Comprehensive Medical Health Wellness, PC

Primary specialty

Rehabilitation Clinic/CenterTaxonomy code 261QR0400X

License

228173 Issued in NY

Legal business name

COMPREHENSIVE MEDICAL HEALTH WELLNESS, PC

Practice address

3 Dosoris LN
Glen Cove, NY 11542-1539

Phone

(516) 609-9400

NPI assigned

Jun 23, 2010

Last updated

Jun 23, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. David G Khanan, MDNPI 1902813728

Title

Owner

Phone

(516) 609-9400

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 3

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.

• David Khanan, MD

  • Physical Medicine & Rehabilitation Physician
  • Hempstead, NY
  • NPI 1902813728
  Medicare reassignment NPD Authorized official
• Vincent Joseph Mazzilli, D.C.

  • Chiropractor
  • Glen Cove, NY
  • NPI 1144628199
  NPD (past)
• Jerald Aguila Mendoza, PT

  • Physical Therapist
  • Hempstead, NY
  • NPI 1992142558
  NPD (past)

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

{
    "created_epoch": "1277251200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277251200000",
    "number": "1588975668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 DOSORIS LN",
            "city": "GLEN COVE",
            "state": "NY",
            "postal_code": "115421539",
            "telephone_number": "516-609-9400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 DOSORIS LN",
            "city": "GLEN COVE",
            "state": "NY",
            "postal_code": "115421539",
            "telephone_number": "516-609-9400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPREHENSIVE MEDICAL HEALTH WELLNESS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-23",
        "last_updated": "2010-06-23",
        "status": "A",
        "authorized_official_last_name": "KHANAN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "516-609-9400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "NY",
            "license": "228173",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sydney Cohen
• Susanna Colella
• John Colletta, MD
• Jane Collins, LCSW
• Comprehensive Application Solutions, Inc. (Cove Speech Language and Feeding Therapy)
• Thomas Joseph Conde
• Connected Speech Feeding Therapeutics, PLLC
• Kelley Ann Considine, D.O.
• Diane R Conti, LCSW
• Christina Copozzi

• Rehabilitation Clinic/Center in Glen Cove, NY
• Providers in Glen Cove, NY by specialty
• Rehabilitation Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.