Tiffany Marie Michalec

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

299 Hallock Ave
Port Jefferson Station, NY 11776-1217

Phone

(631) 473-4284

Fax

(631) 651-1398

NPI assigned

May 30, 2017

Last updated

May 30, 2017By the provider in NPPES

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

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

{
    "created_epoch": "1496102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1496102400000",
    "number": "1568990026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 JAYNE BLVD",
            "city": "PORT JEFFERSON STATION",
            "state": "NY",
            "postal_code": "117762973",
            "telephone_number": "631-507-8803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "299 HALLOCK AVE",
            "city": "PORT JEFFERSON STATION",
            "state": "NY",
            "postal_code": "117761217",
            "telephone_number": "631-473-4284",
            "fax_number": "631-651-1398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MICHALEC",
        "first_name": "TIFFANY",
        "middle_name": "MARIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-05-30",
        "last_updated": "2017-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sue Mentis, D.O.
• Conan Merrick, L.M.T.
• Anne Cynthia Merveille, LPN
• Victoria Meyer
• Michael W. Mendelson, M.D., P.C.
• Maria Grazia Migliore, LMSW
• Manisha Mignon
• Linda Rose Mildner
• Victoria Miles, PHD,HHP
• Alexandra Anne Mileto

• Case Manager/Care Coordinator in Port Jefferson Station, NY
• Providers in Port Jefferson Station, NY by specialty
• Case Manager/Care Coordinator in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2017; 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.