HEALTHY LIVING, PC (NPI# 1689146896) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689146896 |
| Entity Type | Organization |
| Organization Name | HEALTHY LIVING, PC |
| Other Organization Name | HEALTHY LIVING FOR A HEALTHY LIFE |
| Practice Address |
1715 Route 17m Goshen NY 10924-2526 |
| Mailing Address |
4 Cynthia Ct Florida NY 10921-1612 |
| Practice Telephone | 8453931167 |
| Practice Fax Number | 8889605246 |
| Mailing Telephone | 8452391167 |
| Enumeration Date | 2018-12-28 |
| Last Update Date | 2020-06-12 |
| Authorized Official Name | DAVID ISRAEL (OWNER) |
| Authorized Official Telephone | 8452391167 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 02426539 | 05 |
| Other Name | Type Code |
|---|---|
| David Israel | Doing Business As Name - Organization |
| Debra Supenski, Practice Manager | Other Name - Individual/Organization |
| Healthy Living for a Healthy Life | Other Name - Individual/Organization |
| Street Address |
1715 ROUTE 17M |
| City | GOSHEN |
| State | NY |
| Zip Code | 10924-2526 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487127239 | Yessica Amadis | Counselor | 27 Matthews Street, Goshen, NY 10924 | 2019-01-04 |
| 1649752668 | Lucinda Figueroa | Social Worker | Orange Intensive Day Treatment @ Ouboces Ah Ed Center, 4 Harriman Drive, Goshen, NY 10924 | 2018-09-06 |
| 1619499365 | Grace Catherine Stieh | Speech-Language Pathologist | 1997 Ny-17m #9, Goshen, NY 10924 | 2017-07-14 |
| 1255738902 | Linda S. Miller | Behavioral Analyst | 60 Erie Street #6, Suite 304, Goshen, NY 10924 | 2014-11-24 |
| 1275963894 | Ellen Martin | Speech-Language Pathologist | 9a Maplewood Terrace, Goshen, NY 10924 | 2013-11-18 |
| 1578803854 | Shirley Johnson | Social Worker | 3 Hatfield Lane Valley Behavioral Medicine, Suite 1, Goshen, NY 10924 | 2013-02-22 |
| 1689933566 | Gloria Sanabria | Licensed Practical Nurse | 252 Main St., Wellness Home Care, Goshen, NY 10924 | 2012-05-11 |
| 1780955377 | Karen Ann Walczak | Registered Nurse | 56 Gibson Rd., Goshen, NY 10924 | 2012-01-13 |
| 1699067884 | Cherie Lee Meci | Occupational Therapy Assistant | 52 Gibson Rd., Rcce, Goshen, NY 10924 | 2011-05-06 |
| 1053617597 | James Francis Kohut | Social Worker | Rcpc 53 Gibson Road, Goshen, NY 10924 | 2011-02-01 |
| Find all providers in zip 10924 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952555203 | Neil Richard Strickland | Emergency Medicine | 2052 Cedarville Rd, Goshen, OH 45122-9217 | 2008-11-13 |
| 1710132816 | Excel Urgent Care of Goshen Pllc | Emergency Medicine | 1 Hatfield Ln, Goshen, NY 10924-6752 | 2008-11-18 |
| 1386867604 | Chung H Wu | Emergency Medicine | 4 Harriman Dr, Goshen, NY 10924-2410 | 2007-04-11 |
| 1114057452 | Michael Geci-black | Emergency Medicine | 4 Harriman Dr, Goshen, NY 10924-2410 | 2007-03-06 |
| 1366450850 | Sandra Lee | Emergency Medicine | 1 Hatfield Ln, Goshen, NY 10924-6752 | 2006-08-03 |
| 1417992884 | Louis J Allyne | Emergency Medicine | 4 Harriman Dr, Goshen, NY 10924-2410 | 2006-06-18 |
| 1811972870 | Steven M Winograd | Emergency Medicine | 4 Harriman Dr, Goshen, NY 10924-2410 | 2005-12-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295333466 | Rita Mello | Emergency Medicine | 10 Maplemoor Ln, White Plains, NY 10605-4704 | 2020-10-11 |
| 1891318754 | Mat Medical Associates, P.C. | Emergency Medicine | 565 Route 25a Ste 4, Miller Place, NY 11764-2663 | 2020-05-26 |
| 1508488040 | Madhok Medical Corporation | Emergency Medicine | 555 Madison Ave Fl 20, New York, NY 10022-3301 | 2020-05-07 |
| 1134749658 | Kenneth Yaboh | Emergency Medicine | 1000 Cherrywood Dr, Baldwin, NY 11510-5009 | 2020-04-24 |
| 1487273777 | Rosheen Teresa Mcelroy | Emergency Medicine | 70 Remsen St # 2ab, Brooklyn, NY 11201-3432 | 2020-04-16 |
| 1477180479 | Taj Medical Pllc | Emergency Medicine | 10925 111th St, South Ozone Park, NY 11420-1015 | 2020-03-27 |
| 1013552181 | Health Quest Medical Practice, PC | Emergency Medicine | 1240 Ulster Avenue, Kingston, NY 12401 | 2019-11-13 |
| 1346892155 | Jonathan Pezhmannia | Emergency Medicine | 2a Cortlandt St, New York, NY 10007-3104 | 2019-07-11 |
| 1659939700 | Richard Edward Smith Medicine PC | Emergency Medicine | 81 Miller Rd Ste 600, S Schodack, NY 12033-4042 | 2019-06-04 |
| 1295392553 | Johnny Slade | Emergency Medicine | 11 Bridge Rd, East Setauket, NY 11733 | 2019-05-22 |
| Find all providers with the same taxonomy | ||||
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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.