Active NPI
Nuwave Medical PLLC
- Multi-Specialty Clinic/Center
- Smithtown, NY
National Provider Identifier
1578987285
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Multi-Specialty Clinic/Center
- Legal business name
- NUWAVE MEDICAL PLLC
- Practice address
- 1056 W Jericho Tpke
Smithtown, NY 11787-3212 - Phone
- (718) 200-8574
- Fax
- (718) 322-1322
- NPI assigned
- Feb 17, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Warren M Seigel
- Title
- MD
- Phone
- (718) 200-8574
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Multi-Specialty Clinic/Center | 261QM1300X | Primary |
Addresses
Primary practice location
1056 W Jericho Tpke
Smithtown, NY 11787-3212
Mailing address
1056 W Jericho Tpke
Smithtown, NY 11787-3212
Phone (718) 200-8574
National Provider Directory
National Provider DirectoryLocations
46 Berry HL Rd
Syosset, NY 11791
Phone (516) 921-3566
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/DCBGAA
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1392595200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1392768000000",
"number": "1578987285",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1056 W JERICHO TPKE",
"city": "SMITHTOWN",
"state": "NY",
"postal_code": "117873212",
"telephone_number": "718-200-8574",
"fax_number": "718-322-1322"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1056 W JERICHO TPKE",
"city": "SMITHTOWN",
"state": "NY",
"postal_code": "117873212",
"telephone_number": "718-200-8574",
"fax_number": "718-322-1322"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NUWAVE MEDICAL PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2014-02-17",
"last_updated": "2014-02-19",
"status": "A",
"authorized_official_last_name": "SEIGEL",
"authorized_official_first_name": "WARREN",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "MD",
"authorized_official_telephone_number": "718-200-8574"
},
"taxonomies": [
{
"code": "261QM1300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Multi-Specialty",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Smithtown, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.