| Healthy Therapeutics Medical Practice Pllc | |
|
36 Saint Johns Pl Brooklyn NY 11217-3206 | |
| (678) 381-5170 | |
| Not Available |
| Full Name | Healthy Therapeutics Medical Practice Pllc |
|---|---|
| Speciality | Emergency Medicine |
| Location | 36 Saint Johns Pl, Brooklyn, New York |
| Authorized Official Name and Position | Rondalph Samuel Taylor (FOUNDER) |
| Authorized Official Contact | 6783815170 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Healthy Therapeutics Medical Practice Pllc 36 Saint Johns Pl Brooklyn NY 11217-3206 Ph: (678) 381-5170 | Healthy Therapeutics Medical Practice Pllc 36 Saint Johns Pl Brooklyn NY 11217-3206 Ph: (678) 381-5170 |
| NPI Number | 1487254041 |
|---|---|
| Provider Enumeration Date | 10/31/2020 |
| Last Update Date | 10/31/2020 |
| Medicare PECOS PAC ID | 4688089006 |
|---|---|
| Medicare Enrollment ID | O20210217002059 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487254041 | NPI | - | NPPES |
| Provider Name | Michelle D Schmitt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407940943 PECOS PAC ID: 1153342944 Enrollment ID: I20051208000121 |
| Provider Name | Rondalph Taylor |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1427093558 PECOS PAC ID: 4880699248 Enrollment ID: I20180112000808 |
| Provider Name | Laura Miranda |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154886265 PECOS PAC ID: 2163757923 Enrollment ID: I20190716002184 |
| Provider Name | Rhea Deb Newton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316411044 PECOS PAC ID: 3375879729 Enrollment ID: I20190724000355 |
| Provider Name | Adey M Abebe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558914648 PECOS PAC ID: 2466888920 Enrollment ID: I20201120000872 |
| Provider Name | Jessica E Tofano |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174134308 PECOS PAC ID: 6608282710 Enrollment ID: I20210315001065 |
| Provider Name | Joanna M Valentine |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376073809 PECOS PAC ID: 6204257546 Enrollment ID: I20210414002013 |
| Provider Name | Crystel K Lewis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225709397 PECOS PAC ID: 4688063324 Enrollment ID: I20211117003233 |
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