Awixa Home of Li, Inc

Primary specialty

Preferred Provider OrganizationTaxonomy code 305R00000X

Legal business name

AWIXA HOME OF LI, INC

Practice address

199 Benton PL
Bay Shore, NY 11706-1507

Phone

(516) 882-9492

Fax

(516) 882-9494

NPI assigned

Jan 28, 2016

Organization subpart

No

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

Authorized official

Name

Mrs. Alyse Robin Cardello

Title

Ceo

Phone

(516) 882-9492

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1453939200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453939200000",
    "number": "1154789683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 CLEARVIEW LN",
            "city": "MASSAPEQUA",
            "state": "NY",
            "postal_code": "117588505",
            "telephone_number": "516-882-9492",
            "fax_number": "516-882-9494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "199 BENTON PL",
            "city": "BAY SHORE",
            "state": "NY",
            "postal_code": "117061507",
            "telephone_number": "516-882-9492",
            "fax_number": "516-882-9494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AWIXA HOME OF LI, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-28",
        "last_updated": "2016-01-28",
        "status": "A",
        "authorized_official_last_name": "CARDELLO",
        "authorized_official_first_name": "ALYSE",
        "authorized_official_middle_name": "ROBIN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "516-882-9492",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shue L Au, RPH
• Margery Ruth Auerbach, PH.D.
• Alexandra Augusta
• Constance Augustyn, LCSW
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• Preferred Provider Organization in Bay Shore, NY
• Providers in Bay Shore, NY by specialty
• Preferred Provider Organization in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2016; 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.