Active NPI
Wetchler Medical PC
Doing business as Lakeside Concierge Medicine
- Internal Medicine Physician
- Woodbury, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- WETCHLER MEDICAL PC
- Doing business as
- Lakeside Concierge Medicine
- Practice address
- 135 Crossways Park Dr Ste LL7
Woodbury, NY 11797-2008 - Phone
- (516) 212-7630
- Fax
- (516) 200-2482
- NPI assigned
- Dec 5, 2024
- Last updated
- Dec 5, 2024
- 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
- Dr. Brian Harper Wetchler, DO
- Title
- Physician, Owner
- Phone
- (516) 212-7630
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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | NU | Primary |
Addresses
Primary practice location
135 Crossways Park Dr Ste LL7
Woodbury, NY 11797-2008
Mailing address
135 Crossways Park Dr Ste LL7
Woodbury, NY 11797-2008
Phone (516) 212-7630
Other names 1
- Lakeside Concierge Medicine
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 33D2313732 | Wetchler Medical PC | Compliance | Dec 10, 2027 |
National Provider Directory
National Provider DirectoryLocations
135 Crossways Park Dr
Ste LL07
Woodbury, NY 11797
Phone (516) 212-7630
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Internal Medicine Physician
- Woodbury, NY
- NPI 1710253158
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1733356800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1733356800000",
"number": "1154137073",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "135 CROSSWAYS PARK DR STE LL7",
"city": "WOODBURY",
"state": "NY",
"postal_code": "117972008",
"telephone_number": "516-212-7630",
"fax_number": "516-200-2482"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "135 CROSSWAYS PARK DR STE LL7",
"city": "WOODBURY",
"state": "NY",
"postal_code": "117972008",
"telephone_number": "516-212-7630",
"fax_number": "516-200-2482"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WETCHLER MEDICAL PC",
"organizational_subpart": "NO",
"enumeration_date": "2024-12-05",
"last_updated": "2024-12-05",
"certification_date": "2024-12-05",
"status": "A",
"authorized_official_last_name": "WETCHLER",
"authorized_official_first_name": "BRIAN",
"authorized_official_middle_name": "HARPER",
"authorized_official_title_or_position": "PHYSICIAN, OWNER",
"authorized_official_telephone_number": "516-212-7630",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DO"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Lakeside Concierge Medicine",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Woodbury, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.