Paul Adult Health Nurse Practitioner PLLC

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

Legal business name

PAUL ADULT HEALTH NURSE PRACTITIONER PLLC

Practice address

7 Weaver LN
Dix Hills, NY 11746-5018

Phone

(631) 459-9500

NPI assigned

Feb 12, 2024

Organization subpart

No

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

Authorized official

Name

Roshini Mylakkattu Paul

Title

Owner

Phone

(631) 459-9500

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Paul Mylakkattu Thomas

  • Physical Therapist
  • Dix Hills, NY
  • NPI 1710229299
  NPD

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

{
    "created_epoch": "1707696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707696000000",
    "number": "1467216150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 WEAVER LN",
            "city": "DIX HILLS",
            "state": "NY",
            "postal_code": "117465018",
            "telephone_number": "631-459-9500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 WEAVER LN",
            "city": "DIX HILLS",
            "state": "NY",
            "postal_code": "117465018",
            "telephone_number": "631-459-9500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAUL ADULT HEALTH NURSE PRACTITIONER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-12",
        "last_updated": "2024-02-12",
        "certification_date": "2024-02-12",
        "status": "A",
        "authorized_official_last_name": "PAUL",
        "authorized_official_first_name": "ROSHINI",
        "authorized_official_middle_name": "MYLAKKATTU",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "631-459-9500"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Adult Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dean Parker, PH.D.
• Preet Kamal Parmar, LMSW
• Krinal Patel, RPH.
• Shyam Patel, PHARM, D
• Pathmark Stores Inc (Pathmark Pharmacy)
• Roshini Mylakkattu Paul, ANP
• Karla M Paz, CCC-SLP
• Caitlyn Crystal Pedone, DO
• Irene Penny, OTRL
• Dharani Perera

• Adult Health Nurse Practitioner in Dix Hills, NY
• Providers in Dix Hills, NY by specialty
• Adult Health Nurse Practitioner in New York

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