MR. NEIL DAVID KUTIN (NPI# 1134140056) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1134140056 |
Entity Type | Individual |
Full Name | MR. NEIL DAVID KUTIN |
Credential | MD |
Practice Address |
655 Deer Park Ave Babylon NY 11702-1314 |
Practice Telephone | 6313212220 |
Mailing Telephone | 6313212220 |
Enumeration Date | 2006-07-23 |
Last Update Date | 2012-03-05 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2086S0120X |
Surgery Specialization: Pediatric Surgery |
109722 | NY | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NY | 004072097 | 05 |
Street Address |
655 DEER PARK AVE |
City | BABYLON |
State | NY |
Zip Code | 11702-1314 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477559748 | Michael T Pugliese | Pediatrics | 655 Deer Park Ave, Babylon, NY 11702-1314 | 2005-06-22 |
1871932509 | Yoseph Gurevich | Pediatrics | 655 Deer Park Ave, Babylon, NY 11702 | 2013-06-16 |
1205149242 | Vinci Samuel Jones | Surgery | 655 Deer Park Ave, Babylon, NY 11702-1314 | 2010-07-20 |
1164673216 | Catherine Anne Wieland | Nurse Practitioner | 655 Deer Park Ave, Babylon, NY 11702-1314 | 2008-10-07 |
1639330194 | Lynn Ann Estelle | Nurse Practitioner | 655 Deer Park Ave, Babylon, NY 11702-1314 | 2008-06-18 |
1043485998 | Tara Flocco | Registered Nurse | 655 Deer Park Ave, Babylon, NY 11702-1314 | 2008-04-22 |
1528253101 | Heather Calendrillo | Clinical Nurse Specialist | 655 Deer Park Ave, Babylon, NY 11702-1314 | 2007-09-07 |
1124229893 | Joel I Harnick | Pediatrics | 655 Deer Park Ave, Babylon, NY 11702-1314 | 2007-05-30 |
1346451267 | Margaret M Riley | Nurse Practitioner | 655 Deer Park Ave, Babylon, NY 11702-1314 | 2007-05-24 |
1730308925 | Samaritan Pediatric Services, P.C. | Pediatrics | 655 Deer Park Ave, Babylon, NY 11702-1314 | 2007-04-25 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1659972859 | Rebecca Ryan | Counselor | 8 Virginia Road, Babylon, NY 11702 | 2020-11-04 |
1972047124 | Joanne Renee Wenner I | Massage Therapist | 28 Yacght Club Rd, Babylon, NY 11702 | 2016-12-07 |
1841743846 | Brian Christopher Penta | Specialist | 11 East Jackson Avenue, Babylon, NY 11702 | 2016-07-27 |
1760836654 | Elizabeth Duggan | Registered Nurse | 1 Farmingdale Rd., West Babylon, NY 11702 | 2016-04-18 |
1679936595 | Brianna Michelle Renda | Nurse Practitioner | 38 James Street, Babylon, NY 11702 | 2016-03-29 |
1861801672 | Margaret Stroehlein | Nurse Practitioner | 28 Edward Ave, Babylon, NY 11702 | 2014-08-06 |
1164777397 | Kim Suzanne Sconzo | Speech-Language Pathologist | 10 Grant Ave W., Babylon, NY 11702 | 2012-07-13 |
1437459674 | Katz & Wood Inc | Audiologist-Hearing Aid Fitter | 20 Argyle Square, Babylon, NY 11702 | 2010-10-21 |
1053643668 | Andrea Wilkinson Ohle | Marriage & Family Therapist | 74 Fire Island Avenue, Suite 104, Babylon, NY 11702 | 2010-02-06 |
1477880771 | Robert E Gribbin | Physical Therapist | 400 W Main Street, Suite 340, Babylon, NY 11702 | 2009-11-06 |
Find all providers in zip 11702 |
Taxonomy Code | 2086S0120X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Surgery |
Specialization | Pediatric Surgery |
A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1205149242 | Vinci Samuel Jones | Surgery | 655 Deer Park Ave, Babylon, NY 11702-1314 | 2010-07-20 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972154243 | Andrea Volpe | Surgery | 504 E 63rd St Apt 17n, New York, NY 10065-7920 | 2019-09-26 |
1225388416 | Lucas Krauel | Surgery | 404 E 66th St Apt 1e, New York, NY 10065-9309 | 2012-09-14 |
1780983460 | Jun Tashiro | Surgery | 530 1st Ave Ste 10w, New York, NY 10016-6402 | 2011-03-21 |
1497914675 | Brian Arrinza Coakley | Surgery | 5 East 98th Street Box 1259, Department of Surgery Mount Sinai School of Medicine, New York, NY 10029 | 2008-06-03 |
1164691457 | Oliver Hans-josef Hans-josef Muensterer | Surgery | Mfch, Munger Pavillion, Room 321, Valhalla, NY 10595 | 2008-02-21 |
1942355698 | Stephen Dolgin | Surgery | Lij Dept of Surgery Pediatric Surgery, 269 01 76th Avenue, New Hyde Park, NY 11040 | 2007-01-24 |
1093875114 | Samuel Soffer | Surgery | Lijmc Dept of Surgery Peds Surgery, 270 05 76th Avenue, New Hyde Park, NY 11040 | 2006-12-11 |
1023182649 | Radhakrishman Satheesan | Surgery | 921 49th St, Brooklyn, NY 11219-2923 | 2006-11-17 |
1922178375 | Richard Glick | Surgery | Schneider Children Hospital, 269-01 76th Avenue, New Hyde Park, NY 11040 | 2006-11-09 |
1134201304 | Scott J Boley | Surgery | Div. of Pediatric Surgery, 3355 Bainbridge Avenue, Bronx, NY 10467 | 2006-10-19 |
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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.