MK SPINE AND JOINT REHAB, P.C. (NPI# 1699239715) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699239715 |
| Entity Type | Organization |
| Organization Name | MK SPINE AND JOINT REHAB, P.C. |
| Practice Address |
27 Vanderbilt Pkwy Dix Hills NY 11746-5815 |
| Practice Telephone | 6313359935 |
| Mailing Telephone | 6313359935 |
| Enumeration Date | 2019-01-23 |
| Last Update Date | 2019-05-22 |
| Authorized Official Name | DR. MATTHEW KALTER (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 6313359935 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP3300X |
Clinic/Center Specialization: Pain |
Ambulatory Health Care Facilities |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 877 Stewart Ave Ste 1, Garden City, NY 115304803 | 5167574466 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | MK SPINE AND JOINT REHAB, P.C. | 27 Vanderbilt Parkway, Dix Hills, Ny 11746 |
| Street Address |
27 VANDERBILT PKWY |
| City | DIX HILLS |
| State | NY |
| Zip Code | 11746-5815 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063044170 | Gail Sackett | Registered Nurse | James E. Allen Learning Center, 762 Deer Park Road, Dix Hills, NY 11746 | 2020-02-06 |
| 1275011835 | Kimberly Susan Tillett | Licensed Practical Nurse | 22 Millet St., Dix Hills, NY 11746 | 2018-08-04 |
| 1225514409 | Mauricio R. Milhoua | Otolaryngology | 16 Marion Place, South Huntington, NY 11746 | 2018-07-11 |
| 1073037032 | Stacy H Schoenbach | Nurse Practitioner | 150 Broadhollow Road Suite 310, Melville, NY 11746 | 2017-08-01 |
| 1124542584 | Molar To Molar Dentistry PC | Dentist | 1679 New York Avenue, Huntington Station, NY 11746 | 2017-07-27 |
| 1114451077 | Ashleigh Lakatos | Specialist/Technologist | 586 Vanderbilt Pkwy, Dix Hills, NY 11746 | 2017-04-18 |
| 1487199170 | Aderemi O. Ogundiran | Student in an Organized Health Care Education/Training Program | 10 Mont Avenue, Dix Hills, NY 11746 | 2017-01-04 |
| 1942758347 | Philopenie Moise | Registered Nurse | 58 Alpine Way, Huntington Station, NY 11746 | 2016-09-14 |
| 1235598996 | Helen Martignette | Registered Nurse | 121 Wolf Hill Rd, Birchwood School, Melville, NY 11746 | 2016-02-23 |
| 1154780963 | Karen Rose Jacobsen | Registered Nurse | 165 Pidgeon Hill Road, South Huntington, NY 11746 | 2016-02-22 |
| Find all providers in zip 11746 | ||||
| Taxonomy Code | 261QP3300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Pain |
| Definition to come... |
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| 1114528221 | Cmf Care Inc | Clinic/Center | 118 Baxter St Ste 206, New York, NY 10013-3675 | 2020-11-04 |
| 1154931335 | Integrity Medical Pllc | Clinic/Center | 58 Commack Rd, Commack, NY 11725-3402 | 2020-08-03 |
| 1245700111 | Pranevicius Medical P.C. | Clinic/Center | 300 Albany St Apt 6e, New York, NY 10280-1452 | 2018-12-04 |
| 1154801033 | Paradigm Family Health Np Pllc | Clinic/Center | 40 Gardenville Pkwy Ste 101, West Seneca, NY 14224-1387 | 2018-08-20 |
| 1164918835 | Integrated Interventional Pain Management PC | Clinic/Center | 20712 Northern Blvd Ste 3, Bayside, NY 11361-3108 | 2018-07-06 |
| 1912433186 | Pain Management Acupuncture | Clinic/Center | 135 Sullys Trl Ste 3, Pittsford, NY 14534-4564 | 2017-05-10 |
| 1376086777 | Quick Docs Medical, Pllc | Clinic/Center | 1975 Flatbush Ave, Brooklyn, NY 11234-2811 | 2016-12-02 |
| 1356891766 | Centurion Pain Management | Clinic/Center | 601 W 163rd St, New York, NY 10032-5632 | 2016-10-10 |
| 1588044697 | Jodi M Gentili | Clinic/Center | 301 Vanderbilt Ave, Apt 2, Brooklyn, NY 11205-3604 | 2015-06-03 |
| 1124427836 | Forget Me Not Acupuncture PC | Clinic/Center | 973 Fulton St, Brooklyn, NY 11238-2346 | 2014-08-19 |
| Find all providers with the same taxonomy | ||||
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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.