Wantagh Physical Therapy, Chiropractic & Nurse Practitioner in Family

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

WANTAGH PHYSICAL THERAPY, CHIROPRACTIC & NURSE PRACTITIONER IN FAMILY

Practice address

3305 Jerusalem Ave Ste 110
Wantagh, NY 11793-2028

Phone

(516) 320-3999

NPI assigned

Apr 23, 2020

Organization subpart

No

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

Authorized official

Name

Stephen Lembo

Title

Partner

Phone

(516) 320-3999

Specialties & licenses 3

Addresses

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

{
    "created_epoch": "1587600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1637107200000",
    "number": "1033739602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3305 JERUSALEM AVE STE 110",
            "city": "WANTAGH",
            "state": "NY",
            "postal_code": "117932028",
            "telephone_number": "516-320-3999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3305 JERUSALEM AVE STE 110",
            "city": "WANTAGH",
            "state": "NY",
            "postal_code": "117932028",
            "telephone_number": "516-320-3999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WANTAGH PHYSICAL THERAPY, CHIROPRACTIC & NURSE PRACTITIONER IN FAMILY",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-23",
        "last_updated": "2021-11-17",
        "certification_date": "2021-11-17",
        "status": "A",
        "authorized_official_last_name": "LEMBO",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "516-320-3999"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Wantagh Psychological Counseling Services PC
• Wantagh Ufsd
• Brian Christopher Ward, LMHC
• Patricia Warren, MHC, CASAC-T
• Rona Wasserman, PH.D.

• Family Nurse Practitioner in Wantagh, NY
• Providers in Wantagh, NY by specialty
• Family Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2021; 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.