FWC Medical, PC

Primary specialty

Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X

Legal business name

FWC MEDICAL, PC

Practice address

99 Fulton Street
Farmingdale, NY 11735-2518

Phone

(516) 799-5407

NPI assigned

Dec 6, 2012

Organization subpart

No

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

Authorized official

Name

John White

Title

Manager

Phone

(516) 586-6063

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1354752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1354752000000",
    "number": "1609111392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "99 FULTON STREET",
            "city": "FARMINGDALE",
            "state": "NY",
            "postal_code": "117352518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 FULTON STREET",
            "city": "FARMINGDALE",
            "state": "NY",
            "postal_code": "117352518",
            "telephone_number": "516-799-5407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FWC MEDICAL, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-06",
        "last_updated": "2012-12-06",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "516-586-6063"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Justine Frazer
• Keith Frazier
• Frozahn Khwaja DDS PLLC (Pearl Smiles Dentistry)
• Allan Fuchs, OTR
• Fulton Street Medical, PC
• John J Gabrielli, DDS
• Afsheen Gadit, RPH
• Janine Galatro, MSW
• Otis Vangely Garcia Santos
• Danielle Garcia

• Pain Medicine (Physical Medicine & Rehabilitation) Physician in Farmingdale, NY
• Providers in Farmingdale, NY by specialty
• Pain Medicine (Physical Medicine & Rehabilitation) Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2012; 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.