PORT JEFFERSON MEDICAL CARE WELLNESS PLLC – NPI #1730605510
General Practice

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

PORT JEFFERSON MEDICAL CARE WELLNESS PLLC is a provider located in PORT JEFFERSON STATION, NY. NPPES has assigned the NPI number 1730605510 to PORT JEFFERSON MEDICAL CARE WELLNESS PLLC on August 14, 2017. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 208D00000X from the Health Care Provider Taxonomy code set, which is classified as General Practice.

The NPI profile was previously updated about 8 years ago on Oct 26, 2018. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for PORT JEFFERSON MEDICAL CARE WELLNESS PLLC below.

NPI Profile for
PORT JEFFERSON MEDICAL CARE WELLNESS PLLC

NPI Number
1730605510
Enumeration Date

(about 9 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
PORT JEFFERSON MEDICAL CARE WELLNESS PLLC
Primary location
11 MEDICAL DR STE B
PORT JEFFERSON STATION, NY 11776-1589
Phone: (631) 882-0241 Fax:
Mailing address
100 MIDDLETON RD APT 42
BOHEMIA, NY 11716-3923
Phone: (718) 554-1024 Fax:
Organization Subpart
No
Authorized Official
HILLEL TROPE
BILLER
Phone: (718) 554-1024
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
208D00000X
- General Practice (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.