Organization Active NPI

Laperla Medical Wellness

  • Clinic/Center
  • Oceanside, NY
National Provider Identifier
1679137012
Registry record updated Apr 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
LAPERLA MEDICAL WELLNESS
Practice address
2609 Windsor Ave
Oceanside, NY 11572-1144
Phone
(718) 554-1042
Fax
(631) 978-7622
NPI assigned
Apr 30, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2019

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

Authorized official

Name
Varun Bajaj
Title
Admin
Phone
(718) 554-1042

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

2609 Windsor Ave
Oceanside, NY 11572-1144

Mailing address

2609 Windsor Ave
Oceanside, NY 11572-1144
Phone (718) 554-1042

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1556582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1556582400000",
    "number": "1679137012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2609 WINDSOR AVE",
            "city": "OCEANSIDE",
            "state": "NY",
            "postal_code": "115721144",
            "telephone_number": "718-554-1042",
            "fax_number": "631-978-7622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2609 WINDSOR AVE",
            "city": "OCEANSIDE",
            "state": "NY",
            "postal_code": "115721144",
            "telephone_number": "718-554-1042",
            "fax_number": "631-978-7622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAPERLA MEDICAL WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-30",
        "last_updated": "2019-04-30",
        "status": "A",
        "authorized_official_last_name": "BAJAJ",
        "authorized_official_first_name": "VARUN",
        "authorized_official_title_or_position": "ADMIN",
        "authorized_official_telephone_number": "718-554-1042"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oceanside, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2019; 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.