MR. JOSEPH T MICCOLI


Address: 215 Rockaway Tpke, Lawrence, NY 11559-1216
Phone: 5163745024

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AM0700X Physician Assistant
Specialization: Medical
013446 NY Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 215 ROCKAWAY TPKE
City LAWRENCE
State NY
Zip Code 11559-1216

Providers in the same location

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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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 363AM0700X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Medical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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
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Competitor

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City LAWRENCE
Zip Code 11559

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Dataset Information

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.

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