Carole Michelsen, MD

Primary specialty

Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X

License

171397 Issued in NY

Practice address

66 Van Cortlandt Park South
St. Patricks Home
Bronx, NY 10463

Phone

(212) 216-6807

Fax

(212) 216-6606

NPI assigned

Jan 17, 2007

Sex

Female

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

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1518019124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "66 VAN CORTLANDT PARK SOUTH",
            "address_2": "ST. PATRICKS HOME",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "10463",
            "telephone_number": "212-216-6807",
            "fax_number": "212-216-6606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "66 VAN CORTLANDT PARK SOUTH",
            "address_2": "ST. PATRICKS HOME",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "10463",
            "telephone_number": "212-216-6807",
            "fax_number": "212-216-6606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MICHELSEN",
        "first_name": "CAROLE",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "NY",
            "license": "171397",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mariett Michel, NP
• Michel Josaphat Michel, MD, MPH
• Myrlene Michel
• Nadia Michel
• Allison Michels-Pettinelli, MD
• Batya Hadassa Michelson, MD
• Michelle Micheo-Rodriguez, M.D.
• Donisha A Michie
• Angelo Domenic Michilli, D.O.
• Robert E Michler, MD

• Geriatric Medicine (Internal Medicine) Physician in Bronx, NY
• Providers in Bronx, NY by specialty
• Geriatric Medicine (Internal Medicine) Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.