MR. RONALD J BREDOW (NPI# 1720293905) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720293905 |
| Entity Type | Individual |
| Full Name | MR. RONALD J BREDOW |
| Other Name | MR. RONALD J BREDOW |
| Credential | PT |
| Practice Address |
150 Gardiners Ave Levittown NY 11756-3707 |
| Practice Telephone | 5165207200 |
| Practice Fax Number | 5165207625 |
| Mailing Telephone | 5165207200 |
| Mailing Fax Number | 5165207625 |
| Enumeration Date | 2007-05-11 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 021022-1 | NY | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | BCBS RON | Q13C11 | 01 |
| NY | HIP | 162552P | 01 |
| Street Address |
150 GARDINERS AVE |
| City | LEVITTOWN |
| State | NY |
| Zip Code | 11756-3707 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952392680 | Ny Physical Therapy & Wellness, Levittown, Pllc | Specialist | 150 Gardiners Ave, Levittown, NY 11756-3707 | 2005-11-02 |
| 1265045033 | Levittown Pt, Family Health Np, Acupuncture and Chiropractic Pllc | Chiropractor | 150 Gardiners Ave, Levittown, NY 11756-3707 | 2020-08-31 |
| 1689285181 | Dylan James Pearce | Physical Therapist | 150 Gardiners Ave, Levittown, NY 11756-3707 | 2020-08-10 |
| 1619508579 | Kimberly Nicole Ritterbusch | Massage Therapist | 150 Gardiners Ave, Levittown, NY 11756 | 2020-01-30 |
| 1518425263 | Josefina Garcia | Massage Therapist | 150 Gardiners Ave, Levittown, NY 11756 | 2019-03-12 |
| 1427515956 | Alex Bossert | Physical Therapist | 150 Gardiners Ave, Levittown, NY 11756 | 2019-02-20 |
| 1023330602 | Frank Zic | Physical Therapist | 150 Gardiners Ave, Levittown, NY 11756-3707 | 2010-02-23 |
| 1386862696 | Michelle Pfeffer | Chiropractor | 150 Gardiners Ave, Levittown, NY 11756-3707 | 2007-04-23 |
| 1285717207 | Ny Physcial Therapy & Wellness, Levittown, Pllc | Specialist | 150 Gardiners Ave, Levittown, NY 11756-3707 | 2006-10-23 |
| 1467548354 | Michelle Pfeffer | Chiropractor | 150 Gardiners Ave, Levittown, NY 11756-3707 | 2006-10-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568098291 | Anjali Devi Thangavelu | Nurse Practitioner | 2 Acorn Lane, Levittown, New York, NY 11756 | 2020-03-13 |
| 1760013338 | David Santisteban | Massage Therapist | 150 Gardiners Avenue, Levittown, NY 11756 | 2020-01-31 |
| 1255984621 | Lisa Senay | Acupuncturist | 71 Bobolink Lane, Levittown, NY 11756 | 2019-07-24 |
| 1568989150 | Nida Batool Naqvi | Speech-Language Pathologist | 56 Sherwood Rd, Levittown, NY 11756 | 2017-08-24 |
| 1316499320 | Diane Danen | Social Worker | 27 Tallow Lane, Levittown, NY 11756 | 2016-10-26 |
| 1922559368 | Seafield Services | Case Management | 27 Tallow Ln, Levittown, NY 11756 | 2016-10-20 |
| 1689120859 | Julie Marie Keller | Speech-Language Pathologist | 12 Buttercup Ln, Levittown, NY 11756 | 2016-08-28 |
| 1376907469 | Matthew Grillo | Pediatrics | 2900 Hempstead Tpke Ste 205, Levittown, NY 11756 | 2016-04-05 |
| 1972961134 | Sharon Sobelman | Specialist | 45 High Lane, Levittown, NY 11756 | 2016-02-03 |
| 1447622238 | Jeanne Smith | Behavioral Analyst | 112 Division Ave, Apt 1 E, Levittown, NY 11756 | 2015-10-20 |
| Find all providers in zip 11756 | ||||
| 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 |
|---|---|---|---|---|
| 1548872955 | Kessia Camila Borges-eusebio | Specialist | 609 Gardiners Ave, Levittown, NY 11756-3711 | 2020-08-18 |
| 1497391676 | Patricia Dodenhoff | Specialist | 34 Circle Ln, Levittown, NY 11756-2704 | 2019-11-21 |
| 1194366286 | Heather A Burns | Specialist | 120 Coach Ln, Levittown, NY 11756-2706 | 2019-10-01 |
| 1144874363 | Stephanie Pappas | Specialist | 11 Halter Ln, Levittown, NY 11756-3901 | 2019-07-25 |
| 1861050106 | Keri Rossano | Specialist | 73 Hill Ln, Levittown, NY 11756-2749 | 2019-06-02 |
| 1265900534 | Mellisa Macchio | Specialist | 1 Fence Ln, Levittown, NY 11756-3015 | 2018-11-05 |
| 1952888091 | Seung Ah Ryu | Specialist | 12 Skylark Ln, Levittown, NY 11756-4415 | 2018-07-21 |
| 1225535453 | Michelle Mellilo | Specialist | 12 Balsam Ln, Levittown, NY 11756-4802 | 2018-04-13 |
| 1316464340 | Samantha Denise Uvino | Specialist | 15 Spiral Ln, Levittown, NY 11756-3808 | 2017-08-30 |
| 1841728946 | Maureen Elizabeth Bowie | Specialist | 17 Cord Ln, Levittown, NY 11756-3903 | 2017-06-01 |
| Find all providers in LEVITTOWN | ||||
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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.