Barry Mildener, MD

Primary specialty

Geriatric Psychiatry PhysicianTaxonomy code 2084P0805X

License

174931 Issued in NY

Practice address

1563 Montauk Hwy
Oakdale, NY 11769-1322

Phone

(631) 563-3162

Fax

(631) 563-3185

NPI assigned

Jan 26, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1169769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1289347200000",
    "number": "1174679997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1563 MONTAUK HWY",
            "city": "OAKDALE",
            "state": "NY",
            "postal_code": "117691322",
            "telephone_number": "631-563-3162",
            "fax_number": "631-563-3185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1563 MONTAUK HWY",
            "city": "OAKDALE",
            "state": "NY",
            "postal_code": "117691322",
            "telephone_number": "631-563-3162",
            "fax_number": "631-563-3185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILDENER",
        "first_name": "BARRY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-26",
        "last_updated": "2010-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0805X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Geriatric Psychiatry",
            "state": "NY",
            "license": "174931",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Debra Mejia-Scott, LPN
• Catherine Ann Melly, PNP
• Demetrios Vasilios Mesimeris, PT, DPT, CSCS
• Nicole Marie Messier
• Karen D Middel -Jones, NP
• Alexandra Nicole Miller, LCSW
• Mind and Body Wellness
• Pamela Lauren Mitchell, PH.D.
• Michael C Moore, PTA
• Kimberly Mora, CCC-SLP

• Geriatric Psychiatry Physician in Oakdale, NY
• Providers in Oakdale, NY by specialty
• Geriatric Psychiatry Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.