Wyckoff Family Medical Services

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

223830 Issued in NY

Legal business name

WYCKOFF FAMILY MEDICAL SERVICES

Practice address

125 Alex Cir
Staten Island, NY 10305-4765

Phone

(917) 744-0378

NPI assigned

Nov 2, 2006

Organization subpart

No

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

Authorized official

Name

Joanne Campbell

Title

Manager

Phone

(718) 963-7272

Specialties & licenses 1

Addresses

Practitioners 1

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

• Liliya Gekhman, D.O.

  • Family Medicine Physician
  • Sterling, NY
  • NPI 1659338937
  NPD (past)

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

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1083792378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "374 STOCKHOLM ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112374006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 ALEX CIR",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103054765",
            "telephone_number": "917-744-0378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WYCKOFF FAMILY MEDICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CAMPBELL",
        "authorized_official_first_name": "JOANNE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "718-963-7272"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "223830",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kevin Cheng Liang Wu, DO
• Nanyi Wu, RD
• Shuyung J Wu, M.D.
• Vivian Wu, NP
• William Wu, DO
• Jamshad Iqbal Wyne, MD
• Wynn Physical Therapy PC
• Alexandria Rose Xepolitos, FNP
• Albana Xhafa
• Violet Xhuglini

• Family Medicine Physician in Staten Island, NY
• Providers in Staten Island, NY by specialty
• Family Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.