Michael David Nadata, C.P.O.

Primary specialty

Orthotic FitterTaxonomy code 225000000X

Practice address

214 E Sunrise Hwy
Valley Stream, NY 11581-1315

Phone

(516) 239-0990

Fax

(516) 239-6555

NPI assigned

Sep 28, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• New York Rehabilitative Services

  • Prosthetic/Orthotic Supplier
  • Valley Stream, NY
  • NPI 1629258991
  NPD (past) Authorized official
• Eric Scott Lippman MD PC

  • Physical Medicine & Rehabilitation Physician
  • Valley Stream, NY
  • NPI 1518013911
  NPD (past)

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1520812800000",
    "number": "1316039464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "214 E SUNRISE HWY",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115811315",
            "telephone_number": "516-239-0990",
            "fax_number": "516-239-6555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 E SUNRISE HWY",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115811315",
            "telephone_number": "516-239-0990",
            "fax_number": "516-239-6555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NADATA",
        "first_name": "MICHAEL",
        "middle_name": "DAVID",
        "credential": "C.P.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-28",
        "last_updated": "2018-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225000000X",
            "taxonomy_group": "",
            "desc": "Orthotic Fitter",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02595480",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Javed Mushtaq, PHARMACIST
• Peace Kisakye Mutiibwa
• My Gift Health
• My Health NP in Family Health PC
• N.Parikh Medical, P.C.
• Abbe Nadel, N.P.
• Joy Nagelberg, MD
• Appasaheb Naik, M.D.
• Kayla Najafipour
• Jan Nakkab, PT

• Orthotic Fitter in Valley Stream, NY
• Providers in Valley Stream, NY by specialty
• Orthotic Fitter in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2018; 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.