DR. MYRON M TEITELBAUM (NPI# 1578995114) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578995114 |
| Entity Type | Individual |
| Full Name | DR. MYRON M TEITELBAUM |
| Credential | MD |
| Practice Address |
21 Morris Ave Rockville Centre NY 11570-5336 |
| Practice Telephone | 5162565000 |
| Practice Fax Number | 5163450302 |
| Mailing Telephone | 5162565000 |
| Mailing Fax Number | 5163450302 |
| Enumeration Date | 2013-08-06 |
| Last Update Date | 2013-08-06 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 087758 | NY | Other Service Providers |
| Street Address |
21 MORRIS AVE |
| City | ROCKVILLE CENTRE |
| State | NY |
| Zip Code | 11570-5336 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811462419 | Jessica Ilana Smuckler | Occupational Therapist | 90 S Park Ave Apt C2, Rockville Centre, NY 11570 | 2018-10-10 |
| 1356831309 | Pure Medical Services PC | Specialist | 2000 N Village Ave Ste 202, Rockville Centre, NY 11570 | 2018-05-15 |
| 1447766449 | Licura, LLC | Technician, Other | 566 Merrick Road, Suite 1, Rockville Centre, NY 11570 | 2017-12-28 |
| 1427505858 | Shera M Goodridge | Specialist | 134 Shellbank Place, Rockville Center, NY 11570 | 2016-09-01 |
| 1669830634 | Barbara Massina, Lcsw | Clinic/Center | 161 N Village Ave, Rockville Centre, NY 11570 | 2016-02-05 |
| 1972973428 | Medscript Pharmacy LLC | Pharmacy | 180-184 Sunrise Highway, Rockville Centre, NY 11570 | 2015-09-28 |
| 1265813703 | Jeffrey Michael Nozius | Registered Nurse | 1000 Hempstead Ave, Rockville Centre, NY 11570 | 2015-06-10 |
| 1568855971 | Meredith Kreinbihl | Counselor | 119 North Park Avenue, Suite 210, Rockville Centre, NY 11570 | 2015-03-09 |
| 1174921647 | Pamela Leake | Behavioral Analyst | 88 Hendrickson Ave, Rvc, NY 11570 | 2014-12-15 |
| 1467851584 | Lisa Brown-eisel, Lcsw, P.C. | Social Worker | 100 North Village Avenue, Suite 32, Rockville Centre, NY 11570 | 2014-08-14 |
| Find all providers in zip 11570 | ||||
| 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 |
|---|---|---|---|---|
| 1154974640 | Anne Marie Rottkamp-dooney | Specialist | 22 Hendrickson Ave, Rockville Centre, NY 11570-5802 | 2019-07-23 |
| 1356831309 | Pure Medical Services PC | Specialist | 2000 N Village Ave Ste 202, Rockville Centre, NY 11570 | 2018-05-15 |
| 1699212183 | Marian D. Moses | Specialist | 15 Maine Ave, Rockville Centre, NY 11570-3609 | 2017-01-23 |
| 1437506599 | Debbie Estrada Porto | Specialist | 235 Maple Ave, Rockville Centre, NY 11570-4318 | 2016-05-18 |
| 1083077796 | Sarah Phelan | Specialist | 28 S Kensington Ave, Rockville Centre, NY 11570-5608 | 2016-03-30 |
| 1104209451 | David Brice | Specialist | 1245 Langdon Blvd, Rockville Centre, NY 11570-3412 | 2015-07-06 |
| 1427438621 | Islandwide Physical Therapy and Chiropractic Pllc | Specialist | 60 N Park Ave, Rockville Centre, NY 11570-4159 | 2015-06-02 |
| 1104228352 | Tara Ambrosi | Specialist | 95 Fenway, Rockville Centre, NY 11570-4504 | 2014-09-18 |
| 1649683426 | Kathleen Jancovic-grimm | Specialist | 141 Vernon Ave, Rockville Centre, NY 11570-5526 | 2014-06-09 |
| 1780017012 | Jason Charles Lewis | Specialist | 537 Jefferson Ave, Rockville Centre, NY 11570-3311 | 2013-08-09 |
| Find all providers in ROCKVILLE CENTRE | ||||
| City | ROCKVILLE CENTRE |
| Zip Code | 11570 |
Please comment or provide details below to improve the information on DR. MYRON M TEITELBAUM.
| 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.