Active NPI
Sean Medical Wellness PLLC
- General Practice Physician
- Freeport, NY
National Provider Identifier
1255818753
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- Legal business name
- SEAN MEDICAL WELLNESS PLLC
- Practice address
- 53 W Merrick Rd Ste 2a
Freeport, NY 11520-3709 - Phone
- (718) 554-1042
- NPI assigned
- Jul 26, 2018
- 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
- Varun Bajaj
- Title
- Biller
- Phone
- (718) 554-1042
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | Primary |
Addresses
Primary practice location
53 W Merrick Rd Ste 2a
Freeport, NY 11520-3709
Mailing address
53 W Merrick Rd Ste 2a
Freeport, NY 11520-3709
Phone (718) 554-1024
National Provider Directory
National Provider DirectoryLocations
53 W Merrick Rd
Ste 2A
Freeport, NY 11520
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1532563200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1541980800000",
"number": "1255818753",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "53 W MERRICK RD STE 2A",
"city": "FREEPORT",
"state": "NY",
"postal_code": "115203709",
"telephone_number": "718-554-1024"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "53 W MERRICK RD STE 2A",
"city": "FREEPORT",
"state": "NY",
"postal_code": "115203709",
"telephone_number": "718-554-1042"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SEAN MEDICAL WELLNESS PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-07-26",
"last_updated": "2018-11-12",
"status": "A",
"authorized_official_last_name": "BAJAJ",
"authorized_official_first_name": "VARUN",
"authorized_official_title_or_position": "BILLER",
"authorized_official_telephone_number": "718-554-1042"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "General Practice",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Freeport, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.