ROBERT B MYTELKA (NPI# 1902453467) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902453467 |
| Entity Type | Individual |
| Full Name | ROBERT B MYTELKA |
| Practice Address |
750 Chestnut Ridge Rd Unit 223 Chestnut Ridge NY 10977-6443 |
| Practice Telephone | 8455175060 |
| Mailing Telephone | 8455587573 |
| Enumeration Date | 2019-08-20 |
| Last Update Date | 2019-08-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235500000X | Specialist/Technologist | Speech, Language and Hearing Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 9555 W Sam Houston Pkwy S Ste 155, Houston, TX 770992145 | 8455587573 |
| Street Address |
750 CHESTNUT RIDGE RD UNIT 223 |
| City | CHESTNUT RIDGE |
| State | NY |
| Zip Code | 10977-6443 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265091805 | Paul Junior Louissaint | Licensed Practical Nurse | 10 Kennedy Dr, F8, Spring Valley, NY 10977 | 2019-06-07 |
| 1861967085 | Dental Art of Ny | Dentist | Dental Art of Ny, 11 Spring Valley Market Place, Spring Valley, NY 10977 | 2018-10-04 |
| 1528543576 | National Vision Inc | Technician/Technologist | 22 Spring Valley Market Place, Spring Valley, NY 10977 | 2018-09-26 |
| 1053891911 | Nury Lisette D'antoni | Registered Nurse | 55 Greenaridge Way, Spring Valley, NY 10977 | 2018-08-20 |
| 1922592393 | Tender Loving Care Speech Therapy Pllc | Early Intervention Provider Agency | 2 Red Oak Lane, Spring Valley, NY 10977 | 2018-06-19 |
| 1528577251 | Sarah Rosenberg | Nurse Practitioner | 728 N. Main St., Spring Valley, NY 10977 | 2017-09-26 |
| 1558885277 | Marquita Natoy Fleming | Licensed Practical Nurse | 45 Ewing Avenue, A5, Spring Valley, NY 10977 | 2017-08-03 |
| 1215458070 | Kesha Coard | Licensed Practical Nurse | 40 South Cole Ave, 4a, Spring Valley, NY 10977 | 2017-07-03 |
| 1982155107 | The New Golden Acres Sp LLC | Assisted Living Facility | 35 Prospect Street, Spring Valley, NY 10977 | 2016-10-24 |
| 1487014510 | Broadway Health Care Staffing Inc. | Home Health | 1 Hillcrest Center, Suite 214, Spring Valley, NY 10977 | 2016-03-02 |
| Find all providers in zip 10977 | ||||
| Taxonomy Code | 235500000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Specialist/Technologist |
| General classification identifying individuals who are trained on a specific piece of equipment or technical procedure. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386267979 | Nuros Technologies Inc | Specialist/Technologist | 5030 Broadway Ste 642, New York, NY 10034-1616 | 2020-05-19 |
| 1215408125 | Betty B. Peterson | Specialist/Technologist | 153 Shore Rd, Patchogue, NY 11772-2559 | 2018-12-17 |
| 1780175976 | Brittany Alexandra Scocco | Specialist/Technologist | 1 Brittany Way, Ronkonkoma, NY 11779-5000 | 2018-05-23 |
| 1003356106 | Brynjar Leifsson | Specialist/Technologist | 26 Altamore St, Melville, NY 11747-2902 | 2017-03-08 |
| 1609310168 | Terri Hertz-rosin | Specialist/Technologist | 2054 Gatch Ave, Merrick, NY 11566-2411 | 2016-12-16 |
| 1669915914 | Frances Renee Ide | Specialist/Technologist | 25 Buffalo St, Apt. 201, Hamburg, NY 14075-5022 | 2016-11-18 |
| 1811443534 | Jamie Balsamo | Specialist/Technologist | 4801 Avenue D, Brooklyn, NY 11203 | 2016-09-01 |
| 1225486731 | Maitry Gandhi | Specialist/Technologist | 24535a 76th Ave, Bellerose, NY 11426-1871 | 2016-05-25 |
| 1922492768 | Marjorie Conlon | Specialist/Technologist | 190 S 8th St Apt 32, Brooklyn, NY 11211-6162 | 2015-03-18 |
| 1588067987 | Michelle Clinton | Specialist/Technologist | 5 Kendall Drive, New City, NY 10956 | 2014-09-30 |
| Find all providers with the same taxonomy | ||||
| City | CHESTNUT RIDGE |
| Zip Code | 10977 |
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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.