Empirical Medical and Wellness Center LLC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

EMPIRICAL MEDICAL AND WELLNESS CENTER LLC

Practice address

283 Commack Rd Ste 207
Commack, NY 11725-3400

Phone

(631) 343-7144

Fax

(631) 670-7035

NPI assigned

Mar 22, 2022

Organization subpart

No

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

Authorized official

Name

Sekuleo Gathers, MD

Title

President

Phone

(631) 343-7144

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1647907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647907200000",
    "number": "1487303913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "283 COMMACK RD STE 207",
            "city": "COMMACK",
            "state": "NY",
            "postal_code": "117253400",
            "telephone_number": "631-343-7144",
            "fax_number": "631-670-7035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "283 COMMACK RD STE 207",
            "city": "COMMACK",
            "state": "NY",
            "postal_code": "117253400",
            "telephone_number": "631-343-7144",
            "fax_number": "631-670-7035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMPIRICAL MEDICAL AND WELLNESS CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-22",
        "last_updated": "2022-03-22",
        "certification_date": "2022-03-22",
        "status": "A",
        "authorized_official_last_name": "GATHERS",
        "authorized_official_first_name": "SEKULEO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "631-343-7144",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Physician in Commack, NY
• Providers in Commack, NY by specialty
• General Practice Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2022; 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.