Organization Active NPI

Total Wellness & Medical Health PC

  • Physical Medicine & Rehabilitation Physician
  • Hempstead, NY
National Provider Identifier
1740341460
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
228173 Issued in NY
Legal business name
TOTAL WELLNESS & MEDICAL HEALTH PC
Practice address
717 Front St
Hempstead, NY 11550-4534
Phone
(516) 565-4370
Fax
(516) 565-2644
NPI assigned
Dec 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Authorized official

Name
Dr. David G Khanan, MDNPI 1902813728
Title
President
Phone
(516) 565-4370

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208100000X 228173 NY Primary

Addresses

Primary practice location

717 Front St
Hempstead, NY 11550-4534

Mailing address

717 Front St
Hempstead, NY 11550-4534
Phone (516) 565-4370

Other identifiers 1

IdentifierTypeStateIssuer
228173OtherNYPRIMARY STATE LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090409000674 NY Part B Supplier - Clinic/Group Practice 7012019466 Receives reassigned benefits from 1 practitioner
Practice locations: Hempstead, NY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1740341460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "717 FRONT ST",
            "city": "HEMPSTEAD",
            "state": "NY",
            "postal_code": "115504534",
            "telephone_number": "516-565-4370",
            "fax_number": "516-565-2644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "717 FRONT ST",
            "city": "HEMPSTEAD",
            "state": "NY",
            "postal_code": "115504534",
            "telephone_number": "516-565-4370",
            "fax_number": "516-565-2644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOTAL WELLNESS & MEDICAL HEALTH PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-13",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "KHANAN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "516-565-4370",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NY",
            "license": "228173",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRIMARY STATE LICENSE",
            "identifier": "228173",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hempstead, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.