Active NPI
Milo Goldberg Lynch
- Behavior Technician
- Forest Hills, NY
National Provider Identifier
1497490239
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- RBT-22-203480
- Practice address
- 7000 Austin St Ste 200
Forest Hills, NY 11375-4739 - Phone
- (631) 385-7780
- NPI assigned
- May 4, 2022
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | |||
| Behavior Technician | 106S00000X | |||
| Behavior Technician | 106S00000X | RBT-22-203480 | NY | Primary |
Addresses
Primary practice location
7000 Austin St Ste 200
Forest Hills, NY 11375-4739
Mailing address
105 E 122ND St Apt 5W
New York, NY 10035-2821
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RBT-22-203480 | NY | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1651622400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1655424000000",
"number": "1497490239",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "105 E 122ND ST APT 5W",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100352821"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7000 AUSTIN ST STE 200",
"city": "FOREST HILLS",
"state": "NY",
"postal_code": "113754739",
"telephone_number": "631-385-7780"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LYNCH",
"first_name": "MILO",
"middle_name": "GOLDBERG",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-05-04",
"last_updated": "2022-06-17",
"certification_date": "2022-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": false
},
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": false
},
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "NY",
"license": "RBT-22-203480",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Forest Hills, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.