DR. MICHAEL JOSEPH PIECUCH (NPI# 1912263112) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912263112 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL JOSEPH PIECUCH |
| Credential | M.D. |
| Practice Address |
155 Crystal Run Rd Middletown NY 10941-4057 |
| Practice Telephone | 8457036999 |
| Practice Fax Number | 8457036297 |
| Mailing Telephone | 8457036999 |
| Mailing Fax Number | 8457036297 |
| Enumeration Date | 2012-04-02 |
| Last Update Date | 2018-05-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | 287695 | NY | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 140 Bergen St, Suite G-1680, Newark, NJ 071032425 | 9739724488 | 9739723892 |
| 745 64th St Ste 4, Brooklyn, NY 112204753 | 7182836903 | 7186356748 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619150943 | Michael William Piecuch | Pharmacist | 507 Chemung St, Horseheads, NY 14845-2711 | 2007-12-10 |
| Street Address |
155 CRYSTAL RUN RD |
| City | MIDDLETOWN |
| State | NY |
| Zip Code | 10941-4057 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851398697 | Renita Danette Butler | Internal Medicine | 155 Crystal Run Rd, Middletown, NY 10941-4028 | 2005-07-07 |
| 1851908743 | Lex Randal Harvey | Nurse Practitioner | 155 Crystal Run Rd, Middletown, NY 10941-4028 | 2020-09-25 |
| 1205445384 | Jillian Amanda Sandler | Physician Assistant | 155 Crystal Run Rd, Middletown, NY 10941-4028 | 2020-07-24 |
| 1407474604 | Ashley M Lapolla | Nurse Practitioner | 155 Crystal Run Rd, Middletown, NY 10941-4057 | 2020-07-14 |
| 1598389314 | Carly M. Jobson | Physician Assistant | 155 Crystal Run Rd, Middletown, NY 10941-4028 | 2020-06-08 |
| 1841834959 | Ariel D. Chasipanta | Physician Assistant | 155 Crystal Run Rd, Middletown, NY 10941-4028 | 2019-10-31 |
| 1598317489 | Shyna L Foster | Nurse Practitioner | 155 Crystal Run Rd, Middletown, NY 10941-4057 | 2019-07-11 |
| 1376102657 | Kiana Jeffers | Physician Assistant | 155 Crystal Run Rd, Middletown, NY 10941-4028 | 2019-06-10 |
| 1376107615 | Alyssa Stein | Physician Assistant | 155 Crystal Run Rd, Middletown, NY 10941-4028 | 2019-04-23 |
| 1700345733 | Mihaela Souliopoulos | Nurse Practitioner | 155 Crystal Run Rd, Middletown, NY 10941-4028 | 2019-03-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407471428 | Jackeline Montoya | Case Manager/Care Coordinator | 13 Kensington Manor, Middletown, NY 10941 | 2020-06-15 |
| 1124502398 | Kimberly Dominique Mccormick | Licensed Practical Nurse | 29, Macintosh Drive, Middletown, NY 10941 | 2018-09-24 |
| 1750891081 | Heather Skinner | Case Manager/Care Coordinator | 75 Crystal Run Rd Suite 201, Middletown, NY 10941 | 2017-09-29 |
| 1295281012 | Christa Lloyd | Counselor | 15 Fortune Rd, West Middletown, NY 10941 | 2016-08-31 |
| 1023471109 | Lauren Battaglia | Occupational Therapy Assistant | 192 Tower Drive Suite 400, Middletown, NY 10941 | 2016-04-05 |
| 1992188718 | Brynn Sierra | Occupational Therapist | 21 Riverside Drive, Middletown, NY 10941 | 2015-06-30 |
| 1356788574 | Keren Denis Joseph | Custodial Care Facility | 16 Disco Dr, Middletown, NY 10941 | 2013-05-29 |
| 1902169204 | Susan A. Reilly | Specialist | 2277 Gosen Turnpike, Middletown, NY 10941 | 2012-06-21 |
| 1518229392 | Dena Sapp | Case Manager/Care Coordinator | 75 Crystal Run Rd. Suite 201, Middletown, NY 10941 | 2012-06-08 |
| 1770800542 | Orange County Medical Transportation Inc. | Taxi | 80 Wisner Avenue, Middletown, NY 10941 | 2010-05-03 |
| Find all providers in zip 10941 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679869572 | Dana Ufnal Kivlin | Urology | 520 Saybrook Rd Ste 100b, Middletown, CT 06457-4700 | 2011-06-20 |
| 1669527305 | Middletown Urologic Associates, P.C. | Urology | 27 Ridge St, Middletown, NY 10940-3345 | 2007-01-24 |
| 1245324425 | Rohit A Patel | Urology | 25, Myrtle Avenue, Middletown, NY 10940 | 2006-10-03 |
| 1851368468 | Murray David Schwalb | Urology | 12 Grove Street, Middletown, NY 10940 | 2006-03-02 |
| 1821094707 | David Charles Miller | Urology | 200 Medical Center Dr Ste 500, Middletown, OH 45005-5183 | 2005-06-24 |
| 1376545673 | Douglas L Gaker | Urology | 112 S Main St, Middletown, OH 45044-4023 | 2005-06-01 |
| 1518340280 | Samuel Abourbih | Urology | 707 E Main St, Middletown, NY 10940-2650 | 2015-06-30 |
| 1609147974 | Premier Health Specialists Inc | Urology | 112 S Main St, Middletown, OH 45044-4023 | 2012-01-19 |
| 1386937696 | Christopher S. Han | Urology | 95 Crystal Run Rd, Middletown, NY 10941-7001 | 2011-05-18 |
| 1427359785 | Ansel Raymond Marks | Urology | 111 Highland Ave, Middletown, NY 10940-4712 | 2010-11-03 |
| Find all providers in MIDDLETOWN | ||||
| City | MIDDLETOWN |
| Zip Code | 10941 |
Please comment or provide details below to improve the information on DR. MICHAEL JOSEPH PIECUCH.
| 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.