Organization Active NPI

Alliance Wellness Medical PLLC

Doing business as ReGlow Wellness

  • Sports Medicine (Family Medicine) Physician
  • Levittown, NY
National Provider Identifier
1235936477
Registry record updated Feb 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X
Legal business name
ALLIANCE WELLNESS MEDICAL PLLC
Doing business as
ReGlow Wellness
Practice address
11 Emerson Ave
Levittown, NY 11756-5705
Phone
(516) 680-3445
NPI assigned
Feb 26, 2025
Last updated
Feb 26, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2025

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

Authorized official

Name
Dr. Alexander Weingarten, MD
Title
Sole Member
Phone
(516) 266-6180

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Family Medicine) Physician 207QS0010X NU Primary

Addresses

Primary practice location

11 Emerson Ave
Levittown, NY 11756-5705

Mailing address

11 Emerson Ave
Levittown, NY 11756-5705
Phone (516) 566-0000

Other names 1

  • ReGlow Wellness Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1740528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740528000000",
    "number": "1235936477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 EMERSON AVE",
            "city": "LEVITTOWN",
            "state": "NY",
            "postal_code": "117565705",
            "telephone_number": "516-566-0000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 EMERSON AVE",
            "city": "LEVITTOWN",
            "state": "NY",
            "postal_code": "117565705",
            "telephone_number": "516-680-3445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLIANCE WELLNESS MEDICAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-26",
        "last_updated": "2025-02-26",
        "certification_date": "2025-02-26",
        "status": "A",
        "authorized_official_last_name": "WEINGARTEN",
        "authorized_official_first_name": "ALEXANDER",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "516-266-6180",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ReGlow Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Levittown, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2025; 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.