Active NPI
Joseph Mylotte, MD
- Geriatric Medicine (Internal Medicine) Physician
- Getzville, NY
National Provider Identifier
1356380612
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Medicine (Internal Medicine) Physician
- License
- 120404
- Practice address
- 2700 N Forest Rd
Getzville, NY 14068-1527 - Phone
- (716) 639-3311
- NPI assigned
- Jun 5, 2006
- Last updated
- Jul 26, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Geriatric Medicine (Internal Medicine) Physician | 207RG0300X | 120404 | NY | Primary |
Addresses
Primary practice location
2700 N Forest Rd
Getzville, NY 14068-1527
Mailing address
1191 Bowen Rd
Elma, NY 14059-9546
Phone (716) 655-2690
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 005104233 | Other | NY | HEALTH NOW |
| 3407611 | Other | NY | INDEPENDENT HEALTH |
| 00010124401 | Other | NY | EXCELLUS UNIVERA |
| 1356380612 | Other | NY | UNIVERA HEALTHCARE |
| 01150852 | Medicaid | NY |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 120404 | NY | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ronald Palazzo, M.D., P.C. | Past | Accepting new patients | |
| Garden Gate Health Care Facility LLC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
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- Cheektowaga, NY
- NPI 1295722460
-
- Family Medicine Physician
- Orchard Park, NY
- NPI 1265463715
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149465600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1280102400000",
"number": "1356380612",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1191 BOWEN RD",
"city": "ELMA",
"state": "NY",
"postal_code": "140599546",
"telephone_number": "716-655-2690",
"fax_number": "716-655-2692"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2700 N FOREST RD",
"city": "GETZVILLE",
"state": "NY",
"postal_code": "140681527",
"telephone_number": "716-639-3311"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MYLOTTE",
"first_name": "JOSEPH",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-06-05",
"last_updated": "2010-07-26",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Geriatric Medicine",
"state": "NY",
"license": "120404",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH NOW",
"identifier": "005104233",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDEPENDENT HEALTH",
"identifier": "3407611",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EXCELLUS UNIVERA",
"identifier": "00010124401",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNIVERA HEALTHCARE",
"identifier": "1356380612",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01150852",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Getzville, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 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.