Long Island Pulmonary Rehabilitation PC

Primary specialty

Pulmonary Disease PhysicianTaxonomy code 207RP1001X

Legal business name

LONG ISLAND PULMONARY REHABILITATION PC

Practice address

326 W Neck Rd
Huntington, NY 11743-1725

Phone

(516) 732-4606

NPI assigned

Sep 26, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Anthony Theodoris, MDNPI 1578675971

Title

Owner

Phone

(516) 732-4606

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Anthony C Theodoris, M.D.

  • Pulmonary Disease Physician
  • Port Jefferson Station, NY
  • NPI 1578675971
  Medicare reassignment Care Compare group NPD Authorized official
• Norman Cruz, NP

  • Nurse Practitioner
  • Stony Brook, NY
  • NPI 1124071824
  Medicare reassignment Care Compare group NPD
• Kaitlin Anne Monteith, PA-C

  • Physician Assistant
  • Roslyn, NY
  • NPI 1629611322
  Medicare reassignment Care Compare group NPD
• Bryan Pardee, PA-C

  • Physician Assistant
  • East Meadow, NY
  • NPI 1265070593
  Medicare reassignment NPD
• Kaitlin Athena Kalogeras, PA-C

  • Physician Assistant
  • Mineola, NY
  • NPI 1609219898
  Medicare reassignment
• Daniel Owens, PA

  • Medical Physician Assistant
  • Bronx, NY
  • NPI 1811230444
  Medicare reassignment
• Michael Scott Weber, RPA-C

  • Medical Physician Assistant
  • Stony Brook, NY
  • NPI 1073695185
  Medicare reassignment
• Edward Thomas Weick, RPAC

  • Physician Assistant
  • Mineola, NY
  • NPI 1114193976
  Medicare reassignment
• Alyssa Murphy, NP

  • Adult Health Nurse Practitioner
  • Port Jefferson Station, NY
  • NPI 1790404937
  NPD

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

{
    "created_epoch": "1506384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1506384000000",
    "number": "1699284281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "326 W NECK RD",
            "city": "HUNTINGTON",
            "state": "NY",
            "postal_code": "117431725",
            "telephone_number": "516-732-4606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "326 W NECK RD",
            "city": "HUNTINGTON",
            "state": "NY",
            "postal_code": "117431725",
            "telephone_number": "516-732-4606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONG ISLAND PULMONARY REHABILITATION PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-26",
        "last_updated": "2017-09-26",
        "status": "A",
        "authorized_official_last_name": "THEODORIS",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "516-732-4606",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Pulmonary Disease Physician in Huntington, NY
• Providers in Huntington, NY by specialty
• Pulmonary Disease Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.