Individual provider Active NPI

Tania Myrthil, R.N.

  • Neonatal Intensive Care Registered Nurse
  • Highland, NY
National Provider Identifier
1336405802
Registry record updated Aug 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neonatal Intensive Care Registered NurseTaxonomy code 163WN0002X
License
654164 Issued in NY
Practice address
42 Toc Dr Unit 602
Highland, NY 12528-1556
Phone
(516) 467-9250
Fax
(845) 834-2968
NPI assigned
Apr 9, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neonatal Intensive Care Registered Nurse 163WN0002X 654164 NY Primary
Registered Nurse 163W00000X 654164 NY

Addresses

Primary practice location

42 Toc Dr Unit 602
Highland, NY 12528-1556

Mailing address

42 Toc Dr Unit 602
Highland, NY 12528-1556
Phone (516) 467-9250

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
654164NYMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Dynamic Doula LLC CurrentSince Aug 23, 2020 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.

NPI Registry JSON

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

{
    "created_epoch": "1333929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597795200000",
    "number": "1336405802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42 TOC DR UNIT 602",
            "city": "HIGHLAND",
            "state": "NY",
            "postal_code": "125281556",
            "telephone_number": "516-467-9250",
            "fax_number": "845-834-2968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42 TOC DR UNIT 602",
            "city": "HIGHLAND",
            "state": "NY",
            "postal_code": "125281556",
            "telephone_number": "516-467-9250",
            "fax_number": "845-834-2968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MYRTHIL",
        "first_name": "TANIA",
        "credential": "R.N.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-09",
        "last_updated": "2020-08-19",
        "certification_date": "2020-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WN0002X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Neonatal Intensive Care",
            "state": "NY",
            "license": "654164",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "654164",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Highland, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2020; 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.