Medwiz Specialty, LLC

Primary specialty

Specialty PharmacyTaxonomy code 3336S0011X

Legal business name

MEDWIZ SPECIALTY, LLC

Practice address

167 Route 304
Suite 201
Bardonia, NY 10954-2050

Phone

(845) 624-5200

Fax

(845) 624-5300

NPI assigned

Feb 16, 2009

Last updated

Mar 19, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Eric E. Newhouse

Title

Ceo

Phone

(845) 624-5200

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1234742400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268956800000",
    "number": "1700025665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "167 ROUTE 304",
            "address_2": "SUITE 201",
            "city": "BARDONIA",
            "state": "NY",
            "postal_code": "109542050",
            "telephone_number": "845-624-5200",
            "fax_number": "845-624-5300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "167 ROUTE 304",
            "address_2": "SUITE 201",
            "city": "BARDONIA",
            "state": "NY",
            "postal_code": "109542050",
            "telephone_number": "845-624-5200",
            "fax_number": "845-624-5300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDWIZ SPECIALTY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-16",
        "last_updated": "2010-03-19",
        "status": "A",
        "authorized_official_last_name": "NEWHOUSE",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "845-624-5200",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336H0001X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Home Infusion Therapy Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Elaine Marinace, OTR/L
• Karen McMahon
• Medwiz Solutions LLC
• Medwiz Solutions LLC
• Medwiz Solutions, LLC
• Brendt Mendelblatt
• Julie Needelman, RN, BSN
• New Hope Behavioral Health, NP in Psychiatry PLLC
• Nisha Lakhani MD PC
• Jennifer Olarsch, MSPT

• Specialty Pharmacy in Bardonia, NY
• Providers in Bardonia, NY by specialty
• Specialty Pharmacy in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2010; 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.