NPIMap

Organization Active NPI

Whole Healthy Family

  • Internal Medicine Physician
  • Bellmore, NY
National Provider Identifier
1336499144
Registry record updated Sep 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
012786 Issued in NY
Legal business name
WHOLE HEALTHY FAMILY
Practice address
2874 Merrick Rd
Bellmore, NY 11710-5726
Phone
(516) 221-1212
Fax
(516) 221-1292
NPI assigned
Sep 19, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2012

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

Authorized official

Name
Dana Lyn Walters
Title
President
Phone
(516) 221-1212

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X 012786 NY Primary

Addresses

Primary practice location

2874 Merrick Rd
Bellmore, NY 11710-5726

Mailing address

2874 Merrick Rd
Bellmore, NY 11710-5726
Phone (516) 221-1212

National Provider Directory

National Provider Directory
Tax ID family
Whole Healthy Family2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1348012800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1348012800000",
    "number": "1336499144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2874 MERRICK RD",
            "city": "BELLMORE",
            "state": "NY",
            "postal_code": "117105726",
            "telephone_number": "516-221-1212",
            "fax_number": "516-221-1292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2874 MERRICK RD",
            "city": "BELLMORE",
            "state": "NY",
            "postal_code": "117105726",
            "telephone_number": "516-221-1212",
            "fax_number": "516-221-1292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHOLE HEALTHY FAMILY",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-19",
        "last_updated": "2012-09-19",
        "status": "A",
        "authorized_official_last_name": "WALTERS",
        "authorized_official_first_name": "DANA",
        "authorized_official_middle_name": "LYN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "516-221-1212"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "012786",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellmore, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2012; 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.