neurology | 5301 Davis Ln Bldg A200, Austin, TX 78749-4062 | 2006-05-16 |
1124079678 | Michael E Reardon | Anesthesiology | 5151 Reed Rd, Suite 225-c, Columbus, OH 43220-2595 | 2006-05-12 |
1124095617 | Michael Reardon | Nurse Anesthetist, Certified Registered | 3601 W. 13 Mile Rd, 400 Fsc-pcs, Royal Oak, MI 48073-6769 | 2006-03-02 |
Street Address |
41 DUNLOP RD |
City | HUNTINGTON |
State | NY |
Zip Code | 11743-3932 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447896477 | Peter C Gaal | Behavioral Analyst | 47 N. Woodhull Road, 2nd Floor, Huntington, NY 11743 | 2019-11-25 |
1902389299 | Taylor Bliss Dambrosio | Early Intervention Provider Agency | 38 Carnegie Ave, Huntington, NY 11743 | 2018-09-12 |
1639601750 | Speech and Hearing Services | Clinic/Center | 17 Brooks Ave Unit1, Huntington, NY 11743 | 2017-03-29 |
1174983456 | Helene Falcone | Registered Nurse | 264 W. 22nd St., Oakwood Primary Center, Hunt., NY 11743 | 2016-03-01 |
1124499470 | Thomas Hlenski | Social Worker | 4 Richard Lane, Huntington, NY 11743 | 2015-10-13 |
1174921308 | Jeanne Ginsberg | Counselor | 81 Knollwood Avenue, Huntington, NY 11743 | 2014-12-22 |
1770980534 | Emily Ann Sombke | Physician Assistant | 249 Manor Rd., Huntington, NY 11743 | 2014-11-21 |
1881096162 | Applied Health Chiropractic | Chiropractor | 12 Ash Pl, Huntington, NY 11743 | 2014-09-18 |
1265857643 | Ccs Medical Practice, Pllc | Public Health or Welfare | 17 Southdown Road, Huntington, NY 11743 | 2014-02-21 |
1255760682 | Ekaterina Femminella | Acupuncturist | 181 Main St Ste 105, Huntington, NY 11743 | 2013-11-06 |
Find all providers in zip 11743 |
Taxonomy Code | 207QA0401X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Family Medicine |
Specialization | Addiction Medicine |
A family medicine physician who specializes in the diagnosis and treatment of addictions. |
Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) was, but is no longer issued by the American Osteopathic Board of Family Physicians. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861829947 | Hamada E Mahmoud | Family Medicine | 5505 Us Route 60 East, Suite 175, Huntington, WV 25705-2058 | 2013-10-03 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053921957 | Titan Primary Care, Inc | Family Medicine | 3753 90th St Ste 11, Jackson Heights, NY 11372-7879 | 2020-08-05 |
1205467842 | Tara Healthcare LLC | Family Medicine | 157 Bleecker St # 1, New York, NY 10012-1625 | 2020-02-03 |
1548820608 | Cs Medical Associates, P.C. | Family Medicine | 727 N Broadway Ste B1, Massapequa, NY 11758-2348 | 2019-06-19 |
1992210231 | Cs Medical Associates, PC | Family Medicine | 100 Granny Road, Suite 2, Farmingville, NY 11738 | 2017-12-08 |
1881120376 | Yonina Mar | Family Medicine | 10 Nathan D. Perlman Pl, Msbi Psychiatry, Bernstein Pavilion, Room 7b15, New York, NY 10003 | 2017-05-03 |
1457771842 | Gary Demara | Family Medicine | 220 Tom Miller Rd, Plattsburgh, NY 12901-6427 | 2014-04-24 |
1710123963 | Fred William Marcus | Family Medicine | 770 Jericho Tpke, Syosset, NY 11791-4516 | 2008-12-17 |
1740447101 | Bernard Charles Borkowski | Family Medicine | 2025 Kenneth Rd, Merrick, NY 11566-5508 | 2008-05-21 |
1023280740 | Charles Pouponneau | Family Medicine | 147-20 Archer Avenue, Jamaica, NY 11435 | 2008-04-02 |
1356562805 | Mario Douyon De Azevedo | Family Medicine | 3878 State Route 11, Suite 2, Malone, NY 12953-3726 | 2007-05-01 |
Find all providers with the same taxonomy |
City | HUNTINGTON |
Zip Code | 11743 |
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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.