Wajdy Louis Hailoo, M.D.

Primary specialty

Preventive Medicine/Occupational Environmental Medicine PhysicianTaxonomy code 2083P0500X

License

169252 Issued in NY

Practice address

210 Ronkonkoma Ave
Ronkonkoma, NY 11779-3346

Phone

(631) 780-6611

Fax

(631) 780-6624

NPI assigned

Jul 18, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1307923200000",
    "number": "1548288590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 RONKONKOMA AVE",
            "city": "RONKONKOMA",
            "state": "NY",
            "postal_code": "117793346",
            "telephone_number": "631-780-6611",
            "fax_number": "631-780-6624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 RONKONKOMA AVE",
            "city": "RONKONKOMA",
            "state": "NY",
            "postal_code": "117793346",
            "telephone_number": "631-780-6611",
            "fax_number": "631-780-6624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAILOO",
        "first_name": "WAJDY",
        "middle_name": "LOUIS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-18",
        "last_updated": "2011-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083P0500X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine",
            "state": "NY",
            "license": "169252",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE BC.BS",
            "identifier": "30F28",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01144430",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jessica Theresa Gulino
• Jenna Rose Gustafson
• Jennifer Gutkes
• Marjorie Guzewicz, MS.ED.
• Dulan Hailoo, M.D.
• Ahmad F Halimi, PA
• Samantha Hall
• Allison Jayne Hammond, MSED
• Deborah Ann Hampson
• Amanda Handel

• Preventive Medicine/Occupational Environmental Medicine Physician in Ronkonkoma, NY
• Providers in Ronkonkoma, NY by specialty
• Preventive Medicine/Occupational Environmental Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2011; 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.