1518962729 NPI number — MR. RONALD W SWEITZER MS, PT

Table of content: MR. RONALD W SWEITZER MS, PT (NPI 1518962729)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1518962729 NPI number — MR. RONALD W SWEITZER MS, PT

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
SWEITZER
Provider First Name:
RONALD
Provider Middle Name:
W
Provider Name Prefix Text:
MR.
Provider Name Suffix Text:
Provider Credential Text:
MS, PT
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1518962729
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
02/07/2019
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
7 BERNHEIMER LN
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
CORTLANDT MANOR
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
10567-6553
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
914-406-5198
Provider Business Mailing Address Fax Number:
914-752-1977

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
7 BERNHEIMER LN
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
CORTLANDT MANOR
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10567-6553
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
914-406-5198
Provider Business Practice Location Address Fax Number:
914-752-1977
Provider Enumeration Date:
06/15/2005

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 225100000X , with the licence number:  003974 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 109230200 . This is a "US DEPT. OF LABOR" identifier . This identifiers is of the category "OTHER".
  • Identifier: 1212559 . This is a "UNITED HEALTHCARE" identifier . This identifiers is of the category "OTHER".
  • Identifier: 7148787 . This is a "AETNA PPO" identifier . This identifiers is of the category "OTHER".
  • Identifier: XC6500 . This is a "HEALTHNET" identifier . This identifiers is of the category "OTHER".
  • Identifier: 133542448-13 . This is a "FIRST HEALTH/ICM" identifier . This identifiers is of the category "OTHER".
  • Identifier: Q62231 . This is a "EMPIRE BC/BS" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 0222701 . This is a "ORTHONET HEALTHNET" identifier . This identifiers is of the category "OTHER".
  • Identifier: 1415397 . This is a "CIGNA PPO" identifier . This identifiers is of the category "OTHER".
  • Identifier: 133542448 . This is a "ONE HEALTH PLAN" identifier . This identifiers is of the category "OTHER".
  • Identifier: 0222701 . This is a "ORTHONET CIGNA HMO" identifier . This identifiers is of the category "OTHER".
  • Identifier: 133541228 . This is a "BEECH STREET" identifier . This identifiers is of the category "OTHER".
  • Identifier: 0222701 . This is a "ORTHONET USFH" identifier . This identifiers is of the category "OTHER".
  • Identifier: 1175689 . This is a "AETNA HMO" identifier . This identifiers is of the category "OTHER".
  • Identifier: 133542448 . This is a "HORIZON HEALTHCARE" identifier . This identifiers is of the category "OTHER".
  • Identifier: 133542448 . This is a "PHCS" identifier . This identifiers is of the category "OTHER".
  • Identifier: 0013701 . This is a "ORTHONET AETNA HMO" identifier . This identifiers is of the category "OTHER".
  • Identifier: 133542448 . This is a "POMCO" identifier . This identifiers is of the category "OTHER".




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