DR. ROBERT WYSOCKI (NPI# 1922569052) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922569052 |
| Entity Type | Individual |
| Full Name | DR. ROBERT WYSOCKI |
| Credential | MD, PHD |
| Practice Address |
222 Station Plz N Ste 509 Mineola NY 11501-3893 |
| Practice Telephone | 5166630333 |
| Enumeration Date | 2019-03-29 |
| Last Update Date | 2019-05-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487908505 | Robert Wysocki | Psychologist | 1911 Springside Dr, Plainfield, IL 60586-4257 | 2012-10-29 |
| 1275645319 | Robert Wysocki | Orthopaedic Surgery | 1611 W Harrison St, Ste 400, Chicago, IL 60612-3841 | 2006-08-31 |
| Street Address |
222 STATION PLZ N STE 509 |
| City | MINEOLA |
| State | NY |
| Zip Code | 11501-3893 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508201559 | Tony Mathews | Student in an Organized Health Care Education/Training Program | 222 Station Plz N Ste 509, Department of Medicine, Winthrop-university Hospital, Mineola, NY 11501-3893 | 2013-05-03 |
| 1982219606 | Kishan Rao | Student in an Organized Health Care Education/Training Program | 222 Station Plz N Ste 509, Mineola, NY 11501-3893 | 2020-09-10 |
| 1659994440 | Gregg David Blumberg | Student in an Organized Health Care Education/Training Program | 222 Station Plz N Ste 509, Mineola, NY 11501-3893 | 2020-05-27 |
| 1578186672 | Sunwoo Hong | Student in an Organized Health Care Education/Training Program | 222 Station Plz N Ste 509, Mineola, NY 11501-3893 | 2020-05-22 |
| 1841813037 | Andrew Campbell | Student in an Organized Health Care Education/Training Program | 222 Station Plz N Ste 509, Mineola, NY 11501-3893 | 2020-05-21 |
| 1053933242 | Christie Yie | Student in an Organized Health Care Education/Training Program | 222 Station Plz N Ste 509, Mineola, NY 11501-3893 | 2020-05-11 |
| 1407478829 | Bharat Hans | Student in an Organized Health Care Education/Training Program | 222 Station Plz N Ste 509, Mineola, NY 11501-3893 | 2020-05-07 |
| 1811519382 | Laura Wioletta Migasiuk | Student in an Organized Health Care Education/Training Program | 222 Station Plz N Ste 509, Mineola, NY 11501-3893 | 2020-05-07 |
| 1770104861 | Steven Joseph Carrubba | Student in an Organized Health Care Education/Training Program | 222 Station Plz N Ste 509, Mineola, NY 11501-3893 | 2020-04-30 |
| 1720609902 | Stefanie Rulli | Student in an Organized Health Care Education/Training Program | 222 Station Plz N Ste 509, Mineola, NY 11501-3893 | 2020-04-29 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710500350 | Steve Abraham Simon | Student in an Organized Health Care Education/Training Program | 222 Station Plaza, Suite 509, Mineola, NY 11501 | 2020-05-18 |
| 1407478167 | Frederick Milton Bosoy | Student in an Organized Health Care Education/Training Program | 259 1st St, Mineola, Ny 11501, Mineola, NY 11501 | 2020-05-15 |
| 1982226130 | Katelyn Anne Fowler | Counselor | [email protected], 410 East Jericho Tpke, Mineola, NY 11501 | 2020-05-11 |
| 1225667819 | New York Dialysis Services, Inc | Clinic/Center | 1 East Jericho Turnpike, Mineola, NY 11501 | 2020-04-06 |
| 1518500032 | Irina Victoria Kushnareva | Social Worker | 126 Saville Rd, Mineola, NY 11501 | 2019-10-28 |
| 1861046336 | Milagros M Matias | Case Manager/Care Coordinator | 39 E. Jericho Turnpike, Mineola, NY 11501 | 2019-08-01 |
| 1154974244 | Bahram Dabiri | Student in an Organized Health Care Education/Training Program | 222 Station Plaza N., Suite 620 Mineola, Mineola, NY 11501 | 2019-07-18 |
| 1972168748 | Nabeel A. Arain | Physician Assistant | 251 1st St., Mineola, NY 11501 | 2019-05-07 |
| 1598328940 | Ramsha Jabbar | Student in an Organized Health Care Education/Training Program | 222 Station Plaza North, Suite 305, Mineola, NY 11501 | 2019-04-20 |
| 1235628850 | Valentyna Erstenyuk | Student in an Organized Health Care Education/Training Program | 222 Station Plaza N, Suite 611, Mineola, NY 11501 | 2018-05-09 |
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| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710500350 | Steve Abraham Simon | Student in an Organized Health Care Education/Training Program | 222 Station Plaza, Suite 509, Mineola, NY 11501 | 2020-05-18 |
| 1407478167 | Frederick Milton Bosoy | Student in an Organized Health Care Education/Training Program | 259 1st St, Mineola, Ny 11501, Mineola, NY 11501 | 2020-05-15 |
| 1861013005 | Sanjeev Baldeo | Student in an Organized Health Care Education/Training Program | 222 Station Rd Ste 305, Mineola, NY 11501-3893 | 2020-04-28 |
| 1841821881 | Erek Jourdan Lucio | Student in an Organized Health Care Education/Training Program | 465 Jefferson Pl, Mineola, NY 11501-2215 | 2020-01-29 |
| 1154974244 | Bahram Dabiri | Student in an Organized Health Care Education/Training Program | 222 Station Plaza N., Suite 620 Mineola, Mineola, NY 11501 | 2019-07-18 |
| 1700447984 | Nikita Gill | Student in an Organized Health Care Education/Training Program | 101 Jackson Ave Apt 4j, Mineola, NY 11501-2724 | 2019-06-27 |
| 1598328940 | Ramsha Jabbar | Student in an Organized Health Care Education/Training Program | 222 Station Plaza North, Suite 305, Mineola, NY 11501 | 2019-04-20 |
| 1235691544 | Tania Gennell | Student in an Organized Health Care Education/Training Program | 222 Station Plz N Ste 300, Mineola, NY 11501-3893 | 2019-04-04 |
| 1609338292 | Nicolas Gillingham | Student in an Organized Health Care Education/Training Program | 222 Station Plz N Fl 5, Mineola, NY 11501-3800 | 2019-04-02 |
| 1134615883 | Marie Anne Christine Buteau | Student in an Organized Health Care Education/Training Program | 259 1st St Ste 509, Mineola, NY 11501-3957 | 2018-07-05 |
| Find all providers in MINEOLA | ||||
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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.