Individual provider Active NPI

Barry Wein, D.O.

  • Internal Medicine Physician
  • Ronkonkoma, NY
National Provider Identifier
1366477507
Registry record updated Apr 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
188150 Issued in NY
Practice address
4155 Veterans Memorial Hwy Ste 5
Ronkonkoma, NY 11779-6063
Phone
(631) 412-4800
NPI assigned
Jul 12, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 188150 NY Primary

Addresses

Primary practice location

4155 Veterans Memorial Hwy Ste 5
Ronkonkoma, NY 11779-6063

Mailing address

PO Box 157
Bohemia, NY 11716-0157
Phone (516) 234-0018

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
188150NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bohemia Medical, PC Current Accepting new patients

Locations

4155 Veterans Memorial Hwy
Ste 5
Ronkonkoma, NY 11779
Phone (516) 205-6627

2805 Veterans Memorial Hwy
Ste 8
Ronkonkoma, NY 11779
Phone (631) 738-8300

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682553600000",
    "number": "1366477507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 157",
            "city": "BOHEMIA",
            "state": "NY",
            "postal_code": "117160157",
            "telephone_number": "516-234-0018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4155 VETERANS MEMORIAL HWY STE 5",
            "city": "RONKONKOMA",
            "state": "NY",
            "postal_code": "117796063",
            "telephone_number": "631-412-4800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEIN",
        "first_name": "BARRY",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-12",
        "last_updated": "2023-04-27",
        "certification_date": "2023-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "188150",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ronkonkoma, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2023; 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.