Active NPI
Loreen Michelitch
- Specialist
- Middletown, NY
National Provider Identifier
1063864361
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- Practice address
- 192 Tower Dr Ste 400
Middletown, NY 10941-2056 - Phone
- (845) 692-4391
- NPI assigned
- Jul 11, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | Primary |
Addresses
Primary practice location
192 Tower Dr Ste 400
Middletown, NY 10941-2056
Mailing address
23 Rackett Rd
Port Jervis, NY 12771-3439
Phone (845) 800-2536
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 174400000X | Other | NY | TEACHER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ages & Stages , LLP | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Early Intervention Provider Agency
- Middletown, NY
- NPI 1487830113
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1468195200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1468195200000",
"number": "1063864361",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23 RACKETT RD",
"city": "PORT JERVIS",
"state": "NY",
"postal_code": "127713439",
"telephone_number": "845-800-2536"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "192 TOWER DR STE 400",
"city": "MIDDLETOWN",
"state": "NY",
"postal_code": "109412056",
"telephone_number": "845-692-4391"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MICHELITCH",
"first_name": "LOREEN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-07-11",
"last_updated": "2016-07-11",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TEACHER",
"identifier": "174400000X",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Middletown, NY
- Anthony Mezzio
- John Florenz Miane, PT
- Christina Micciulli, MS
- Michael L Wodka D.P.M. PC
- Matthew James Michaels, D.O.
- Mid Hudson Acupuncture PC
- Mid Hudson Chiropractic and Physical Therapy PLLC
- Mid Hudson Hematology Oncology PC
- Mid Hudson Psychiatric Consultants PC
- Mid-Hudson Family Ophthalmology, PLLC (Hugh L. Sauer, M.D.)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.