Active NPI
Allan Warren
- Surgery Physician
- Patchogue, NY
National Provider Identifier
1598093916
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 090594
- Practice address
- 33 Medford Ave
Patchogue, NY 11772-1222 - Phone
- (631) 840-5347
- NPI assigned
- Nov 23, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 090594 | NY | Primary |
Addresses
Primary practice location
33 Medford Ave
Patchogue, NY 11772-1222
Mailing address
33 Medford Ave
Patchogue, NY 11772-1222
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 090594 | NY | MD | Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1258934400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1258934400000",
"number": "1598093916",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "33 MEDFORD AVE",
"city": "PATCHOGUE",
"state": "NY",
"postal_code": "117721222"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "33 MEDFORD AVE",
"city": "PATCHOGUE",
"state": "NY",
"postal_code": "117721222",
"telephone_number": "631-840-5347"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WARREN",
"first_name": "ALLAN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-11-23",
"last_updated": "2009-11-23",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "NY",
"license": "090594",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Patchogue, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.