Organization Active NPI

Excel Medical Healthcare, PLLC

  • Nephrology Physician
  • East Meadow, NY
National Provider Identifier
1720359094
Registry record updated Jan 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
207936 Issued in NY
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

Updated by the provider on Jan 19, 2012

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)CodeLicenseStatePrimary
Nephrology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.