Organization Active NPI

Natural Wellness Medicine PLLC

  • Pain Medicine Physician
  • Kings Park, NY
National Provider Identifier
1154097244
Registry record updated Dec 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine PhysicianTaxonomy code 208VP0000X
Legal business name
NATURAL WELLNESS MEDICINE PLLC
Doing business as
Trigger Point Medical Wellness
Practice address
71 E Main St
Kings Park, NY 11754-2709
Phone
(631) 225-2623
NPI assigned
Aug 18, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2022

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

Authorized official

Name
Wayne Wertheim, MD
Title
Member
Phone
(631) 506-8907

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208VP0000X Primary

Addresses

Primary practice location

71 E Main St
Kings Park, NY 11754-2709

Mailing address

118 Glen Cove Rd
Roslyn Heights, NY 11577-1718
Phone (631) 506-8907

Other names 1

  • Trigger Point Medical Wellness Doing business as

National Provider Directory

National Provider Directory

Locations

71 E Main St
Kings Park, NY 11754
Phone (631) 225-2623

NPI Registry JSON

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

{
    "created_epoch": "1629244800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670457600000",
    "number": "1154097244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 GLEN COVE RD",
            "city": "ROSLYN HEIGHTS",
            "state": "NY",
            "postal_code": "115771718",
            "telephone_number": "631-506-8907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "71 E MAIN ST",
            "city": "KINGS PARK",
            "state": "NY",
            "postal_code": "117542709",
            "telephone_number": "631-225-2623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NATURAL WELLNESS MEDICINE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-18",
        "last_updated": "2022-12-08",
        "certification_date": "2022-12-08",
        "status": "A",
        "authorized_official_last_name": "WERTHEIM",
        "authorized_official_first_name": "WAYNE",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "631-506-8907",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Trigger Point Medical Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kings Park, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2022; 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.