MR. JOSEPH T MICCOLI (NPI# 1598997488) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1598997488 |
Entity Type | Individual |
Full Name | MR. JOSEPH T MICCOLI |
Credential | RPA-C |
Practice Address |
215 Rockaway Tpke Lawrence NY 11559-1216 |
Practice Telephone | 5163745024 |
Practice Fax Number | 5163745816 |
Mailing Telephone | 5163745024 |
Mailing Fax Number | 5163745816 |
Enumeration Date | 2009-08-11 |
Last Update Date | 2016-08-05 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363AM0700X |
Physician Assistant Specialization: Medical |
013446 | NY | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
215 ROCKAWAY TPKE |
City | LAWRENCE |
State | NY |
Zip Code | 11559-1216 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790766970 | Roman Koldayev | Internal Medicine | 215 Rockaway Tpke, Lawrence, NY 11559-1216 | 2005-11-07 |
1285284455 | Caitlin M. Dorn | Social Worker | 215 Rockaway Tpke, Lawrence, NY 11559-1216 | 2019-09-18 |
1447636253 | Matteo Spera | Family Medicine | 215 Rockaway Tpke, Lawrence, NY 11559 | 2015-08-04 |
1558604223 | Marsha A Niles | Nurse Practitioner | 215 Rockaway Tpke, Lawrence, NY 11559-1216 | 2013-04-01 |
1295013134 | Audrey Sansculotte | Nurse Practitioner | 215 Rockaway Tpke, Lawrence, NY 11559-1216 | 2011-07-26 |
1922332030 | Iquinder Pal-kaur Singh | Family Medicine | 215 Rockaway Tpke, Lawrence, NY 11559-1216 | 2009-09-22 |
1538311279 | Ruth E Schap | Nurse Practitioner | 215 Rockaway Tpke, Lawrence, NY 11559-1216 | 2008-10-14 |
1285805077 | Biana Miller | Physician Assistant | 215 Rockaway Tpke, Lawrence, NY 11559-1216 | 2008-03-19 |
1275712226 | Philip Lowenstein | Physician Assistant | 215 Rockaway Tpke, Lawrence, NY 11559-1216 | 2007-10-26 |
1467582536 | Alan Jonah Wieder | Internal Medicine | 215 Rockaway Tpke, Lawrence, NY 11559-1216 | 2007-03-06 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306310362 | Marlee Katz | Specialist | 26 Sealy Dr, Lawrence, NY 11559 | 2019-01-13 |
1184000374 | Rebecca Beiss | Speech-Language Pathologist | 40 Stevens Place, Lawrence, NY 11559 | 2015-08-11 |
1114268620 | Gegendeep Kaur Chawla | Occupational Therapist | 219 Spring St, Lawrence, NY 11559 | 2013-03-07 |
1972872810 | Esther P Adler | Occupational Therapist | 227 Juniper Cir S, Lawrence, NY 11559 | 2011-12-21 |
1790068229 | Elisheva Listhaus | Speech-Language Pathologist | 70 Causeway, Lawrence, NY 11559 | 2011-09-21 |
1073803367 | Michele Golub Seelenfreund | Occupational Therapist | 15 Sealy Drive, Lawrence, NY 11559 | 2011-04-08 |
1306153804 | Benjamin Z. Weiss | Psychologist | 360 Central Avenue-suite 110, Suite 110, Lawrence, NY 11559 | 2010-09-03 |
1497900203 | Sharon Miriam Moerman | Speech-Language Pathologist | 240 Juniper Circle East, Lawrence, NY 11559 | 2008-11-20 |
1134376569 | Shifra Eisig | Dietitian, Registered | 43 Herrick Drive, Lawrence, NY 11559 | 2008-08-27 |
1710102306 | Mark Billet | Dentist | 290 Central Avenue, 208, Lawrence, NY 11559 | 2007-04-17 |
Find all providers in zip 11559 |
Taxonomy Code | 363AM0700X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Medical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922547371 | Anna Ruelberg | Physician Assistant | 4921 W 18th Street, Lawrence, KS 66047-2090 | 2017-02-17 |
1467935148 | Shannon Kopp | Physician Assistant | 4921 W 18th St, Lawrence, KS 66047-2090 | 2018-09-10 |
1811433733 | Grant Miller | Physician Assistant | 6265 Rock Chalk Dr, Suite 1500, Lawrence, KS 66049-5232 | 2017-01-17 |
1992250096 | Brooke Bennett | Physician Assistant | 4921 W 18th St, Lawrence, KS 66047-2090 | 2016-08-18 |
1629463948 | Rebecca Marie Rendina | Physician Assistant | 360 Merrimack St, Lawrence, MA 01843-1740 | 2015-04-02 |
1174895262 | Tara Z Stecklein | Physician Assistant | 4930 Overland Drive, Lawrence, KS 66046 | 2012-02-03 |
1073815452 | Melissa A Kramer | Physician Assistant | 325 Maine St, Lawrence, KS 66044-1360 | 2010-11-17 |
1093040438 | Britani L Congleton | Physician Assistant | 4930 Overland Drive, Lawrence, KS 66049 | 2009-10-02 |
1659389088 | Asima J Chowdhry | Physician Assistant | 73d Winthrop Ave, Lawrence, MA 01843-3716 | 2006-08-03 |
1407881618 | Brianne J. Cook | Physician Assistant | 4921 W 18th St, Lawrence, KS 66047-2090 | 2006-07-12 |
Find all providers in LAWRENCE |
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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.