DR. NICHOLAS ALEXANDER AVITABILE


Address: 855 State Route 17m, Monroe, NY 10950-1600
Phone: 8457036999

DR. NICHOLAS ALEXANDER AVITABILE (NPI# 1750607602) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1750607602
Entity Type Individual
Full Name DR. NICHOLAS ALEXANDER AVITABILE
Credential M.D.
Practice Address 855 State Route 17m
Monroe
NY 10950-1600
Mailing Address 155 Crystal Run Rd
Middletown
NY 10941-4028
Practice Telephone 8457036999
Practice Fax Number 8457036297
Mailing Telephone 8457036999
Mailing Fax Number 8457036297
Enumeration Date 2010-04-18
Last Update Date 2020-07-31
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RE0101X Internal Medicine
Specialization: Endocrinology, Diabetes & Metabolism
264177 NY Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
NY 03461016 05

Other Providers NICHOLAS AVITABILE

NPI Name Taxonomy Address Enumeration
1780969790 Nicholas Christopher Avitabile Emergency Medicine 1111 Amsterdam Ave, New York, NY 10025-1716 2011-10-21

Office Location

Street Address 855 STATE ROUTE 17M
City MONROE
State NY
Zip Code 10950-1600

Providers in the same location

NPI Name Taxonomy Address Enumeration
1992797500 Kimberly A. Estler Obstetrics & Gynecology 855 State Route 17m, Monroe, NY 10950-1600 2005-08-19
1003463803 Alyssa Danielle Bujalski Nurse Practitioner 855 State Route 17m, Monroe, NY 10950-1600 2019-08-26
1164944294 Taisha S Davis Nurse Practitioner 855 State Route 17m, Monroe, NY 10950-1600 2017-07-11
1154861060 Caitlin Lakeman Nurse Practitioner 855 State Route 17m, Monroe, NY 10950-1600 2017-02-27
1760931844 Crystal Run Healthcare Physicians LLP Durable Medical Equipment & Medical Supplies 855 State Route 17m, Monroe, NY 10950-1600 2016-09-29
1649633355 Rashek Kazi Dermatology 855 State Route 17m, Monroe, NY 10950-1600 2016-03-30
1720462369 Zohra Ludmerer Nurse Practitioner 855 State Route 17m, Monroe, NY 10950-1600 2015-07-14
1922409994 Munish Kumar Pediatrics 855 State Route 17m, Monroe, NY 10950-1600 2014-09-10
1265844898 Ashwin Vilas Rangavajjula Pain Medicine 855 State Route 17m, Monroe, NY 10950-1600 2014-06-02
1174941967 Bhakti Shah Internal Medicine 855 State Route 17m, Monroe, NY 10950-1600 2014-03-31
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1588202063 Tova Schur Physician Assistant 2 Strelisk Court, Monroe, NY 10950 2019-12-16
1265947238 Brenda Ayllene Sabatello Specialist 126 Barr Lne, Monroe, NY 10950 2017-12-12
1740719038 Heartstrings LLC Home Health 6 Mountain Road, Unit 204, Monroe, NY 10950 2017-06-08
1841739752 Committed Home Care Inc. Home Health 14 Fillmore Court Unit 311, Monroe, NY 10950 2017-02-13
1104362813 Alison Guiney Case Manager/Care Coordinator 101 Stage Road, Monroe, NY 10950 2017-01-19
1710436332 Elite Services Ny Inc. Home Health 48 Bakertown Road Suite 204, Monroe, NY 10950 2016-09-23
1780047084 Stephanie Santiago Occupational Therapy Assistant 27 Sandra Ln, Monroe, NY 10950 2016-04-04
1851770440 Priority Home Care Services, Inc. Home Health 48 Bakertown Road, Suite 204, Monroe, NY 10950 2015-05-28
1518344274 Mydesh Inc Pharmacy 581 Nys Route 17m, Monroe, NY 10950 2015-05-01
1942694377 Yenty Fischel Occupational Therapist 1 Diner Rd, Monroe, NY 10950 2015-03-24
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Taxonomy Information

Taxonomy Code 207RE0101X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Endocrinology, Diabetes & Metabolism

Taxonomy Definition

An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1396706271 Uma Rangaraj Internal Medicine 3402 Magnolia Cove, Monroe, LA 71203 2006-03-30
1669478681 Mahmood Fattooh Moosa Internal Medicine 15506 S Telegraph Rd, Monroe, MI 48161-5520 2005-06-23
1801302492 The Charlotte-mecklenburg Hospital Authority Internal Medicine 1550 Faulk St, Ste 2100, Monroe, NC 28112-5086 2017-12-19
1811125644 Endocrine Specialists, P.C. Internal Medicine 15506 S Telegraph Rd, Monroe, MI 48161-5520 2009-07-01
1598999484 Ila Khanna Internal Medicine 855 State Route 17m, Monroe, NY 10950-1600 2009-05-07
1861636540 Mercy Memorial Hospital Corporation Internal Medicine 718 N Macomb St, Monroe, MI 48162-7815 2009-04-27
1578706859 Poonam Sood Internal Medicine 1550 Faulk St, Ste 2100, Monroe, NC 28112-5086 2009-04-15
1841383221 Mohammad Mousa Internal Medicine 3418 Medical Park Dr, Suite 23, Monroe, LA 71203-2376 2006-09-30
1629161005 Southern Endocrinology Center Internal Medicine 3418 Medical Park Dr, Suite 23, Monroe, LA 71203-2376 2006-09-30
1902857634 Paul A Bekx Internal Medicine 515 22nd Ave, Monroe, WI 53566-1569 2006-05-15
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Competitor

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City MONROE
Zip Code 10950

Improve Information

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Dataset Information

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.

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