MGF Wellness Visits LLC

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

Legal business name

MGF WELLNESS VISITS LLC

Practice address

1618 Park St
Atlantic Beach, NY 11509-1520

Phone

(516) 451-9355

NPI assigned

Dec 11, 2015

Last updated

Dec 11, 2015By 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

Melanie Gay Forman, NPNPI 1578815015

Title

Adult Nurse Practitioner

Phone

(516) 451-9355

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Melanie Gay Forman, ANP

  • Adult Health Nurse Practitioner
  • Cedarhurst, NY
  • NPI 1578815015
  NPD (past) Authorized official

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

{
    "created_epoch": "1449792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449792000000",
    "number": "1720453046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1618 PARK ST",
            "city": "ATLANTIC BEACH",
            "state": "NY",
            "postal_code": "115091520",
            "telephone_number": "516-451-9355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1618 PARK ST",
            "city": "ATLANTIC BEACH",
            "state": "NY",
            "postal_code": "115091520",
            "telephone_number": "516-451-9355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MGF WELLNESS VISITS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-11",
        "last_updated": "2015-12-11",
        "status": "A",
        "authorized_official_last_name": "FORMAN",
        "authorized_official_first_name": "MELANIE",
        "authorized_official_middle_name": "GAY",
        "authorized_official_title_or_position": "ADULT NURSE PRACTITIONER",
        "authorized_official_telephone_number": "516-451-9355",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Adult Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Baruch Kassover, MD
• Chantal Katz, RN, IBCLC
• Sachin Kirtane, PHYSICIAN ASSISTANT
• Heidi B Lobelson, M.S. CCC-SLP
• Flora Lynch
• Michael J. Miller Otrpc
• Michael Joseph Miller, OTR
• Mweb Medical PLLC
• Nathan Begelman, MD, PC
• Nina Perchenok

• Adult Health Nurse Practitioner in Atlantic Beach, NY
• Providers in Atlantic Beach, NY by specialty
• Adult Health Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2015; 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.