Dmitry Mysh (NPI# 1033105903, PAC ID# 6608977129) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GASTROENTEROLOGY.
| Nation Provider ID (NPI) | 1033105903 |
| PAC ID by PECOS | 6608977129 |
| Professional Enrollment ID | I20071018000003 |
| Full Name | Dmitry Mysh |
| Address |
14 Ridgedale Ave Suite 128 Cedar Knolls NJ 07927-1115 |
| Gender | M |
| Graduation Year | 1985 |
| Primary Specialty | GASTROENTEROLOGY |
| Accepts Medicare Assignment | M |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 390211 | SHARON REGIONAL HEALTH SYSTEM |
| 180017 | T J SAMSON COMMUNITY HOSPITAL |
| 310015 | MORRISTOWN MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 14 Ridgedale Ave, Suite 128, Cedar Knolls, NJ 07927-1115 | ||
| 1301 N Race St, Glasgow, KY 42141-3454 | 2706514444 | T J SAMSON COMMUNITY HOSPITAL |
| 310 N L Rogers Wells Blvd, Glasgow, KY 42141-1300 | 2706511111 | T J SAMSON COMMUNITY HOSPITAL |
| 2501 Shenango Valley Fwy, Suite 3, Hermitage, PA 16148-2536 | 7249830223 | STEWARD MEDICAL GROUP INC |
| Street Address |
14 RIDGEDALE AVE SUITE 128 |
| City | CEDAR KNOLLS |
| State | NJ |
| Zip | 07927-1115 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jennifer A Vogel | Nurse Practitioner | Nj Memory and Behavioral Care | 14 Ridgedale Ave, Suite 103, Cedar Knolls, NJ 07927-1106 |
| Ratna Choudhary | Anesthesiology | Ambulatory Anesthesia Physicians, LLC | 14 Ridgedale Ave, Cedar Knolls, NJ 07927-1106 |
| Emmanuel K Adjin | Nurse Practitioner | Nj Memory and Behavioral Care | 14 Ridgedale Ave, Suite 103, Cedar Knolls, NJ 07927-1106 |
| Carline Archille | Nurse Practitioner | Nj Memory and Behavioral Care | 14 Ridgedale Ave, Suite 103, Cedar Knolls, NJ 07927-1106 |
| Adolfo C Lamanna | Anesthesiology | Ambulatory Anesthesia Physicians, LLC | 14 Ridgedale Ave, Cedar Knolls, NJ 07927-1106 |
| David C Mueller | Podiatry | 14 Ridgedale Ave, Suite 128, Cedar Knolls, NJ 07927-1115 | |
| Vladimir Stashchyshyn | Physical Therapy | 14 Ridgedale Ave, Suite 102, Cedar Knolls, NJ 07927-1106 | |
| Elizabeth M Corvino | Nurse Practitioner | Nj Memory and Behavioral Care | 14 Ridgedale Ave, Suite 103, Cedar Knolls, NJ 07927-1106 |
| Colleen Geller | Nurse Practitioner | Nj Memory and Behavioral Care | 14 Ridgedale Ave, Suite 103, Cedar Knolls, NJ 07927-1106 |
| Kimberly F Tulloch | Nurse Practitioner | Nj Memory and Behavioral Care | 14 Ridgedale Ave, Suite 103, Cedar Knolls, NJ 07927-1106 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Eve R Kessler | Nurse Practitioner | Nj Memory and Behavioral Care | 14 Ridgedale Ave, Suite 103, Cedar Knolls, NJ 07927-1106 |
| Samantha M Colon | Nurse Practitioner | Nj Memory and Behavioral Care | 14 Ridgedale Ave, Suite 103, Cedar Knolls, NJ 07927-1106 |
| Chioma E Agbo | Nurse Practitioner | Nj Memory and Behavioral Care | 14 Ridgedale Ave, Suite 103, Cedar Knolls, NJ 07927-1106 |
| Kisha Cook | Nurse Practitioner | Nj Memory and Behavioral Care | 14 Ridgedale Ave, Suite 103, Cedar Knolls, NJ 07927-1106 |
| Samantha L Meilands | Physician Assistant | Nj Memory and Behavioral Care | 14 Ridgedale Ave, Suite 103, Cedar Knolls, NJ 07927-1106 |
| Ronald A Shore | Anesthesiology | Ambulatory Anesthesia Physicians, LLC | 14 Ridgedale Ave, Cedar Knolls, NJ 07927-1106 |
| Bradford Carter Liva | Ophthalmology | 14 Ridgedale Ave, Suite 104, Cedar Knolls, NJ 07927-1106 | |
| Jean Conlon-yoo | Nurse Practitioner | Nj Memory and Behavioral Care | 14 Ridgedale Ave, Suite 103, Cedar Knolls, NJ 07927-1106 |
| David M Moskowitz | Anesthesiology | Ambulatory Anesthesia Physicians, LLC | 14 Ridgedale Ave, Cedar Knolls, NJ 07927-1106 |
| Karen M Cocco | Psychologist, Clinical | 14 Ridgedale Ave, Suite 103, Cedar Knolls, NJ 07927-1106 | |
| Find all physicians in zip 07927 | |||
| City | CEDAR KNOLLS |
| Zip Code | 07927 |
| Specialty | GASTROENTEROLOGY |
| City + Specialty | CEDAR KNOLLS + GASTROENTEROLOGY |
Please comment or provide details below to improve the information on Dmitry Mysh.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.