MS. JANELLE LYNN TYCHNOWITZ (NPI# 1184857336) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184857336 |
| Entity Type | Individual |
| Full Name | MS. JANELLE LYNN TYCHNOWITZ |
| Credential | RN, CPN, PNP |
| Practice Address |
3241 Route 112 Suite 7 Medford NY 11763-1434 |
| Practice Telephone | 6317325222 |
| Practice Fax Number | 6317326222 |
| Mailing Telephone | 6317325222 |
| Mailing Fax Number | 6317326222 |
| Enumeration Date | 2009-09-03 |
| Last Update Date | 2015-10-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163WP0200X |
Registered Nurse Specialization: Pediatrics |
544842-1 | NY | Nursing Service Providers |
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
F382571-1 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
3241 ROUTE 112 SUITE 7 |
| City | MEDFORD |
| State | NY |
| Zip Code | 11763-1434 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205917804 | Medford Dialysis Access P.C. | Radiology | 3241 Route 112, Bldg #7, Medford, NY 11763-1434 | 2006-10-18 |
| 1336684604 | Ideal Home Care Staffing LLC | Home Health | 3241 Route 112, Building 7 Suite 5, Medford, NY 11763-1434 | 2016-12-22 |
| 1750619581 | Jason Halegoua, M.d., P.C. | Pediatrics | 3241 Route 112, Suite 7, Medford, NY 11763-1434 | 2009-12-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316572027 | Rebecca Molino | Specialist | 9, 3251 Ny-112 #2, Medford, NY 11763 | 2020-03-03 |
| 1295203677 | Hajar Taman | Pharmacist | 2975 Horseblock Road, Medford, NY 11763 | 2018-11-05 |
| 1265917041 | Bay Taxi Inc | Taxi | 36/94 Horseblock Rd, Medford, NY 11763 | 2018-09-27 |
| 1184108383 | Bay Taxi Inc | Taxi | 36/94 Horsblock Road, Medford, NY 11763 | 2018-09-24 |
| 1215419650 | Megan Bell | Speech-Language Pathologist | 135 Buffalo Avenue, Medford, NY 11763 | 2018-09-01 |
| 1922592906 | Elizabeth L Oakley | Specialist | 1 Sprat St, Medford, NY 11763 | 2018-06-21 |
| 1609383389 | Federation of Organizations for The New York State Mentally Disabled | Clinic/Center | 3390 Route 112 Ste B, Medford, NY 11763 | 2018-01-04 |
| 1497109607 | Tabitha Aitken | Massage Therapist | 28 Masem Ct, Medford, NY 11763 | 2016-04-14 |
| 1518326685 | Betty Velez | Specialist | 21 Red Pine Rd, Medford, NY 11763 | 2016-02-18 |
| 1134527054 | Angelo L D'esposito | Social Worker | 77 Robinson Ave, Medford, NY 11763 | 2014-12-09 |
| Find all providers in zip 11763 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003446311 | Theresa Bui | Nurse Practitioner | 101 Main St Ste 201, Medford, MA 02155-4530 | 2020-01-26 |
| 1952780736 | Melissa Stockman Adult Care Np PC | Nurse Practitioner | 41 Greenport Ave, Medford, NY 11763-3601 | 2015-05-26 |
| 1598959553 | Heather Lynn Horn | Nurse Practitioner | 713 Summit Ave, Medford, OR 97501-2349 | 2007-09-04 |
| 1851366694 | Bonita Annette Ryall | Nurse Practitioner | 731 Summit Ave, Medford, OR 97501-2349 | 2006-02-22 |
| 1477533263 | Diana Scholtz | Nurse Practitioner | 750 Murphy Rd, Medford, OR 97504-8426 | 2006-01-18 |
| 1528532686 | Catherine Margaret Flynn | Nurse Practitioner | 2799 Route 112 Ste 11, Medford, NY 11763-2535 | 2019-01-11 |
| 1609391721 | Amy Lauren Montes | Nurse Practitioner | 816 W 10th St, Medford, OR 97501-3016 | 2017-08-09 |
| 1770033474 | Whitney A Serafini | Nurse Practitioner | 840 Royal Ave, Ste 110, Medford, OR 97504-6461 | 2016-10-06 |
| 1790038495 | Jennifer Katharine Boudreaux | Nurse Practitioner | 920 Royal Ave, Medford, OR 97504-6169 | 2012-10-18 |
| 1548332885 | Janet L Meyer | Nurse Practitioner | 19 Myrtle St, Medford, OR 97504-7337 | 2006-11-14 |
| Find all providers in MEDFORD | ||||
Please comment or provide details below to improve the information on MS. JANELLE LYNN TYCHNOWITZ.
| 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.