Wellcare Medical of North Shore

Primary specialty

Pain Medicine PhysicianTaxonomy code 208VP0000X

Legal business name

WELLCARE MEDICAL OF NORTH SHORE

Practice address

85 S Ocean Ave
Patchogue, NY 11772-3702

Phone

(631) 506-8907

Fax

(631) 506-8909

NPI assigned

Jul 26, 2022

Last updated

Dec 8, 2022By 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

Evan B Shapiro, MDNPI 1164420493

Title

Owner

Phone

(516) 208-7600

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.

• Evan Bruce Shapiro, M.D.

  • Obstetrics & Gynecology Physician
  • New Hyde Park, NY
  • NPI 1164420493
  Authorized official Same address or phone

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

{
    "created_epoch": "1658793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670457600000",
    "number": "1780310466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "85 S OCEAN AVE",
            "city": "PATCHOGUE",
            "state": "NY",
            "postal_code": "117723702",
            "telephone_number": "631-506-8907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "85 S OCEAN AVE",
            "city": "PATCHOGUE",
            "state": "NY",
            "postal_code": "117723702",
            "telephone_number": "631-506-8907",
            "fax_number": "631-506-8909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLCARE MEDICAL OF NORTH SHORE",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-26",
        "last_updated": "2022-12-08",
        "certification_date": "2022-12-08",
        "status": "A",
        "authorized_official_last_name": "SHAPIRO",
        "authorized_official_first_name": "EVAN",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "516-208-7600",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lindsay Wedell
• Richard Michael Weintraub, DDS
• Kelly Welch
• Wellcare Medical of Long Island PLLC (Pure Medical)
• Wellcare Medical of New York PLLC (Medical Pureness)
• David Weltman, M.D.
• Elizabeth Anne Westendorf, PA-C
• Elizabeth Ann Westhoff-Smejc, L.C.S.W.
• Amanda J Weston, PMHNP-BC
• Janet N White, MSN

• Pain Medicine Physician in Patchogue, NY
• Providers in Patchogue, NY by specialty
• Pain Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2022; 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.