Neil B Paulvin Doctor of Osteopathic Medicine

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

272192 Issued in NY

Legal business name

NEIL B PAULVIN DOCTOR OF OSTEOPATHIC MEDICINE

Practice address

400 W Main St Ste 120
Babylon, NY 11702-3009

Phone

(646) 828-7844

Fax

(646) 930-2027

NPI assigned

May 16, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Neil Paulvin, DO

Title

Owner

Phone

(732) 407-9834

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1526428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1526428800000",
    "number": "1679063572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "245 E 40TH ST APT 26C",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100161718",
            "telephone_number": "732-407-9834",
            "fax_number": "646-930-2027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 W MAIN ST STE 120",
            "city": "BABYLON",
            "state": "NY",
            "postal_code": "117023009",
            "telephone_number": "646-828-7844",
            "fax_number": "646-930-2027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEIL B PAULVIN DOCTOR OF OSTEOPATHIC MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-16",
        "last_updated": "2018-05-16",
        "status": "A",
        "authorized_official_last_name": "PAULVIN",
        "authorized_official_first_name": "NEIL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-407-9834",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "272192",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2018; 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.