MONTE MARDER MD PC (NPI# 1780868489) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780868489 |
| Entity Type | Organization |
| Organization Name | MONTE MARDER MD PC |
| Practice Address |
3712 Route 44 Millbrook NY 12545 |
| Mailing Address |
Po Box 167 Millbrook NY 12545-0167 |
| Practice Telephone | 8456776767 |
| Practice Fax Number | 8456778728 |
| Mailing Telephone | 8456776767 |
| Mailing Fax Number | 8456778728 |
| Enumeration Date | 2007-12-18 |
| Last Update Date | 2007-12-18 |
| Authorized Official Name | MONTE MARDER (PRESIDENT) |
| Authorized Official Telephone | 8456776767 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
164030 | NY | Ambulatory Health Care Facilities |
| Street Address |
3712 ROUTE 44 |
| City | MILLBROOK |
| State | NY |
| Zip Code | 12545 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760428833 | Margaret Coughlan | Family Medicine | 3712 Route 44, Millbrook, NY 12545-0167 | 2006-06-20 |
| 1487055364 | Emma Kisslinger Dweck | Acupuncturist | 3712 Route 44, Millbrook, NY 12545-5100 | 2014-09-10 |
| 1497937072 | Margaret M Coughlan Md Pllc | Clinic/Center | 3712 Route 44, Millbrook, NY 12545 | 2007-12-05 |
| 1841369352 | Warren William Skov | Social Worker | 3712 Route 44, Millbrook, NY 12545 | 2006-11-07 |
| 1619057486 | Joseph Stephen Szost Jr. | Social Worker | 3712 Route 44, Millbrook, NY 12545-0636 | 2006-10-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548618531 | Teresa Goetz | Acupuncturist | 22 Washington Avenue, Millbrook, NY 12545 | 2016-05-31 |
| 1588918668 | Michelle Schmid | Occupational Therapy Assistant | 41 Alden Place, Millbrook Central School District, Millbrook, NY 12545 | 2012-10-29 |
| 1306091103 | Mindy Sue Marr | Speech-Language Pathologist | 30 Weatherford Lane, Millbrook, NY 12545 | 2008-11-20 |
| 1356596266 | John M. Supple | Family Medicine | 3573 Rt. 82, Millbrook, NY 12545 | 2008-11-19 |
| 1285883173 | Anne Cecelia Zukowski | Licensed Practical Nurse | 127 College Lane, Millbrook, NY 12545 | 2008-09-16 |
| 1295983336 | Justin Scheer | Internal Medicine | 3105 Route 44, Millbrook, NY 12545 | 2008-09-03 |
| 1851588990 | Millbrook Medical Practice PC | Specialist | 28 Front Street, Millbrook, NY 12545 | 2007-10-03 |
| 1952518177 | Leonard N Lomangino | Dentist | 3302 Franklin Avenue, Millbrook, NY 12545 | 2007-05-17 |
| 1629298849 | Victor Y Soltis | Dentist | 3302 Franklin Ave, Millbrook, NY 12545 | 2007-04-27 |
| 1538292784 | Adrienne Celeste Murawa | Licensed Practical Nurse | 55 Ramble Hill Ln, Millbrook, NY 12545 | 2007-03-14 |
| Find all providers in zip 12545 | ||||
| Taxonomy Code | 261QM2500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Medical Specialty |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). |
| Notes: [7/1/2003: new] |
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| 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.