Wellcare of BX Medical PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

228243 Issued in NY

Legal business name

WELLCARE OF BX MEDICAL PC

Practice address

2336 Grand Concourse
Bronx, NY 10458-6903

Phone

(718) 220-0439

Fax

(718) 933-2914

NPI assigned

Sep 8, 2016

Last updated

Sep 8, 2016By 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

Dr. Svetlana Khandros, D.ONPI 1871578872

Title

Owner

Phone

(718) 220-0439

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 17

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.

• Svetlana Khandros, M.D.,D.O.

  • Family Medicine Physician
  • Brooklyn, NY
  • NPI 1871578872
  Medicare reassignment Care Compare group Authorized official
• Billy Ford, M.D.

  • Anesthesiology Physician
  • Bronx, NY
  • NPI 1871524538
  Medicare reassignment Care Compare group
• Pramod Sanghi, MD

  • Cardiovascular Disease Physician
  • New York, NY
  • NPI 1285845370
  Medicare reassignment Care Compare group
• Elaine R. Williams, D.P.M.

  • Podiatrist
  • Bronx, NY
  • NPI 1710959945
  Medicare reassignment Care Compare group
• Elizabeth Ann Kulesza, M.D.

  • Internal Medicine Physician
  • Montvale, NJ
  • NPI 1043236466

  NY

  Medicare reassignment Care Compare group
• Bukky Abimbola, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Far Rockaway, NY
  • NPI 1659682920
  Medicare reassignment NPD
• Daryl Augustine, D.P.M

  • Foot & Ankle Surgery Podiatrist
  • Bronx, NY
  • NPI 1164879037
  Medicare reassignment NPD
• Charles J. Demarco, M.D.

  • Diagnostic Radiology Physician
  • Rego Park, NY
  • NPI 1285634576
  Medicare reassignment NPD
• Ebony Anna Edouard, FNP

  • Family Nurse Practitioner
  • Bronx, NY
  • NPI 1114482452
  Medicare reassignment NPD
• Leon Abramovich Nitkin, MD

  • Obstetrics & Gynecology Physician
  • Brooklyn, NY
  • NPI 1811017916
  Medicare reassignment NPD
• Robert Solomon, MD

  • Diagnostic Radiology Physician
  • Brooklyn, NY
  • NPI 1720050040
  Medicare reassignment NPD
• Samir Mohamed Hanafy Zaqdan, DPT

  • Physical Therapist
  • Forest Hills, NY
  • NPI 1871117218

  Single Specialty

  Medicare reassignment NPD

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

{
    "created_epoch": "1473292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473292800000",
    "number": "1851848618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2336 GRAND CONCOURSE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104586903",
            "telephone_number": "718-220-0439",
            "fax_number": "718-933-2914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2336 GRAND CONCOURSE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104586903",
            "telephone_number": "718-220-0439",
            "fax_number": "718-933-2914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLCARE OF BX MEDICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-08",
        "last_updated": "2016-09-08",
        "status": "A",
        "authorized_official_last_name": "KHANDROS",
        "authorized_official_first_name": "SVETLANA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-220-0439",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "228243",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brett James Welke, M.D.
• Well Being Medical P.C.
• Well Care Neurology PLLC
• Well-Care RX, LLC
• Well-Care RX, LLC (Well-Care Pharmacy)
• Erin Weller, MSW
• Christopher Philando Wellington
• Lisa G Wellington, PA
• Tameika L Wellington, RN
• Winifred Wellington, LPN

• Family Medicine Physician in Bronx, NY
• Providers in Bronx, NY by specialty
• Family Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.