Infectious Disease Consultant of Rockland, P.C.

Primary specialty

Infectious Disease PhysicianTaxonomy code 207RI0200X

Legal business name

INFECTIOUS DISEASE CONSULTANT OF ROCKLAND, P.C.

Practice address

259 N Middletown Rd Ste 1B
Nanuet, NY 10954-1220

Phone

(845) 624-4057

NPI assigned

Oct 29, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Mahlet Tadele, MDNPI 1770731812

Title

Dr/Owner

Phone

(917) 693-2243

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 2

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

• Mahlet Tadele, M.D.

  • Internal Medicine Physician
  • Bronx, NY
  • NPI 1770731812
  Medicare reassignment NPD Authorized official
• Foluke Onaolapo Salu, M.D

  • Infectious Disease Physician
  • Nanuet, NY
  • NPI 1922063098
  NPD

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

{
    "created_epoch": "1540771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1540771200000",
    "number": "1558838482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "91 E SUNNYSIDE LN",
            "city": "IRVINGTON",
            "state": "NY",
            "postal_code": "105331016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "259 N MIDDLETOWN RD STE 1B",
            "city": "NANUET",
            "state": "NY",
            "postal_code": "109541220",
            "telephone_number": "845-624-4057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INFECTIOUS DISEASE CONSULTANT OF ROCKLAND, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-29",
        "last_updated": "2018-10-29",
        "status": "A",
        "authorized_official_last_name": "TADELE",
        "authorized_official_first_name": "MAHLET",
        "authorized_official_title_or_position": "DR/OWNER",
        "authorized_official_telephone_number": "917-693-2243",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Infectious Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Judith Hurwitt
• Adeneika Catania Hylton, RN
• May Ibrahim
• Borianka Iliev
• Frank Anthony Illuzzi, M.D.
• Joseph Thomas Ingrassia, MD
• Mary Ingrassia, R.N.
• Innerbeauty Psychotherapy & Consulting Services
• Instant Care NP in Family Health
• Interim Healthcare

• Infectious Disease Physician in Nanuet, NY
• Providers in Nanuet, NY by specialty
• Infectious Disease Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.