Individual provider Active NPI

Omar Wain, D.O.

  • Surgery Physician
  • Rockville Centre, NY
National Provider Identifier
1548548225
Registry record updated Feb 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
287144 Issued in NY
Practice address
2000 N Village Ave Ste 211
Rockville Centre, NY 11570
Phone
(516) 900-7922
Fax
(718) 425-8911
NPI assigned
Jul 28, 2011
Last updated
Feb 20, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 20, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 287144 NY Primary

Addresses

Primary practice location

2000 N Village Ave Ste 211
Rockville Centre, NY 11570

Mailing address

PO Box 621
Woodmere, NY 11598-0621
Phone (516) 900-7922

Other practice location 1

2965 Long Beach Rd Ste 200
Oceanside, NY 11572
Phone (516) 900-7922

Other practice location 2

2965 Long Beach Rd Ste 200
Oceanside, NY 11572
Phone (516) 900-7922

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, DE2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20180918001541 NY Practitioner - General Surgery 4880945682 Reassigns benefits to 3 organizations
I20190423001023 DE Practitioner - General Surgery 4880945682 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Long Island Surgical PLLCGroup PAC ID 8628305786, 9 clinicians
Acute Care Medical Services PLLCGroup PAC ID 8820477250, 8 clinicians

Practice addresses (Care Compare)

2000 N Village Ave
Rockville Centre, NY 11570-1001
Phone (516) 900-7922

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)11
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Melanoma (skin cancer) excision15
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Bayhealth Medical Center, Inc. Current Accepting new patients
Kingsbrook Medical Associates, PC CurrentSince Aug 1, 2018 Accepting new patients
Acute Care Medical Services PLLC Surgery CurrentSince Jul 1, 2022 Accepting new patients
Bayhealth Medical Center, Inc. CurrentSince Mar 2, 2019 Accepting new patients
Long Island Surgical PLLC Surgery CurrentSince Jun 17, 2019 Accepting new patients
Bayhealth Medical Center, Inc CurrentSince Mar 2, 2019 Accepting new patients
Kingsbrook Medical Associates PC CurrentSince Aug 1, 2018 Accepting new patients
Mercy Medical Center Past Accepting new patients

Locations

640 S State St
Dover, DE 19901
Phone (302) 744-4700

1110 Eastern Pkwy
Pier Toussaint
Brooklyn, NY 11213
Phone (718) 735-1900

585 Schenectady Ave
Brooklyn, NY 11203
Phone (718) 604-0461

1 Healthy Way
Oceanside, NY 11572
Phone (516) 255-1581

1000 N Village Ave
Rockville Ctr, NY 11570
Phone (516) 705-1012

2000 N Village Ave
Ste 211
Rockville Ctr, NY 11570
Phone (516) 764-1303

Organizations & group practices 8

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

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1311811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708387200000",
    "number": "1548548225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 621",
            "city": "WOODMERE",
            "state": "NY",
            "postal_code": "115980621",
            "telephone_number": "516-900-7922",
            "fax_number": "718-425-8911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 N VILLAGE AVE STE 211",
            "city": "ROCKVILLE CENTRE",
            "state": "NY",
            "postal_code": "11570",
            "telephone_number": "516-900-7922",
            "fax_number": "718-425-8911"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2965 Long Beach Rd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Oceanside",
            "state": "NY",
            "postal_code": "11572",
            "country_code": "US",
            "telephone_number": "516-900-7922",
            "fax_number": "718-425-8911",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2965 Long Beach Rd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Oceanside",
            "state": "NY",
            "postal_code": "11572",
            "country_code": "US",
            "telephone_number": "516-900-7922",
            "fax_number": "718-425-8911",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WAIN",
        "first_name": "OMAR",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-07-28",
        "last_updated": "2024-02-20",
        "certification_date": "2024-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NY",
            "license": "287144",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockville Centre, NY

Sources for this page

Verify at the official NPI Registry.