Wellwood Medical Assoc PC

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

2116081 Issued in NY

Legal business name

WELLWOOD MEDICAL ASSOC PC

Practice address

910 Route 109
Lindenhurst, NY 11757-1158

Phone

(631) 957-5551

NPI assigned

Jun 1, 2009

Organization subpart

No

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

Authorized official

Name

Marian Kamath, M.D.

Title

President

Phone

(631) 957-5551

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1243814400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1243814400000",
    "number": "1821224221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "910 ROUTE 109",
            "city": "LINDENHURST",
            "state": "NY",
            "postal_code": "117571158",
            "telephone_number": "631-957-5551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 ROUTE 109",
            "city": "LINDENHURST",
            "state": "NY",
            "postal_code": "117571158",
            "telephone_number": "631-957-5551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLWOOD MEDICAL ASSOC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-01",
        "last_updated": "2009-06-01",
        "status": "A",
        "authorized_official_last_name": "KAMATH",
        "authorized_official_first_name": "MARIAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "631-957-5551",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NY",
            "license": "2116081",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "1199",
            "identifier": "110267437",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Priscilla Washington, LMT
• Marvin S Watsky, DO
• Claire Marie Weinberg, LCSW
• Marshall Weinstein
• Jacqueline Weinzierl
• Norajean Weppler
• Shannon Marie White
• Barbara Whitney, PA-C
• Christina Emely Wiese, LMSW
• Joanna Wilkens, MS

• Gastroenterology Physician in Lindenhurst, NY
• Providers in Lindenhurst, NY by specialty
• Gastroenterology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2009; 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.