MR. JOSHUA JON MULLEN (NPI# 1184869521) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184869521 |
| Entity Type | Individual |
| Full Name | MR. JOSHUA JON MULLEN |
| Credential | C.P.O. |
| Practice Address |
800 Irving Ave Syracuse NY 13210-2716 |
| Practice Telephone | 3154256545 |
| Mailing Telephone | 3154256545 |
| Enumeration Date | 2008-12-15 |
| Last Update Date | 2008-12-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 222Z00000X | Orthotist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| Y | 224P00000X | Prosthetist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
800 IRVING AVE |
| City | SYRACUSE |
| State | NY |
| Zip Code | 13210-2716 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316931926 | Thomas Patrick Lynch Jr. | Pharmacist | 800 Irving Ave, Pharmacy (119), Syracuse, NY 13210-2716 | 2005-09-09 |
| 1306458229 | Benjamin Robert Bratek | Pharmacist | 800 Irving Ave, Syracuse, NY 13210-2716 | 2020-08-21 |
| 1629695655 | Carrie-jo Elizabeth Farrugia | Pharmacist | 800 Irving Ave, Syracuse, NY 13210-2716 | 2020-06-25 |
| 1144847120 | Alexis Anne Baker | Pharmacist | 800 Irving Ave, Syracuse, NY 13210-2716 | 2020-06-25 |
| 1285274092 | Matthew Byrne Gostowski | Physical Therapist | 800 Irving Ave, Syracuse, NY 13210-2716 | 2020-01-09 |
| 1740829225 | Robert Laufer | Technician | 800 Irving Ave, Syracuse, NY 13210-2716 | 2019-12-31 |
| 1043856156 | Bethany Kelley | Physician Assistant | 800 Irving Ave, Syracuse, NY 13210-2716 | 2019-11-24 |
| 1336784479 | Wendy Sue Colt | Registered Nurse | 800 Irving Ave, Syracuse, NY 13210-2716 | 2019-11-13 |
| 1295386753 | Judith Kenific | Technician | 800 Irving Ave, Syracuse, NY 13210 | 2019-09-26 |
| 1306496328 | Danielle Marie Bieling | Nurse Practitioner | 800 Irving Ave, Syracuse, NY 13210-2716 | 2019-09-12 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558973586 | Maizie Marie Shaw | Social Worker | 660 Madison Street, Syracuse, NY 13210 | 2020-08-20 |
| 1427666916 | Christine Marie Welker | Registered Nurse | 735 Irving Avenue, Syracuse, NY 13210 | 2020-07-21 |
| 1386263994 | Ashwini Krishna Ashwath | Student in an Organized Health Care Education/Training Program | 750 E. Adams Street, Syracuse, Ny 13210, Syracuse, NY 13210 | 2020-04-14 |
| 1073142329 | Kamala Ojha | Student in an Organized Health Care Education/Training Program | 750-east Adam's Street, Syracuse, NY 13210 | 2020-04-07 |
| 1003442369 | Brittany Nicole Lippert | Counselor | 615 Madison St, Syracuse, NY 13210 | 2020-03-19 |
| 1902430499 | Dkt Physician Pllc | Internal Medicine | 475 Irving Ave, Suite 410, Syracuse, NY 13210 | 2020-02-24 |
| 1376194720 | Sarah Van Eenenaam | Physician Assistant | Adult Cardiac Surgery, 750 East Adams St, Syracuse, NY 13210 | 2019-09-26 |
| 1265099022 | Michelle Gallagher | Psychologist | Upstate Medical University, 750 E. Adams St., Syracuse, NY 13210 | 2019-05-28 |
| 1639659428 | Francesca Wanda Cotrupe | Physical Medicine & Rehabilitation | Upstate Medical University Hospital, 750 E Adams Street, Syracuse, NY 13210 | 2018-08-21 |
| 1700370327 | Dallin Lindahl | Physical Medicine & Rehabilitation | 750 E Adams St # Jh308, Syracuse, NY 13210 | 2018-06-18 |
| Find all providers in zip 13210 | ||||
| Taxonomy Code | 224P00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Prosthetist |
| A health care professional who is specifically educated and trained to manage comprehensive prosthetic patient care for individuals who have sustained complete or partial limb loss or absence. Prosthetists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care. |
| Notes: Source: American Board for Certification in Orthotics, Prosthetics, and Pedorthics, Inc. [7/1/2010: modified, 7/1/2013: modified] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073128393 | Antoinette Natalie Massiah | Prosthetist | 1246 Sterling Pl, Brooklyn, NY 11213-2719 | 2020-09-14 |
| 1265044036 | Joel Gunderson | Prosthetist | 411 W 52nd St Apt 2a, New York, NY 10019-5637 | 2020-08-21 |
| 1366052086 | New Wig Salon | Prosthetist | 378 Ridgefield Rd, Hauppauge, NY 11788-2316 | 2020-08-06 |
| 1285270066 | Core To Core LLC | Prosthetist | 1507 Avenue M Ste 200, Brooklyn, NY 11230-5210 | 2019-11-27 |
| 1487202339 | Christine Anna Booker-sommer | Prosthetist | 1064 Harlem Rd, Cheektowaga, NY 14227-1739 | 2019-09-03 |
| 1538620364 | Vanessa Crumity | Prosthetist | 970 Clinton Ave S, Rochester, NY 14620-2073 | 2019-03-26 |
| 1548726235 | Michelle Len Moore | Prosthetist | 620 Lenox Ave, Suite 4c, New York, NY 10037 | 2019-02-18 |
| 1063983864 | Allensia Annette Brown | Prosthetist | 368 Langfield Dr, Buffalo, NY 14215-3459 | 2018-12-06 |
| 1457839177 | Lindsay Rouse | Prosthetist | 818 E 225th St, Bronx, NY 10466-4406 | 2018-08-03 |
| 1043705924 | Keturah S. Clark | Prosthetist | 936 Exchange St Ste E-103, Rochester, NY 14608-2801 | 2018-06-24 |
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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.