DR. RONALD J TADDEO (NPI# 1861522245) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861522245 |
| Entity Type | Individual |
| Full Name | DR. RONALD J TADDEO |
| Credential | MD,, PC |
| Practice Address |
4 Phyllis Dr Suite H Patchogue NY 11772-2900 |
| Practice Telephone | 6314477560 |
| Practice Fax Number | 6314477561 |
| Mailing Telephone | 6314477560 |
| Mailing Fax Number | 6314477561 |
| Enumeration Date | 2007-03-06 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
123293 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | HIP | 123293 | 01 |
| NY | AETNA | 222095432 | 01 |
| NY | GHI BMP | 3105845 | 01 |
| NY | OXFORD | P563956 | 01 |
| NY | VALUE OPTIONS EMPIRE | 095041 | 01 |
| NY | UBH | 222095432 | 01 |
| NY | EMPIRE | 66F592 | 01 |
| NY | VALUE OPTIONS GOVERNMENT | 0071438 | 01 |
| NY | CIGNA | 222095432 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033154323 | Ronald Michael Taddeo | Internal Medicine | 625 Africa Rd Ste 200, Westerville, OH 43082 | 2006-06-19 |
| Street Address |
4 PHYLLIS DR SUITE H |
| City | PATCHOGUE |
| State | NY |
| Zip Code | 11772-2900 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497753693 | Steven B Axt | Podiatrist | 4 Phyllis Dr, Suite A3, Patchogue, NY 11772-2900 | 2005-07-12 |
| 1407363765 | Karen Gross | Counselor | 4 Phyllis Dr, Patchogue, NY 11772-2900 | 2018-01-08 |
| 1184099442 | Country Foot Care Podiatry Pllc | Podiatrist | 4 Phyllis Dr, Patchogue, NY 11772-2900 | 2015-12-11 |
| 1528470747 | Pawandeep Singh Hunjan | Surgery | 4 Phyllis Dr, Suite B, Patchogue, NY 11772-2900 | 2014-05-22 |
| 1902094824 | Ronald J. Taddeo, M.d., P.c | Psychiatry & Neurology | 4 Phyllis Dr, Suite H, Patchogue, NY 11772-2900 | 2007-10-04 |
| 1407049901 | Thiruchitrambalam Arumugam | Surgery | 4 Phyllis Dr, Suite B, Patchogue, NY 11772-2900 | 2007-08-20 |
| 1811192834 | Steven B. Axt, Dpm, P.C. | Podiatrist | 4 Phyllis Dr, Suite A, Patchogue, NY 11772-2900 | 2007-06-19 |
| 1295869055 | Joellen Anderson | Nurse Practitioner | 4 Phyllis Dr, Ste H, Patchogue, NY 11772-2900 | 2007-03-15 |
| 1700820438 | Northport Vamc | Clinic/Center | 4 Phyllis Dr, Patchogue, NY 11772-2900 | 2006-06-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205447224 | Amita Vipul Patel | Nurse Practitioner | Longlsland Community Hospital, 101 Hospital Rd, Patchogue, NY 11772 | 2020-08-13 |
| 1609491968 | Sanjib Dey | Family Medicine | Brookhaven Nephrology Associates, 260 E. Patchogue-yaphank Rd., Patchogue, NY 11772 | 2020-06-12 |
| 1992297204 | Camila Bueno-sanchez | Student in an Organized Health Care Education/Training Program | 676 S Country Rd, East Patchogue, NY 11772 | 2018-06-01 |
| 1184115859 | Premier Endodontics of Patchogue | Dentist | 44 Medford Avenue, Patchogue, NY 11772 | 2018-05-29 |
| 1801386453 | Franklin Ikechukwu Ugbode | Student in an Organized Health Care Education/Training Program | 100 Hospital Road Suite 201, Patchogue, NY 11772 | 2018-05-18 |
| 1508372335 | Stephanie Vanschaick | Counselor | 450 Waverly Ave Ste 11, Patchogue, NY 11772 | 2017-12-15 |
| 1578074498 | Chrystal Lee Curran | Specialist | 1116 Main Road, Aquebogue, NY 11772 | 2017-10-18 |
| 1013457712 | Candyce Fahner | Registered Nurse | 22 Haig Ave, E Patchogue, NY 11772 | 2017-02-28 |
| 1992251631 | Vanessa Lynn Petoello | Nurse Practitioner | 107 N/ Ocean Ave, Suite G, Patchogue, NY 11772 | 2016-09-01 |
| 1811343809 | Andrew Vanderlofske | Nurse Practitioner | 144 North Ocean Avenue, Patchogue, NY 11772 | 2016-05-09 |
| Find all providers in zip 11772 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164984498 | Grace Mroz Np In Psychiatry Pllc | Psychiatry & Neurology | 450 Waverly Ave, Building 4 Suite 11, Patchogue, NY 11772 | 2019-04-04 |
| 1346429115 | Brookhaven Memorial Hospital Medical Center | Psychiatry & Neurology | 101 Hospital Road, Patchogue, NY 11772-4870 | 2007-10-30 |
| 1902094824 | Ronald J. Taddeo, M.d., P.c | Psychiatry & Neurology | 4 Phyllis Dr, Suite H, Patchogue, NY 11772-2900 | 2007-10-04 |
| 1376617944 | Lisa Marie Bonvino | Psychiatry & Neurology | 101 Hospital Rd, Patchogue, NY 11772-4870 | 2006-11-17 |
| 1417046921 | Zaiwang Paul Jin | Psychiatry & Neurology | 365 E Main St, Patchogue, NY 11772-3145 | 2006-10-12 |
| 1619918562 | Ali Sayed Aziz | Psychiatry & Neurology | 101 Hospital Rd, Patchogue, NY 11772 | 2006-06-10 |
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| 1104449701 | Clear Minds Nyc, LLC | Psychiatry & Neurology | 210 E 121st St Apt 2m, New York, NY 10035-3053 | 2020-05-19 |
| 1215556774 | Allexian, LLC | Psychiatry & Neurology | 418 E 71st St Ph Fl, New York, NY 10021-4894 | 2020-04-14 |
| 1427682350 | Brian Francis Esposito | Psychiatry & Neurology | 435 E 70th St Apt 27h, New York, NY 10021-5349 | 2020-02-29 |
| 1972135416 | Cnypsychiatry | Psychiatry & Neurology | 1/2 Orange St Ste 2, Marcellus, NY 13108-1216 | 2020-02-12 |
| 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.