NPIMap

Organization Active NPI

Wholesome Medical PC

  • Cardiovascular Disease Physician
  • New Hyde Park, NY
National Provider Identifier
1194995670
Registry record updated May 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
185251 Issued in NY
Legal business name
WHOLESOME MEDICAL PC
Practice address
1575 Hillside Ave
Ste 103
New Hyde Park, NY 11040-2521
Phone
(516) 352-1804
Fax
(516) 352-1449
NPI assigned
Mar 11, 2008
Last updated
May 27, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 27, 2025

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

Authorized official

Name
Blessey Mary Joseph, MDNPI 1265844195
Title
President
Phone
(516) 352-1804

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 272156 NY
Cardiovascular Disease Physician 207RC0000X 164546 NY
Cardiovascular Disease Physician 207RC0000X 185251 NY Primary

Addresses

Primary practice location

1575 Hillside Ave
Ste 103
New Hyde Park, NY 11040-2521

Mailing address

1575 Hillside Ave
Ste 103
New Hyde Park, NY 11040-2521
Phone (516) 352-1804

Other practice location 1

9009 Rockaway Beach Blvd
Rockaway Beach, NY 11693-1531
Phone (718) 701-6288

Other names 1

  • Queens Nassau Cardiology PC Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080416000562 NY Part B Supplier - Clinic/Group Practice 6507944568 Receives reassigned benefits from 7 practitioners
Practice locations: New Hyde Park, NY; Rockaway Beach, NY

National Provider Directory

National Provider Directory

Locations

1575 Hillside Ave
Ste 103
New Hyde Park, NY 11040
Phone (516) 352-1804

Practitioners & affiliated clinicians

Practitioners 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1205193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748304000000",
    "number": "1194995670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1575 HILLSIDE AVE",
            "address_2": "STE 103",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110402521",
            "telephone_number": "516-352-1804",
            "fax_number": "516-352-1449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1575 HILLSIDE AVE",
            "address_2": "STE 103",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110402521",
            "telephone_number": "516-352-1804",
            "fax_number": "516-352-1449"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9009 Rockaway Beach Blvd",
            "address_purpose": "LOCATION",
            "city": "Rockaway Beach",
            "state": "NY",
            "postal_code": "116931531",
            "country_code": "US",
            "telephone_number": "718-701-6288",
            "fax_number": "718-750-5005",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "WHOLESOME MEDICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-11",
        "last_updated": "2025-05-27",
        "certification_date": "2025-05-27",
        "status": "A",
        "authorized_official_last_name": "JOSEPH",
        "authorized_official_first_name": "BLESSEY",
        "authorized_official_middle_name": "MARY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "516-352-1804",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "272156",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NY",
            "license": "164546",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NY",
            "license": "185251",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Queens Nassau Cardiology PC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in New Hyde Park, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.