NPIMap

Organization Active NPI

Jeffrey Wheeler DO PC

  • Emergency Medicine Physician
  • Amityville, NY
National Provider Identifier
1497260442
Registry record updated Dec 12, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
213785-1 Issued in NY
Legal business name
JEFFREY WHEELER DO PC
Practice address
65 Bennett PL
Amityville, NY 11701-3601
Phone
(631) 805-6384
Fax
(631) 849-5824
NPI assigned
Dec 12, 2017
Last updated
Dec 12, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2017

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

Authorized official

Name
Laura Roy
Title
Practice Manager
Phone
(631) 805-6384

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207P00000X 213785-1 NY Primary

Addresses

Primary practice location

65 Bennett PL
Amityville, NY 11701-3601

Mailing address

65 Bennett PL
Amityville, NY 11701-3601
Phone (631) 805-6384

National Provider Directory

National Provider Directory

Locations

4940 Merrick Rd
Massapequa Park, NY 11762
Phone (516) 765-3964

Practitioners & affiliated clinicians

Practitioners 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1513036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1513036800000",
    "number": "1497260442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 BENNETT PL",
            "city": "AMITYVILLE",
            "state": "NY",
            "postal_code": "117013601",
            "telephone_number": "631-805-6384",
            "fax_number": "631-849-5824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 BENNETT PL",
            "city": "AMITYVILLE",
            "state": "NY",
            "postal_code": "117013601",
            "telephone_number": "631-805-6384",
            "fax_number": "631-849-5824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFREY WHEELER DO PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-12",
        "last_updated": "2017-12-12",
        "status": "A",
        "authorized_official_last_name": "ROY",
        "authorized_official_first_name": "LAURA",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "631-805-6384"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Emergency Medicine",
            "state": "NY",
            "license": "213785-1",
            "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 Dec 12, 2017; 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.