E & B NP Associates in Wellness; Corp

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

E & B NP ASSOCIATES IN WELLNESS; CORP

Practice address

53 E Merrick Rd
Suite 134
Freeport, NY 11520-4056

Phone

(516) 983-5754

NPI assigned

Jun 3, 2014

Organization subpart

No

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

Authorized official

Name

Ebenezer Thangavelu, NP

Title

Owner

Phone

(516) 983-5754

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1401753600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1401753600000",
    "number": "1366855884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "53 E MERRICK RD",
            "address_2": "SUITE 134",
            "city": "FREEPORT",
            "state": "NY",
            "postal_code": "115204056",
            "telephone_number": "516-983-5754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "53 E MERRICK RD",
            "address_2": "SUITE 134",
            "city": "FREEPORT",
            "state": "NY",
            "postal_code": "115204056",
            "telephone_number": "516-983-5754"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "E & B NP ASSOCIATES IN WELLNESS; CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-03",
        "last_updated": "2014-06-03",
        "status": "A",
        "authorized_official_last_name": "THANGAVELU",
        "authorized_official_first_name": "EBENEZER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "516-983-5754",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Providers in Freeport, NY by specialty
• Family Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2014; 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.