Claudia J Selgrad DO PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

200616 Issued in NY

Legal business name

CLAUDIA J SELGRAD DO PC

Practice address

1555 Sunrise Hwy
Suite #6
Bay Shore, NY 11706-6027

Phone

(631) 968-0588

Fax

(631) 968-2848

NPI assigned

Apr 27, 2012

Last updated

Jun 25, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Claudia J. Selgrad, D.O.NPI 1396717799

Title

D.O./Owner

Phone

(631) 968-0588

Specialties & licenses 1

Addresses

Locations

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.

• Claudia J Selgrad, DO

  • Family Medicine Physician
  • Bay Shore, NY
  • NPI 1396717799
  Authorized official Same address or phone

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

{
    "created_epoch": "1335484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340582400000",
    "number": "1487912374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1555 SUNRISE HWY",
            "address_2": "SUITE #6",
            "city": "BAY SHORE",
            "state": "NY",
            "postal_code": "117066027",
            "telephone_number": "631-968-0588",
            "fax_number": "631-968-2848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1555 SUNRISE HWY",
            "address_2": "SUITE #6",
            "city": "BAY SHORE",
            "state": "NY",
            "postal_code": "117066027",
            "telephone_number": "631-968-0588",
            "fax_number": "631-968-2848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLAUDIA J SELGRAD DO PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-27",
        "last_updated": "2012-06-25",
        "status": "A",
        "authorized_official_last_name": "SELGRAD",
        "authorized_official_first_name": "CLAUDIA",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "D.O./OWNER",
        "authorized_official_telephone_number": "631-968-0588",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "200616",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph Ciufo
• Heather Lynne Clare, MA, ADHD-CCSP
• Heather Amy Clark, MA
• Katelyn Rose Clark
• Rebecca N Clark
• Hilda Mariette Clesidor-Louis
• Candace Coakley-Assefa
• Kyle Cobb
• Melissa Deleana Coefield, LPN
• Maria Coffey, PA

• Family Medicine Physician in Bay Shore, NY
• Providers in Bay Shore, NY by specialty
• Family Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2012; 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.