William C. Padula MD PC

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

Legal business name

WILLIAM C. PADULA MD PC

Practice address

5240 Merrick Rd
Suite #2
Massapequa, NY 11758-6207

Phone

(516) 798-2200

Fax

(516) 798-3242

NPI assigned

Jul 31, 2009

Organization subpart

No

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

Authorized official

Name

Dr. William Cosmo Padula, MEDICAL DOCTOR

Title

M.D. President

Phone

(631) 789-2020

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1248998400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1558592147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5240 MERRICK RD",
            "address_2": "SUITE #2",
            "city": "MASSAPEQUA",
            "state": "NY",
            "postal_code": "117586207",
            "telephone_number": "516-798-2200",
            "fax_number": "516-798-3242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5240 MERRICK RD",
            "address_2": "SUITE #2",
            "city": "MASSAPEQUA",
            "state": "NY",
            "postal_code": "117586207",
            "telephone_number": "516-798-2200",
            "fax_number": "516-798-3242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM C. PADULA MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-31",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "PADULA",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "COSMO",
        "authorized_official_title_or_position": "M.D. PRESIDENT",
        "authorized_official_telephone_number": "631-789-2020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MEDICAL DOCTOR"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00429263",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1205949518",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jessica Whalen, OTR/L
• Suzette Andrea Whyte
• Wiebke Chiropractic Care, P.C.
• William Wiebke, D.C.
• Erica Noelle Wilkinson, LMHC
• William J. Schwarz, P.T. of Commack LLC
• William J. Schwarz, P.T., P.C.
• Antoinette Williams, LMSW
• Brooke Williams, LMHC
• Carolyn Ann Williams, RPH

• Medical Specialty Clinic/Center in Massapequa, NY
• Providers in Massapequa, NY by specialty
• Medical Specialty Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.