Edward E Mullen, MD

Primary specialty

Radiation Oncology PhysicianTaxonomy code 2085R0001X

License

172604-1 Issued in NY

Practice address

1 Healthy Way
Oceanside, NY 11572-1551

Phone

(516) 632-3303

Fax

(516) 336-2930

NPI assigned

Jul 8, 2005

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H3359
• Healthfirst Medicare Network H5989

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.

• Mount Sinai School of Medicine

  • Internal Medicine Physician
  • Oceanside, NY
  • NPI 1508127531
  Medicare reassignment NPD
• Radiation Specialists of New York

  • Radiation Oncology Physician
  • Bay Shore, NY
  • NPI 1548210610
  NPD (past) Authorized official
• South Shore Radiation Oncology Associates P C

  • Radiation Oncology Physician
  • Oceanside, NY
  • NPI 1801896998
  NPD (past) Authorized official
• Mount Sinai School of Medicine

  • Psychiatry Physician
  • Hempstead, NY
  • NPI 1508333956
  NPD
• Mount Sinai School of Medicine

  • Radiation Oncology Physician
  • Oceanside, NY
  • NPI 1720555964
  NPD
• Brooklyn Radiation Oncology PC

  • Radiation Oncology Physician
  • Brooklyn, NY
  • NPI 1033163506
  NPD (past)
• New York Radiation Oncology Associates, PC

  • Specialist
  • Ozone Park, NY
  • NPI 1215159603
  NPD (past)
• Northern Boulevard Radiation Oncology LLP

  • Radiation Oncology Physician
  • Flushing, NY
  • NPI 1700884202
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1120780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487030400000",
    "number": "1104824606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5670",
            "city": "HICKSVILLE",
            "state": "NY",
            "postal_code": "118025670",
            "telephone_number": "516-632-3370",
            "fax_number": "516-336-2930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 HEALTHY WAY",
            "city": "OCEANSIDE",
            "state": "NY",
            "postal_code": "115721551",
            "telephone_number": "516-632-3303",
            "fax_number": "516-336-2930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULLEN",
        "first_name": "EDWARD",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-08",
        "last_updated": "2017-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "172604",
            "primary": false
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "NY",
            "license": "172604-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1466513",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01465513",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mount Sinai School of Medicine
• Mount Sinai School of Medicine
• Mount Sinai School of Medicine
• Andy Moyal
• Sabiha Mulla, DO
• Victoria Muller
• Danielle Mulligan
• Farrah Munir, D.O.
• David Todd Murphy, PH.D.
• James Joseph Murphy, ANP-C

• Radiation Oncology Physician in Oceanside, NY
• Providers in Oceanside, NY by specialty
• Radiation Oncology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.