Active NPI
Holistic Medical Wellness, PLLC
- Emergency Medicine Physician
- Port Jefferson Station, NY
National Provider Identifier
1447790274
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 230135
- 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 LLC
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 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.