DR. ROBERT CHARLES MICKATAVAGE (NPI# 1578577375) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578577375 |
| Entity Type | Individual |
| Full Name | DR. ROBERT CHARLES MICKATAVAGE |
| Credential | MD |
| Practice Address |
3020 Westchester Ave Ste 101 Purchase NY 10577 |
| Practice Telephone | 9149674400 |
| Practice Fax Number | 9149676416 |
| Mailing Telephone | 9149674400 |
| Mailing Fax Number | 9149676416 |
| Enumeration Date | 2006-07-28 |
| Last Update Date | 2010-09-29 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | 092072 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 00565513 | 05 | |
| RAILROAD MC | 180037724 | 01 | |
| OXFORD | WS1186 | 01 |
| Street Address |
3020 WESTCHESTER AVE STE 101 |
| City | PURCHASE |
| State | NY |
| Zip Code | 10577 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023014370 | Elliott George Gross | Psychiatry & Neurology | 3020 Westchester Ave, Ste 104, Purchase, NY 10577-2510 | 2005-06-22 |
| 1124666847 | Jobin John | Physical Therapist | 3020 Westchester Ave, Purchase, NY 10577-2510 | 2019-12-12 |
| 1548612369 | Gfm Dental Group, Pllc | Dentist | 3020 Westchester Ave, Suite 200, Purchase, NY 10577-2510 | 2016-07-05 |
| 1568747228 | Francesca Tschorn | Audiologist | 3020 Westchester Ave, Suite 303, Purchase, NY 10577-2510 | 2011-10-13 |
| 1588969877 | Advanced Anesthesia Associates Pllc | Anesthesiology | 3020 Westchester Ave, Suite 104, Purchase, NY 10577-2510 | 2011-01-18 |
| 1831491943 | Jennifer Amy Schaeffer | Dietitian, Registered | 3020 Westchester Ave, Purchase, NY 10577-2510 | 2010-11-22 |
| 1255510913 | Ilana Belle Ressler | Obstetrics & Gynecology | 3020 Westchester Ave, Purchase, NY 10577 | 2007-10-30 |
| 1588875249 | Sher Institute for Reproductive Medicine Westchester | Obstetrics & Gynecology | 3020 Westchester Ave, 3rd Floor, Purchase, NY 10577-2510 | 2007-05-24 |
| 1336351519 | Robert R Strome | Ophthalmology | 3020 Westchester Ave, 402, Purchase, NY 10577-2510 | 2007-05-03 |
| 1053530436 | Sabrina Sijing Shue | Pain Medicine | 3020 Westchester Ave, Suite 104, Purchase, NY 10577-2510 | 2007-04-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164077475 | Nicholas Ghelarducci | Psychologist | 2700 Westchester Ave #300, Purchase, NY 10577 | 2019-08-04 |
| 1821507856 | Olubunkunola Bamgbose | Psychologist | 2700 Weschester Avenue, 300, Purchase, NY 10577 | 2017-09-21 |
| 1114334273 | Jessica Kim-vaghela | Obstetrics & Gynecology | 3010 Westchester Ave Ste 400, Purchase, NY 10577 | 2014-07-21 |
| 1912248675 | Massiel Grullon | Nurse Practitioner | 2700 Westchester Avenue, Purchase, NY 10577 | 2013-03-06 |
| 1952676959 | Jeremy Sean Lubin | Dentist | 2975 Westchester Ave. Suite 100, Purchase, NY 10577 | 2012-03-09 |
| 1669790259 | Jane Kim | Anesthesiology | 3030 Westchester Avenue, Purchase, NY 10577 | 2010-05-07 |
| 1184877854 | Jennifer Lynn Dolan | Behavioral Analyst | 2500 Westchester Avenue, All About Kids, Purchase, NY 10577 | 2008-10-28 |
| 1467573642 | Cleopatra Y Espinosa | Physical Therapist | 3010 Westchester Avenue- Suite 107, Suite 107, Purchase, NY 10577 | 2007-04-03 |
| 1851446652 | Michael Joseph Bardwell | Chiropractor | 3000 Westchester Avenue, Suite 203, Purchase, NY 10577 | 2007-01-24 |
| 1528179694 | Michael A Werner Md PC | Urology | 2975 Westcher Ave, Suite G03, Purchase, NY 10577 | 2006-08-31 |
| Find all providers in zip 10577 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750566469 | Gennifer Joy Greebel | Ophthalmology | 3020 Westchester Ave Ste 402, Purchase, NY 10577-2561 | 2008-01-02 |
| 1336351519 | Robert R Strome | Ophthalmology | 3020 Westchester Ave, 402, Purchase, NY 10577-2510 | 2007-05-03 |
| 1487661104 | Anne Sara Negrin | Ophthalmology | 3020 Westchester Ave, Purchase, NY 10577-2510 | 2006-08-02 |
| 1720093453 | Robert C Mickatavage Md PC | Ophthalmology | 3020 Westchester Avenue, # 101, Purchase, NY 10577-2562 | 2006-07-30 |
| 1184660904 | Carolyn Rose Lederman | Ophthalmology | 3020 Westchester Avenue, Suite 402, Purchase, NY 10577-2561 | 2006-06-21 |
| 1295787190 | Martin Edward Lederman | Ophthalmology | 3020 Westchester Avenue, Suite 402, Purchase, NY 10577-2561 | 2006-05-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821607995 | Reginald Camillo Md Pllc | Ophthalmology | 7708 Broadway, Elmhurst, NY 11373-1927 | 2020-07-24 |
| 1366069510 | Rebecca Stein | Ophthalmology | 711 Stewart Ave Ste 160, Garden City, NY 11530-4700 | 2020-07-02 |
| 1548886260 | Bartow Ophthalmology Pllc | Ophthalmology | 2100 Bartow Ave Ste 208, Bronx, NY 10475-4614 | 2020-06-18 |
| 1407485139 | Amy L Kreisberg | Ophthalmology | 25 Byron Ln, Larchmont, NY 10538-1617 | 2020-04-04 |
| 1922634518 | Vision Vibrant Medicine Pllc | Ophthalmology | 837 59th St, Brooklyn, NY 11220-3611 | 2020-03-16 |
| 1710546270 | Ian Chan Md PC | Ophthalmology | 6410 8th Ave # 2a, Brooklyn, NY 11220-4720 | 2019-06-09 |
| 1598320038 | Mid-hudson Family Ophthalmology, Pllc | Ophthalmology | 75 Crystal Run Rd Ste 104a, Middletown, NY 10941-7003 | 2019-05-09 |
| 1144885070 | Nan Alison Sutter Hayworth | Ophthalmology | 214 Mclain St, Mount Kisco, NY 10549-4931 | 2019-05-06 |
| 1104383660 | Shani Golan | Ophthalmology | 325 E 64th St, New York, NY 10065-6709 | 2019-02-20 |
| 1205391224 | Gautam Kamthan Md PC | Ophthalmology | 250 E 39th St Apt 11g, New York, NY 10016-2178 | 2019-02-04 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on DR. ROBERT CHARLES MICKATAVAGE.
| 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.