Robert C Mickatavage MD PC

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Legal business name

ROBERT C MICKATAVAGE MD PC

Practice address

3020 Westchester Avenue
# 101
Purchase, NY 10577-2562

Phone

(914) 967-4400

Fax

(914) 967-6416

NPI assigned

Jul 30, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Jill K Smith, MA

Title

Controller

Phone

(203) 778-1381

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Daniel Scott Casper, M.D.

  • Ophthalmology Physician
  • Ny, NY
  • NPI 1235157215
  NPD (past)
• Robert Charles Mickatavage, MD

  • Ophthalmology Physician
  • Purchase, NY
  • NPI 1578577375
  NPD (past)

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

{
    "created_epoch": "1154217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192406400000",
    "number": "1720093453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3020 WESTCHESTER AVENUE",
            "address_2": "# 101",
            "city": "PURCHASE",
            "state": "NY",
            "postal_code": "105772562",
            "telephone_number": "914-967-4400",
            "fax_number": "914-967-6416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3020 WESTCHESTER AVENUE",
            "address_2": "# 101",
            "city": "PURCHASE",
            "state": "NY",
            "postal_code": "105772562",
            "telephone_number": "914-967-4400",
            "fax_number": "914-967-6416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT C MICKATAVAGE MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-30",
        "last_updated": "2007-10-15",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "JILL",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "CONTROLLER",
        "authorized_official_telephone_number": "203-778-1381",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MA"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00565513",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michaela Richardson
• Angela Marie Riemma, AUD CCC/A FAAA
• Elizabeth Riina
• Sandy Anabel Rios, M.S.,OTR/L
• Diana Ripepi, M.S.
• Robert L. Cristofaro, MD and John M Nelson, MD,PC
• Paul Douglas Robertson, PT
• Alicia Tatiana Rodriguez
• Michelle Rodriguez
• Adrienne R Rogers, M.D.

• Ophthalmology Physician in Purchase, NY
• Providers in Purchase, NY by specialty
• Ophthalmology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 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.