NPIMap

Organization Active NPI

Phillip Fyman and Alexander Weingarten MD PC

Doing business as Accutox Medical Diagnostic

  • Clinical Medical Laboratory
  • Syosset, NY
National Provider Identifier
1457841967
Registry record updated Aug 3, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
PHILLIP FYMAN AND ALEXANDER WEINGARTEN MD PC
Doing business as
Accutox Medical Diagnostic
Practice address
121 Eileen Way
Syosset, NY 11791
Phone
(516) 496-4964
NPI assigned
May 10, 2018
Last updated
Aug 3, 2018By the provider in NPPES
Organization subpart
Yes
Parent organization
PHILLIP FYMAN AND ALEXANDER WEINGARTEN MD PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 3, 2018

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

Authorized official

Name
Phillip N FymanNPI 1528050051
Title
President
Phone
(516) 496-4964

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X NU Primary

Addresses

Primary practice location

121 Eileen Way
Syosset, NY 11791

Mailing address

121 Eileen Way
Syosset, NY 11791-5302
Phone (516) 496-4964

Other names 1

  • Accutox Medical Diagnostic Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
33D2074146Long Island Medical PC121 Eileen Way, Syosset, NY 11791ComplianceMar 26, 2027

National Provider Directory

National Provider Directory
Part of
Phillip Fyman Alexand

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

125 S Service Rd
Jericho, NY 11753
Phone (516) 334-4646

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 17

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1525910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1533254400000",
    "number": "1457841967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 EILEEN WAY",
            "city": "SYOSSET",
            "state": "NY",
            "postal_code": "117915302",
            "telephone_number": "516-496-4964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 EILEEN WAY",
            "city": "SYOSSET",
            "state": "NY",
            "postal_code": "11791",
            "telephone_number": "516-496-4964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHILLIP FYMAN AND ALEXANDER WEINGARTEN MD PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PHILLIP FYMAN AND ALEXANDER WEINGARTEN MD PC",
        "enumeration_date": "2018-05-10",
        "last_updated": "2018-08-03",
        "status": "A",
        "authorized_official_last_name": "FYMAN",
        "authorized_official_first_name": "PHILLIP",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "516-496-4964"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Accutox Medical Diagnostic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Syosset, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.