Organization Active NPI

Well Med Medical PC

  • Internal Medicine Physician
  • Cedarhurst, NY
National Provider Identifier
1013518638
Registry record updated Nov 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
WELL MED MEDICAL PC
Practice address
140A Washington Ave
Cedarhurst, NY 11516
Phone
(718) 408-8860
NPI assigned
Nov 2, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2020

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

Authorized official

Name
Norman Hale Kupferstein, MDNPI 1912006081
Title
Owner
Phone
(718) 408-8860

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary
Geriatric Medicine (Internal Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RG0300X

Addresses

Primary practice location

140A Washington Ave
Cedarhurst, NY 11516

Mailing address

670 Myrtle Ave Ste 198
Brooklyn, NY 11205-3923
Phone (718) 408-8866

National Provider Directory

National Provider Directory

Locations

5327 18th Ave
Brooklyn, NY 11204
Phone (718) 236-7707

670 Myrtle Ave
Ste 198
Brooklyn, NY 11205

140 Washington Ave
Ste 100
Cedarhurst, NY 11516

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1604275200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604275200000",
    "number": "1013518638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "670 MYRTLE AVE STE 198",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112053923",
            "telephone_number": "718-408-8866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140A WASHINGTON AVE",
            "city": "CEDARHURST",
            "state": "NY",
            "postal_code": "11516",
            "telephone_number": "718-408-8860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELL MED MEDICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-02",
        "last_updated": "2020-11-02",
        "certification_date": "2020-11-02",
        "status": "A",
        "authorized_official_last_name": "KUPFERSTEIN",
        "authorized_official_first_name": "NORMAN",
        "authorized_official_middle_name": "HALE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-408-8860",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedarhurst, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2020; 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.