Individual provider Active NPI

Julia Yvonne Oweis, M.D.

  • Internal Medicine Physician
  • Oyster Bay, NY
National Provider Identifier
1487699260
Registry record updated Apr 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
211304 Issued in NY
Practice address
22 Creek LN
Oyster Bay, NY 11771-1100
Phone
(516) 778-0022
Fax
(516) 226-1871
NPI assigned
Jun 17, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 8, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 211304 NY Primary

Addresses

Primary practice location

22 Creek LN
Oyster Bay, NY 11771-1100

Mailing address

PO Box 97
Bayville, NY 11709-0097
Phone (516) 778-0022

Other identifiers 1

IdentifierTypeStateIssuer
01909044MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050107000745 NY Practitioner - Internal Medicine 1052369824 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
R.S. Naghavi, M.D. PLLCGroup PAC ID 1658461751, 3 clinicians

Practice addresses (Care Compare)

178 Sunrise Hwy
Rockville Centre, NY 11570-4704
Phone (516) 536-5765

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
211304NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
R.S. Naghavi, M.D. PLLC Internal Medicine CurrentSince Sep 1, 2025 Accepting new patients
Vantage Medical Associates PC CurrentSince Nov 1, 2020 Accepting new patients
Park Avenue Medical Associates, P.C. PastSince Dec 4, 1999 Accepting new patients

Locations

1612 Central Ave
Ste 201
Far Rockaway, NY 11691
Phone (516) 792-1600

178 Sunrise Hwy
Rockville Ctr, NY 11570
Phone (516) 536-5765

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1150502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617840000000",
    "number": "1487699260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 97",
            "city": "BAYVILLE",
            "state": "NY",
            "postal_code": "117090097",
            "telephone_number": "516-778-0022",
            "fax_number": "516-226-1871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 CREEK LN",
            "city": "OYSTER BAY",
            "state": "NY",
            "postal_code": "117711100",
            "telephone_number": "516-778-0022",
            "fax_number": "516-226-1871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OWEIS",
        "first_name": "JULIA",
        "middle_name": "YVONNE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-17",
        "last_updated": "2021-04-08",
        "certification_date": "2021-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "211304",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01909044",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oyster Bay, NY

Sources for this page

Verify at the official NPI Registry.