Kathleen M Mylotte, M.D.

Primary specialty

Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X

License

125943 Issued in NY

Practice address

7264 Nash Rd
North Tonawanda, NY 14120-1508

Phone

(716) 694-7700

NPI assigned

Oct 3, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 6

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Geriatric Associates, LLP

  • Geriatric Medicine (Internal Medicine) Physician
  • Williamsville, NY
  • NPI 1750348306
  NPD (past)

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

{
    "created_epoch": "1128297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1259020800000",
    "number": "1295722486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2875 UNION RD",
            "address_2": "SUITE 8",
            "city": "CHEEKTOWAGA",
            "state": "NY",
            "postal_code": "142271465",
            "telephone_number": "716-651-0911",
            "fax_number": "716-651-9855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7264 NASH RD",
            "city": "NORTH TONAWANDA",
            "state": "NY",
            "postal_code": "141201508",
            "telephone_number": "716-694-7700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MYLOTTE",
        "first_name": "KATHLEEN",
        "middle_name": "M",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-03",
        "last_updated": "2009-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "NY",
            "license": "125943",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IHA",
            "identifier": "2208900",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED CARE",
            "identifier": "151122BJ",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01043461",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIDELIS",
            "identifier": "040511000519",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNIVERA",
            "identifier": "00010124505",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "000508674005",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shereen C. Morris, PT
• Adam Mourgas, ATC
• Anita Mundy, RN
• Erin Murphy, DPT
• Michelle Marie Myers, M.D.
• Namaste Counseling & Wellness Incorporated
• Karen Louise Needler, OTR
• Victoria Neudecker, D.O.
• New York Dialysis Services, Inc.
• Anne Newman

• Geriatric Medicine (Internal Medicine) Physician in North Tonawanda, NY
• Providers in North Tonawanda, NY by specialty
• Geriatric Medicine (Internal Medicine) Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2009; 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.