Catskill Mobile Medical Clinic

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

336123 Issued in NY

Legal business name

CATSKILL MOBILE MEDICAL CLINIC

Practice address

330 Laurel Ave
Fallsburg, NY 12733

Phone

(845) 428-1700

Fax

(877) 647-4509

NPI assigned

Jun 9, 2011

Organization subpart

No

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

Authorized official

Name

Chaya R Levine, NP-C

Title

Family Nurse Practitioner

Phone

(845) 428-1700

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1307577600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1307577600000",
    "number": "1609160407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 113",
            "address_2": "330 LAUREL AVE",
            "city": "FALLSBURG",
            "state": "NY",
            "postal_code": "12733",
            "telephone_number": "845-428-1700",
            "fax_number": "877-647-4509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 LAUREL AVE",
            "city": "FALLSBURG",
            "state": "NY",
            "postal_code": "12733",
            "telephone_number": "845-428-1700",
            "fax_number": "877-647-4509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CATSKILL MOBILE MEDICAL CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-09",
        "last_updated": "2011-06-09",
        "status": "A",
        "authorized_official_last_name": "LEVINE",
        "authorized_official_first_name": "CHAYA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "FAMILY NURSE PRACTITIONER",
        "authorized_official_telephone_number": "845-428-1700",
        "authorized_official_credential": "NP-C"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "336123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shoshanah Abramsky, MA-CCC, SLP
• Ifeoma Awaka, NP
• Gwen Billups-Newton, LCSW
• C Schechter LLC
• Catskills Hatzalah Inc.
• Fallsburg Central School District
• Fallsburg Central School District
• Fallsburg CSD
• Fallsburg Pediatrics PC

• All providers in Fallsburg, NY
• Family Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2011; 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.