Active NPI
Long Island Health & Wellness Family Medicine, P.C.
- Family Medicine Physician
- Amityville, NY
National Provider Identifier
1487731279
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 209721
- Legal business name
- LONG ISLAND HEALTH & WELLNESS FAMILY MEDICINE, P.C.
- Practice address
- 197 Broadway
Amityville, NY 11701 - Phone
- (631) 691-1500
- Fax
- (631) 691-1503
- NPI assigned
- Nov 1, 2006
- Last updated
- Aug 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Donato Michael Balsamo, D.O.
- Title
- President
- Phone
- (631) 691-1500
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 209721 | NY | Primary |
Addresses
Primary practice location
197 Broadway
Amityville, NY 11701
Mailing address
282A Higbie Lane
#279
West Islip, NY 11795
Phone (631) 691-1500
National Provider Directory
National Provider DirectoryLocations
282 Higbie Ln
Unit A
West Islip, NY 11795
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Family Medicine Physician
- Amityville, NY
- NPI 1720069826
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162339200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1487731279",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "282A HIGBIE LANE",
"address_2": "#279",
"city": "WEST ISLIP",
"state": "NY",
"postal_code": "11795",
"telephone_number": "631-691-1500",
"fax_number": "631-691-1503"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "197 BROADWAY",
"city": "AMITYVILLE",
"state": "NY",
"postal_code": "11701",
"telephone_number": "631-691-1500",
"fax_number": "631-691-1503"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LONG ISLAND HEALTH & WELLNESS FAMILY MEDICINE, P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-01",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "BALSAMO",
"authorized_official_first_name": "DONATO",
"authorized_official_middle_name": "MICHAEL",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "631-691-1500",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.O."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "NY",
"license": "209721",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Amityville, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.