Organization Active NPI

Norman Haywood D.O.,P. C.

  • Specialist
  • Lindenhurst, NY
National Provider Identifier
1124069562
Registry record updated May 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
194315 Issued in NY
Legal business name
NORMAN HAYWOOD D.O.,P. C.
Practice address
224 N Wellwood Ave
Lindenhurst, NY 11757-3705
Phone
(631) 226-0011
Fax
(631) 226-1611
NPI assigned
Jun 9, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 9, 2008

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

Authorized official

Name
Norman Haywood, D.O.NPI 1568402386
Title
Owner
Phone
(631) 226-0011

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 194315 NY Primary

Addresses

Primary practice location

224 N Wellwood Ave
Lindenhurst, NY 11757-3705

Mailing address

224 N Wellwood Ave
Lindenhurst, NY 11757-3705
Phone (631) 226-0011

Other identifiers 9

IdentifierTypeStateIssuer
5404162OtherNYAETNA
6100704OtherNYGHI
01540532MedicaidNY
1228381P01OtherNYCIGNA
4C1803OtherNYHEALTHNET/ACS
79920OtherNYVYTRA
HIP02061OtherNYHIP HERITAGE
P391810OtherNYOXFORD
38726OtherNYCONN GENERAL

National Provider Directory

National Provider Directory

Locations

14234 38TH Ave
2F
Flushing, NY 11354

14234 38TH Ave
2F
Flushing, NY 11354

224 N Wellwood Ave
Lindenhurst, NY 11757
Phone (516) 429-1020

Practitioners & affiliated clinicians

Practitioners 4

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": "1149811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210291200000",
    "number": "1124069562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "224 N WELLWOOD AVE",
            "city": "LINDENHURST",
            "state": "NY",
            "postal_code": "117573705",
            "telephone_number": "631-226-0011",
            "fax_number": "631-226-1611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "224 N WELLWOOD AVE",
            "city": "LINDENHURST",
            "state": "NY",
            "postal_code": "117573705",
            "telephone_number": "631-226-0011",
            "fax_number": "631-226-1611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORMAN HAYWOOD D.O.,P. C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-09",
        "last_updated": "2008-05-09",
        "status": "A",
        "authorized_official_last_name": "HAYWOOD",
        "authorized_official_first_name": "NORMAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "631-226-0011",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NY",
            "license": "194315",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5404162",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "6100704",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01540532",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "1228381P01",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET/ACS",
            "identifier": "4C1803",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VYTRA",
            "identifier": "79920",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIP HERITAGE",
            "identifier": "HIP02061",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P391810",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CONN GENERAL",
            "identifier": "38726",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lindenhurst, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2008; 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.