11 MEDICAL DRIVE WELLNESS PLLC , NPI 1902332588
Emergency Medicine in PORT JEFFERSON STATION, NY
Last Updated on : May 03,2017
About 11 MEDICAL DRIVE WELLNESS PLLC (NPI 1902332588)
11 MEDICAL DRIVE WELLNESS PLLC is an Emergency Medicine in PORT JEFFERSON STATION, United States with a focus in Emergency Medical Services .
1902332588 is NPI number of 11 MEDICAL DRIVE WELLNESS PLLC.
11 MEDICAL DRIVE WELLNESS PLLC's primary taxonomy code based on NPI Lookup is 207PE0004X with license number . This taxonomy code refers to Emergency Medicine.
11 MEDICAL DRIVE WELLNESS PLLC current practice location address is 11 MEDICAL DR, PORT JEFFERSON STATION, NY. 11 MEDICAL DRIVE WELLNESS PLLC can be reached out via phone at 631-509-6066 and via fax at 631-849-5824 .
You can also correspond with 11 MEDICAL DRIVE WELLNESS PLLC through mail at mailing address 11 MEDICAL DR, PORT JEFFERSON STATION, NY, United States. Mailing address contact number is 631-509-6066.
The enumeration date of 11 MEDICAL DRIVE WELLNESS PLLC is 03-May-2017. The provider is registered as an Organization and the NPI record was last updated 6 years ago. The authorized official of 11 MEDICAL DRIVE WELLNESS PLLC is LAURA ROY (Practice Manager). LAURA ROY can be reached at 6318056384.1902332588 NPI Information
Basic NPI information of 11 MEDICAL DRIVE WELLNESS PLLC (NPI 1902332588) is provided below.
| Name | 11 MEDICAL DRIVE WELLNESS PLLC |
|---|---|
| National Provider Id (NPI) | 1902332588 |
| Entity Type | Organization |
| Practice Address | 11 MEDICAL DR,
SUITE B
PORT JEFFERSON STATION, NY, United States |
| Practice Telephone | 631-509-6066 |
| Practice Fax Number | 631-849-5824 |
| Mailing Address | 11 MEDICAL DR ,
SUITE B
PORT JEFFERSON STATION, NY, United States |
| Mailing Telephone | 631-509-6066 |
| Mailing Fax Number | 631-849-5824 |
| Enumeration Date | 03-May-2017 |
| Last Updated Date | 03-May-2017 |
11 MEDICAL DRIVE WELLNESS PLLC (NPI 1902332588) Primary Taxonomy Information
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs, the license data is associated to the taxonomy code.
| Primary | Taxonomy Code | Clasification | License Number | License State |
|---|---|---|---|---|
| Y | 207PE0004X | Emergency Medicine, Emergency Medical Services |
An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients.
11 MEDICAL DRIVE WELLNESS PLLC (NPI 1902332588) Office Location
Office location of 11 MEDICAL DRIVE WELLNESS PLLC is provided in the Google maps below.Providers in same location
Here are a few of the other providers in the same location.
| NPI | Name | Taxonomy | Address | Enumeration date |
|---|---|---|---|---|
| 1902332588 | 11 MEDICAL DRIVE WELLNESS PLLC | Emergency Medicine, Emergency Medical Services | 11 MEDICAL DR,
SUITE B PORT JEFFERSON STATION, NY, United States |
03-May-2017 |
| 1962111591 | 7 SKY IMAGING LLC | Specialist/Technologist | 10 ROOSEVELT AVE,
PORT JEFFERSON STATION, NY, United States |
22-Nov-2022 |
| 1528662400 | HIGER ABDALLAH | Family Medicine | 1500 ROUTE 112 STE 101,
PORT JEFFERSON STATION, NY, United States |
23-Nov-2020 |
| 1912115023 | TONY ABRAHAM | Radiology, Nuclear Radiology | 1500 ROUTE 112 BLDG 2,
PORT JEFFERSON STATION, NY, United States |
21-May-2007 |
| 1780770131 | DENISE A ABSELET | Internal Medicine | 5225-15 ROUTE 347,
PORT JEFFERSON STATION, NY, United States |
05-Oct-2006 |
| 1487869392 | JOANNA V ACAYLAR | Contractor | 740 VETERANS HWY,
HAUPPAUGE, NY, United States |
14-May-2007 |
| 1306095674 | ACCESS HOME CARE, INC. | Home Health | 519 ROUTE 112,
PORT JEFFERSON STATION, NY, United States |
11-Sep-2008 |
| 1104057439 | BENJAMIN DAESOON ACKER | Otolaryngology | 1500 ROUTE 112 BLDG. 4 - 2ND FLOOR,
PORT JEFFERSON STATION, NY, United States |
04-Aug-2009 |
| 1750873196 | DANI ELIZABETH ACKERMAN | Student in an Organized Health Care Education/Training Program | 1 HUNTER LN,
NESCONSET, NY, United States |
01-Jun-2018 |
| 1063969517 | DANA ADAMKIEWICZ | Acupuncturist | 432 NORTH BICYCLE PATH,
PORT JEFFERSON STATION, NY, United States |
01-Sep-2016 |
| 1629140033 | JAY BEN ADLERSBERG | Internal Medicine, Rheumatology | 220 E 69TH STREET,
NEW YORK, NY, United States |
14-Nov-2006 |
| 1699918391 | SOPHIA AIDINIOU | Speech-Language Pathologist, | 49 MILLER AVE,
PORT JEFFERSON STATION, NY, United States |
09-Apr-2009 |
| 1891898003 | FOLASHADE J AKANDE | Nurse Practitioner, Family | 8 SULLIVAN AVE,
PORT JEFFERSON STATION, NY, United States |
06-Sep-2006 |
| 1992148647 | NAVEED HASSAN AKHTAR | Internal Medicine | 49 NESCONSET HWY,
PORT JEFFERSON STATION, NY, United States |
12-Apr-2013 |
| 1891370516 | NOOPOOR K. AKRUWALA | Student in an Organized Health Care Education/Training Program | 11 JUSTIN CIR,
PORT JEFFERSON STATION, NY, United States |
15-Mar-2021 |
| 1427444389 | RAJSHI AKRUWALA | Internal Medicine | 226 W 14TH ST,
NEW YORK, NY, United States |
07-Apr-2015 |
| 1336470749 | MARIE ELIZABETH ALARCON | Nurse Practitioner, Adult Health | 17 BEDFORD AVE,
PORT JEFFERSON STATION PORT JEFFERSON STATION, NY, United States |
25-Jan-2010 |
| 1174684773 | CHARLES A ALBERT | Specialist | 931 HALLOCK AVENUE,
PORT JEFFERSON, NY, United States |
13-Dec-2006 |
| 1578770848 | ALL ISLAND PHYSICAL THERAPY PLLC | Clinic/Center, Physical Therapy | 8 CATERHAM LN,
SETAUKET, NY, United States |
17-May-2007 |
| 1720313414 | REBECCA ALLENBRAND | Physician Assistant | 144 SPRING RD,
HUNTINGTON, NY, United States |
14-Oct-2009 |
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FAQs
Whose NPI Number is 1902332588?1902332588 is the NPI number of 11 MEDICAL DRIVE WELLNESS PLLC.
Where is 11 MEDICAL DRIVE WELLNESS PLLC located?11 MEDICAL DRIVE WELLNESS PLLC is located at 11 MEDICAL DR, PORT JEFFERSON STATION, NY.
NPI number meaning
| Field Name | Field Value |
|---|---|
| NPI | 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. |
| Entity Type | Code describing the type of health care provider that is being assigned an NPI.
Codes are:
|
| Provider Business Mailing Address | The mailing address of the provider being identified contains First line, Second Line, City name, State name, Postal code, and Country code. |
| Provider Business Mailing Address Telephone Number | The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as "Provider location address telephone number". |
| Provider Business Mailing Address Fax Number | The fax number associated with the mailing address of the provider being identified. This data element may contain the same information as ''Provider location address fax number''. |
| Provider Business Practice Location Address Telephone Number | The telephone number associated with the location address of the provider being identified. |
| Provider Business Practice Location Address Fax Number | The fax number associated with the location address of the provider being identified. |
| Provider Enumeration Date | The date the provider was assigned a unique identifier (assigned an NPI). |
| Last Update Date | The date that a record was last updated or changed. |
| Authorized Official Telephone Number | The 10-position telephone number of the authorized official. |
| Healthcare Provider Taxonomy Code | The Health Care Provider Taxonomy code is a unique alphanumeric code, ten characters in length. The code set is structured into three distinct "Levels" including Provider Type, Classification, and Area of Specialization. |
| Healthcare Provider Taxonomy | Taxonomy Description of the Healthcare Provider. |
| Provider License Number | Certain taxonomy selections will require you to enter your license number and the state where the license was issued. Select Foreign Country in the state drop down box if the license was issued outside of United States. The License Number field allows the following special characters: ampersand, apostrophe, colon, comma, forward slash, hyphen, left and right parentheses, period, pound sign, quotation mark, and semi-colon. A field cannot contain all special characters. DO NOT report the Social Security Number (SSN), IRS Individual Taxpayer Identification Number (ITIN) in this section. |
| Provider License Number State Code | Provider License Number State Code #1 |
| Healthcare Provider Primary Taxonomy Switch | Primary Taxonomy:
|