Organization Active NPI

Holistic Medical Wellness, PLLC

  • Emergency Medicine Physician
  • Port Jefferson Station, NY
National Provider Identifier
1447790274
Registry record updated Feb 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
230135 Issued in NY
Legal business name
HOLISTIC MEDICAL WELLNESS, PLLC
Practice address
11 Medical Dr
Port Jefferson Station, NY 11776-1589
Phone
(646) 239-1656
Fax
(631) 849-5824
NPI assigned
Feb 27, 2017
Organization subpart
Yes
Parent organization
DH MANAGEMENT GROUP LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 27, 2017

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

Authorized official

Name
Hillel Trope, DO
Title
President/Ceo
Phone
(646) 239-1656

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207P00000X 230135 NY Primary

Addresses

Primary practice location

11 Medical Dr
Port Jefferson Station, NY 11776-1589

Mailing address

PO Box 656
Deer Park, NY 11729-0666
Phone (646) 239-1656

National Provider Directory

National Provider Directory
Part of
Holistic Medical Wellness PLLC

NPI Registry JSON

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

{
    "created_epoch": "1488153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488153600000",
    "number": "1447790274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 656",
            "city": "DEER PARK",
            "state": "NY",
            "postal_code": "117290666",
            "telephone_number": "646-239-1656",
            "fax_number": "631-849-5824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 MEDICAL DR",
            "city": "PORT JEFFERSON STATION",
            "state": "NY",
            "postal_code": "117761589",
            "telephone_number": "646-239-1656",
            "fax_number": "631-849-5824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLISTIC MEDICAL WELLNESS, PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DH MANAGEMENT GROUP LLC",
        "enumeration_date": "2017-02-27",
        "last_updated": "2017-02-27",
        "status": "A",
        "authorized_official_last_name": "TROPE",
        "authorized_official_first_name": "HILLEL",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "646-239-1656",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Emergency Medicine",
            "state": "NY",
            "license": "230135",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Jefferson Station, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2017; 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.