MR. SUNDAR VISWANATHAN (NPI# 1366851156) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366851156 |
| Entity Type | Individual |
| Full Name | MR. SUNDAR VISWANATHAN |
| Credential | PT |
| Practice Address |
694 Fort Salonga Rd Suite 2 Northport NY 11768-3147 |
| Mailing Address |
597 Plainview Rd Plainview NY 11803-5719 |
| Practice Telephone | 6316236371 |
| Practice Fax Number | 8662462954 |
| Mailing Telephone | 6312204234 |
| Mailing Fax Number | 8662462954 |
| Enumeration Date | 2014-08-06 |
| Last Update Date | 2014-08-06 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 023410 | NY | Other Service Providers |
| Street Address |
694 FORT SALONGA RD SUITE 2 |
| City | NORTHPORT |
| State | NY |
| Zip Code | 11768-3147 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558318261 | Randee Lynne Zerner | Occupational Therapist | 694 Fort Salonga Rd, Northport, NY 11768-3147 | 2006-05-28 |
| 1215428370 | Olympus Pt PC | Physical Medicine & Rehabilitation | 694 Fort Salonga Rd, Northport, NY 11768-3147 | 2018-05-24 |
| 1467797100 | Marina Stauffer, Registered Dietitian, Certified Dietitian Nutritionis | Dietitian, Registered | 694 Fort Salonga Rd, Northport, NY 11768-3147 | 2012-12-06 |
| 1619239696 | Rz Occupational Therapy Pllc | Occupational Therapist | 694 Fort Salonga Rd, Northport, NY 11768-3147 | 2012-06-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649753088 | Tania Morris | Developmental Therapist | 130 Main St, #1, Northport, Ny 11768, Northport, NY 11768 | 2018-09-12 |
| 1639698343 | Karen Yuan Wong | Student in an Organized Health Care Education/Training Program | 79 Middleviille Rd., Optometry 123, Northport, NY 11768 | 2017-09-13 |
| 1821514795 | Village Speech and Language Pllc | Clinic/Center | 62 Makamah Beach Rd, Northport, NY 11768 | 2017-08-22 |
| 1073960415 | Dennis Falco | Private Vehicle | 5 Captain Richards Ln, Fort Salonga, NY 11768 | 2016-05-16 |
| 1679938252 | Debra Marie Failla | Psychologist | 260 Main Street, Suite 202, Northport, NY 11768 | 2015-12-23 |
| 1649649096 | Lillian Patricia Fais | Specialist | 26 Josephine Lane, Fort Salonga, NY 11768 | 2015-09-16 |
| 1427349505 | Kathleen Ann Korwasky | Occupational Therapist | 18 Dick Court, Northport, NY 11768 | 2011-04-25 |
| 1043448822 | Gianna Rose Ferranti | Dentist | 19 Winkle Point Road, Northport, NY 11768 | 2009-06-30 |
| 1861658213 | Barbara Ann Hansen | Registered Nurse | 78 Eatons Neck Rd, Northport, NY 11768 | 2008-08-05 |
| 1902060148 | Dana Ruth Cohen | Psychiatry & Neurology | 79 Middleville Road, Bldg 64, Northport Vamc, Northport, NY 11768 | 2008-07-16 |
| Find all providers in zip 11768 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467000505 | Erika Marie Bicic | Specialist | 6 Pebble Hill Ct, Northport, NY 11768-1350 | 2019-09-02 |
| 1407200751 | Samantha Hauser | Specialist | 6 Troy Ct, Northport, NY 11768-2158 | 2016-04-22 |
| 1629437140 | Claudia Laura Martelloni-brennan | Specialist | 23 Wilafra Pl, Northport, NY 11768-2160 | 2016-02-11 |
| 1841660586 | Katharine Lynn Savan | Specialist | 25 Twin Cedar Ln, Northport, NY 11768-2231 | 2015-10-06 |
| 1720479454 | Jessica L Varvatsas | Specialist | 1 Bonnie Dr, Northport, NY 11768-1448 | 2015-02-17 |
| 1366868838 | Maribeth Clark Gruhn | Specialist | 27 Mariners Ln, Northport, NY 11768-1626 | 2014-03-08 |
| 1871835215 | Kathleen Araco | Specialist | 2 Naro Ln, Northport, NY 11768-2717 | 2013-03-25 |
| 1356683171 | Nadine M Martine | Specialist | 22 June Ave, Northport, NY 11768-3012 | 2013-03-19 |
| 1841532686 | David Hayse. Boyd | Specialist | 15041 Highway 69 N, Northport, AL 35475-3148 | 2013-03-19 |
| 1447513437 | Siobhan C Flanagan | Specialist | 2 Layne Way, Northport, NY 11768-2157 | 2012-06-25 |
| Find all providers in NORTHPORT | ||||
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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.