Active NPI
Norman Haywood D.O.,P. C.
- Specialist
- Lindenhurst, NY
National Provider Identifier
1124069562
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 194315
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Norman Haywood, D.O.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5404162 | Other | NY | AETNA |
| 6100704 | Other | NY | GHI |
| 01540532 | Medicaid | NY | |
| 1228381P01 | Other | NY | CIGNA |
| 4C1803 | Other | NY | HEALTHNET/ACS |
| 79920 | Other | NY | VYTRA |
| HIP02061 | Other | NY | HIP HERITAGE |
| P391810 | Other | NY | OXFORD |
| 38726 | Other | NY | CONN GENERAL |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Specialist
- Lindenhurst, NY
- NPI 1568402386
-
- Nurse Practitioner
- Lindenhurst, NY
- NPI 1497995682
-
- Acute Care Nurse Practitioner
- Delray Beach, FL
- NPI 1487723797
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.