Wendy C Essenburg, RPAC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

007876 Issued in NY

Practice address

325 Middle Country Rd
Selden Plaza
Selden, NY 11784

Phone

(631) 732-9090

NPI assigned

Oct 5, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Mrs. Wendy C Essenburg Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1053407932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 MIDDLE COUNTRY RD",
            "address_2": "SELDEN PLAZA",
            "city": "SELDEN",
            "state": "NY",
            "postal_code": "11784",
            "telephone_number": "631-732-9090",
            "fax_number": "631-732-8235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 MIDDLE COUNTRY RD",
            "address_2": "SELDEN PLAZA",
            "city": "SELDEN",
            "state": "NY",
            "postal_code": "11784",
            "telephone_number": "631-732-9090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESSENBURG",
        "first_name": "WENDY",
        "middle_name": "C",
        "name_prefix": "Mrs.",
        "credential": "RPAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NY",
            "license": "007876",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "WENDY",
            "last_name": "ESSENBURG",
            "middle_name": "C",
            "prefix": "MRS.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Dermatology Physician in Selden, NY
• Providers in Selden, NY by specialty
• Dermatology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.