PHYSICAL MEDICINE & DIAGNOSTIC TESTING PC (NPI# 1598041428) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598041428 |
| Entity Type | Organization |
| Organization Name | PHYSICAL MEDICINE & DIAGNOSTIC TESTING PC |
| Practice Address |
54 Dolson Ave Middletown NY 10940-6424 |
| Mailing Address |
Po Box 473 New Hampton NY 10958-0473 |
| Practice Telephone | 8453421247 |
| Practice Fax Number | 8453421397 |
| Mailing Telephone | 8453420746 |
| Mailing Fax Number | 8453421397 |
| Enumeration Date | 2011-10-24 |
| Last Update Date | 2011-10-24 |
| Authorized Official Name | DR. CLIFTON DANIEL BURT (OWNER) |
| Authorized Official Telephone | 8453420746 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 251765 | NY | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | NPI | 1588843163 | 01 |
| NY | WORKERS COMPENSATION NUMBER | 2517654W | 01 |
| Street Address |
54 DOLSON AVE |
| City | MIDDLETOWN |
| State | NY |
| Zip Code | 10940-6424 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568531937 | Middletown Physical Medicine & Rehabilitation, P.C. | Physical Medicine & Rehabilitation | 54 Dolson Ave, Middletown, NY 10940 | 2006-11-07 |
| 1841444502 | Vickie Jean Coker | Chiropractor | 54 Dolson Ave, Middletown, NY 10940-6424 | 2008-11-07 |
| 1720158660 | Dolson Avenue Medical | Chiropractor | 54 Dolson Ave, Middletown, NY 10940 | 2006-11-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366043135 | Sherell Rebecca Hassell-robinson | Social Worker | 1 Echo Hills Road, Middletown, NY 10940 | 2020-11-06 |
| 1144821927 | Fred Allen Mccormack | Social Worker | 210 East Main St Suite 105, Middletown, NY 10940 | 2020-11-06 |
| 1609484567 | Gen Med Inc | Anesthesiology | 253 Route 211 East, 2nd Floor, Middletown, NY 10940 | 2020-07-16 |
| 1366067092 | Kalyn Ruscher | Counselor | 303 5th Ave 14 Fl, Suite 1410, New York, NY 10940 | 2020-06-09 |
| 1780238220 | Angela Mayo | Social Worker | 24 Union Street, Middletown, NY 10940 | 2019-08-01 |
| 1215593611 | Northern Medical Center, Inc | Family Medicine | 14 Jason Place, Suite 201, Middletown, NY 10940 | 2019-05-13 |
| 1811468267 | Diana Katzenberger | Licensed Practical Nurse | 774 Kurbytuwn Rd, Middletown, NY 10940 | 2018-12-11 |
| 1881165330 | Chereen Madden-grant | Registered Nurse | 1028 Route 211 W, Middletown, NY 10940 | 2018-12-10 |
| 1184106361 | Clarise Denise Williams | Social Worker | 210 E Main St Suite 105, Middletown, NY 10940 | 2018-09-04 |
| 1194210963 | Damon Tremayne Swinea | Social Worker | 16-24 Union St., Middletown, NY 10940 | 2018-06-25 |
| Find all providers in zip 10940 | ||||
| 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 |
|---|---|---|---|---|
| 1164036208 | Pierremarie Chloe Vital | Specialist | 33 California Dr, Middletown, NY 10940-7543 | 2020-09-05 |
| 1215568332 | Ei Dawns Way | Specialist | 41 Mayer Dr Ph, Middletown, NY 10940-3349 | 2020-01-28 |
| 1437629722 | Beatrice Ayanna Hutcherson | Specialist | 4 Mckenzie Ct, Middletown, NY 10940-5069 | 2018-11-28 |
| 1700316486 | Jessica Maria Soto | Specialist | 192 Tower Drive, Suite 400, Middletown, NY 10940 | 2017-06-15 |
| 1669910279 | Dawn A Anderson | Specialist | 41 Mayer Dr, Ph, Middletown, NY 10940-3349 | 2017-02-02 |
| 1316481732 | Pieper Memorial Veterinary Center | Specialist | 730 Randolph Rd, Middletown, CT 06457-5331 | 2016-12-05 |
| 1477909265 | Lisa Robb | Specialist | 27 James P Kelly Way Apt 22, Middletown, NY 10940-9452 | 2016-05-11 |
| 1104221589 | Marissa Fajardo | Specialist | 7 Rodman St, Middletown, NY 10940-3205 | 2014-10-28 |
| 1962816645 | Cathleen Mackey | Specialist | 101 Rolling Meadows Road, Middletown, NY 10940-7062 | 2014-06-20 |
| 1538500723 | Lucy Ortega | Specialist | 18 Silo Ln, Middletown, NY 10940-2603 | 2013-07-16 |
| Find all providers in MIDDLETOWN | ||||
| City | MIDDLETOWN |
| Zip Code | 10940 |
Please comment or provide details below to improve the information on PHYSICAL MEDICINE & DIAGNOSTIC TESTING PC.
| 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.