Mythic Health, LLC

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

Legal business name

MYTHIC HEALTH, LLC

Doing business as

Mythic

Practice address

116 Crow Hill Rd
Jackson, NJ 08527-4256

Phone

(732) 898-1569

NPI assigned

Jul 31, 2013

Organization subpart

No

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

Authorized official

Name

Chris Podolsky

Title

Owner

Phone

(732) 898-1569

Specialties & licenses 2

Addresses

Other names 1

• Mythic Doing business as

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

{
    "created_epoch": "1375228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375228800000",
    "number": "1639501786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 CROW HILL RD",
            "city": "JACKSON",
            "state": "NJ",
            "postal_code": "085274256",
            "telephone_number": "732-898-1569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 CROW HILL RD",
            "city": "JACKSON",
            "state": "NJ",
            "postal_code": "085274256",
            "telephone_number": "732-898-1569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MYTHIC HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-31",
        "last_updated": "2013-07-31",
        "status": "A",
        "authorized_official_last_name": "PODOLSKY",
        "authorized_official_first_name": "CHRIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-898-1569"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mythic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• MTN Organization ,Inc
• My ABA LLC
• My MD Group LLC
• My Therapist LLC (Kayla Dukess, LCSW)
• Mypie Inc.
• Raizy Nagel
• Natasha Naldzin
• Louis Napolitano, DMD
• National Mentor Healthcare, LLC (New Jersey MENTOR)
• Navigation Support Coordination LLC

• Customized Equipment (DME) in Jackson, NJ
• Providers in Jackson, NJ by specialty
• Customized Equipment (DME) in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2013; 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.