Active NPI
Wendy Ann Geehreng, NP
- Nurse Practitioner
- East Moriches, NY
National Provider Identifier
1598909079
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 381411
- Practice address
- 492 Montauk Highway
East Moriches, NY 11940 - Phone
- (631) 638-2900
- Fax
- (631) 878-8083
- NPI assigned
- Apr 28, 2009
- Last updated
- May 7, 2015
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 381411 | NY | Primary |
Addresses
Primary practice location
492 Montauk Highway
East Moriches, NY 11940
Mailing address
PO Box 1559
Stony Brook, NY 11790-0989
Phone (631) 638-2900
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02421676 | Medicaid | NY |
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
- Nurse Practitioner
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1240876800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1430956800000",
"number": "1598909079",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1559",
"city": "STONY BROOK",
"state": "NY",
"postal_code": "117900989",
"telephone_number": "631-638-2900",
"fax_number": "631-878-8083"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "492 MONTAUK HIGHWAY",
"city": "EAST MORICHES",
"state": "NY",
"postal_code": "11940",
"telephone_number": "631-638-2900",
"fax_number": "631-878-8083"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GEEHRENG",
"first_name": "WENDY",
"middle_name": "ANN",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-04-28",
"last_updated": "2015-05-07",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NY",
"license": "381411",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02421676",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in East Moriches, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.