Active NPI
Excel Medical Healthcare, PLLC
- Nephrology Physician
- East Meadow, NY
National Provider Identifier
1720359094
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- 207936
- Legal business name
- EXCEL MEDICAL HEALTHCARE, PLLC
- Practice address
- 2120 Hempstead Tpke
2ND Floor
East Meadow, NY 11554-1849 - Phone
- (718) 496-7791
- Fax
- (516) 665-8079
- NPI assigned
- Jan 19, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Latonia Maria Ward, MD
- Title
- Medical Director
- Phone
- (718) 496-7791
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | 207936 | NY | Primary |
Addresses
Primary practice location
2120 Hempstead Tpke
2ND Floor
East Meadow, NY 11554-1849
Mailing address
PO Box 603
Baldwin, NY 11510-0570
Phone (718) 496-7791
National Provider Directory
National Provider DirectoryLocations
2120 Hempstead Tpke
Fl 2
East Meadow, NY 11554
Phone (516) 780-4202
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1326931200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1326931200000",
"number": "1720359094",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 603",
"city": "BALDWIN",
"state": "NY",
"postal_code": "115100570",
"telephone_number": "718-496-7791",
"fax_number": "516-665-8079"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2120 HEMPSTEAD TPKE",
"address_2": "2ND FLOOR",
"city": "EAST MEADOW",
"state": "NY",
"postal_code": "115541849",
"telephone_number": "718-496-7791",
"fax_number": "516-665-8079"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EXCEL MEDICAL HEALTHCARE, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2012-01-19",
"last_updated": "2012-01-19",
"status": "A",
"authorized_official_last_name": "WARD",
"authorized_official_first_name": "LATONIA",
"authorized_official_middle_name": "MARIA",
"authorized_official_title_or_position": "MEDICAL DIRECTOR",
"authorized_official_telephone_number": "718-496-7791",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Nephrology",
"state": "NY",
"license": "207936",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in East Meadow, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 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.