Todd Brandon Mueckenheim

Primary specialty

Health & Wellness CoachTaxonomy code 171400000X

Practice address

105 Jericho Tpke
Mineola, NY 11501-1821

Phone

(203) 807-4460

NPI assigned

Oct 31, 2024

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)

Not enrolled

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

{
    "created_epoch": "1730332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731542400000",
    "number": "1346062122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "417 E MAIN ST APT X1",
            "city": "BAY SHORE",
            "state": "NY",
            "postal_code": "117068530",
            "telephone_number": "203-807-4460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 JERICHO TPKE",
            "city": "MINEOLA",
            "state": "NY",
            "postal_code": "115011821",
            "telephone_number": "203-807-4460"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "176 W Main St",
            "address_purpose": "LOCATION",
            "city": "Patchogue",
            "state": "NY",
            "postal_code": "117723004",
            "country_code": "US",
            "telephone_number": "203-807-4460",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MUECKENHEIM",
        "first_name": "TODD",
        "middle_name": "BRANDON",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-10-31",
        "last_updated": "2024-11-14",
        "certification_date": "2024-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171400000X",
            "taxonomy_group": "",
            "desc": "Health & Wellness Coach",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Naomi P. Moskowitz-Brooks, M.D.
• Barbara Kimberly Moskowitz, ANP
• Harvey Arthur Mossman, MD
• Jenna Motti
• Nicholas Mourikis
• Lauren Mueller
• Deblina Mukherjee
• Ronita Mukherjee, D.O.
• Sigridh Alicia Munoz Gomez, M.D.
• Barbara A. Murphy, LCSW

• Health & Wellness Coach in Mineola, NY
• Providers in Mineola, NY by specialty
• Health & Wellness Coach in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2024; 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.