Nassau Immed Med Care PLLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

187440 Issued in NY

Legal business name

NASSAU IMMED MED CARE PLLC

Practice address

465 Willis Ave
Williston Park, NY 11596-1724

Phone

(516) 294-3535

Fax

(516) 294-6451

NPI assigned

Oct 11, 2006

Last updated

Mar 17, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Susan P. Welgrin, M.D.NPI 1518970888

Title

Member

Phone

(516) 294-3535

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

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.

• Susan Pauline Welgrin, M.D.

  • Internal Medicine Physician
  • Williston Park, NY
  • NPI 1518970888
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205712000000",
    "number": "1255429254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "465 WILLIS AVE",
            "city": "WILLISTON PARK",
            "state": "NY",
            "postal_code": "115961724",
            "telephone_number": "516-294-3535",
            "fax_number": "516-294-6451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "465 WILLIS AVE",
            "city": "WILLISTON PARK",
            "state": "NY",
            "postal_code": "115961724",
            "telephone_number": "516-294-3535",
            "fax_number": "516-294-6451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NASSAU IMMED MED CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-11",
        "last_updated": "2008-03-17",
        "status": "A",
        "authorized_official_last_name": "WELGRIN",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "516-294-3535",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "187440",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anne Murray, MS-SLP
• Rashmina Musani, DPT
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• Azadeh Nasiri, MD
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• Internal Medicine Physician in Williston Park, NY
• Providers in Williston Park, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2008; 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.