DOLSON AVENUE MEDICAL (NPI# 1720158660) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1720158660 |
Entity Type | Organization |
Organization Name | DOLSON AVENUE MEDICAL |
Practice Address |
54 Dolson Ave Middletown NY 10940 |
Mailing Address |
Po Box 884 Middletown NY 10940-0884 |
Practice Telephone | 8453420746 |
Practice Fax Number | 8453421397 |
Mailing Telephone | 8453420746 |
Mailing Fax Number | 8453421397 |
Enumeration Date | 2006-11-08 |
Last Update Date | 2011-09-19 |
Authorized Official Name | DR. HERBERT GARCIA (OWNER) |
Authorized Official Telephone | 8453420746 |
Authorized Official Credential | MD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 111N00000X | Chiropractor | Chiropractic Providers | ||
N | 208100000X | Physical Medicine & Rehabilitation | 174296 | NY | Allopathic & Osteopathic Physicians |
N | 2081P2900X |
Physical Medicine & Rehabilitation Specialization: Pain Medicine |
174296 | NY | Allopathic & Osteopathic Physicians |
Y | 332B00000X | Durable Medical Equipment & Medical Supplies | 174296 | NY | Suppliers |
Entity Type | Entity Name | Entity Address |
---|---|---|
New York State Corporations | DOLSON AVENUE MEDICAL, P.C. | 54 Dolson Avenue, Middletown, Ny 10940 |
Street Address |
54 DOLSON AVE |
City | MIDDLETOWN |
State | NY |
Zip Code | 10940 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568531937 | Middletown Physical Medicine & Rehabilitation, P.C. | Physical Medicine & Rehabilitation | 54 Dolson Ave, Middletown, NY 10940 | 2006-11-07 |
1598041428 | Physical Medicine & Diagnostic Testing PC | Specialist | 54 Dolson Ave, Middletown, NY 10940-6424 | 2011-10-24 |
1841444502 | Vickie Jean Coker | Chiropractor | 54 Dolson Ave, Middletown, NY 10940-6424 | 2008-11-07 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366043135 | Sherell Rebecca Hassell-robinson | Social Worker | 1 Echo Hills Road, Middletown, NY 10940 | 2020-11-06 |
1144821927 | Fred Allen Mccormack | Social Worker | 210 East Main St Suite 105, Middletown, NY 10940 | 2020-11-06 |
1609484567 | Gen Med Inc | Anesthesiology | 253 Route 211 East, 2nd Floor, Middletown, NY 10940 | 2020-07-16 |
1366067092 | Kalyn Ruscher | Counselor | 303 5th Ave 14 Fl, Suite 1410, New York, NY 10940 | 2020-06-09 |
1780238220 | Angela Mayo | Social Worker | 24 Union Street, Middletown, NY 10940 | 2019-08-01 |
1215593611 | Northern Medical Center, Inc | Family Medicine | 14 Jason Place, Suite 201, Middletown, NY 10940 | 2019-05-13 |
1811468267 | Diana Katzenberger | Licensed Practical Nurse | 774 Kurbytuwn Rd, Middletown, NY 10940 | 2018-12-11 |
1881165330 | Chereen Madden-grant | Registered Nurse | 1028 Route 211 W, Middletown, NY 10940 | 2018-12-10 |
1184106361 | Clarise Denise Williams | Social Worker | 210 E Main St Suite 105, Middletown, NY 10940 | 2018-09-04 |
1194210963 | Damon Tremayne Swinea | Social Worker | 16-24 Union St., Middletown, NY 10940 | 2018-06-25 |
Find all providers in zip 10940 |
Taxonomy Code | 332B00000X |
Grouping | Suppliers |
Classification | Durable Medical Equipment & Medical Supplies |
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1003429812 | Therafit Enterprises of New Jersey Incorporated | Durable Medical Equipment & Medical Supplies | 1275 Hwy 35 Ste 7, Middletown, NJ 07748-2000 | 2020-08-31 |
1821652611 | New Jersey Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 1200 Highway 35, Middletown, NJ 07748-2013 | 2019-04-26 |
1528584323 | Middleton Health Supplies | Durable Medical Equipment & Medical Supplies | 364 E Main St Ste 808, Middletown, DE 19709-1482 | 2017-08-14 |
1902279623 | Brandywine Podiatry Pa | Durable Medical Equipment & Medical Supplies | 118 Sandhill Dr Ste 204, Middletown, DE 19709-5859 | 2015-11-03 |
1396114849 | Hanger Prosthetics & Orthotics Inc | Durable Medical Equipment & Medical Supplies | 100 Campus Loop Rd Ste 2a, Middletown, OH 45005-5187 | 2015-09-15 |
1427456714 | Pharma-cycle, LLC | Durable Medical Equipment & Medical Supplies | 55 John Clarke Rd, Middletown, RI 02842-5641 | 2014-12-18 |
1316348014 | Delaware Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 674 Middletown Odessa Rd, Middletown, DE 19709 | 2014-09-12 |
1720411796 | Cvs Albany LLC | Durable Medical Equipment & Medical Supplies | 399 Route 211 E, Middletown, NY 10940-2117 | 2013-08-14 |
1487093043 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 230 Main Street Ext Ste A, Middletown, CT 06457-4470 | 2013-06-17 |
1336586528 | Newchoice Homecare | Durable Medical Equipment & Medical Supplies | 749 Saybrook Rd Ste B113, Middletown, CT 06457-4742 | 2013-05-28 |
Find all providers in MIDDLETOWN |
City | MIDDLETOWN |
Zip Code | 10940 |
Please comment or provide details below to improve the information on DOLSON AVENUE MEDICAL.
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.