Organization Active NPI

Long Island Weight Loss Institute

  • Obesity Medicine (Internal Medicine) Physician
  • Westbury, NY
National Provider Identifier
1891060984
Registry record updated Mar 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obesity Medicine (Internal Medicine) PhysicianTaxonomy code 207RB0002X
Legal business name
LONG ISLAND WEIGHT LOSS INSTITUTE
Practice address
467 Old Country Rd
Westbury, NY 11590-5136
Phone
(516) 333-5555
Fax
(516) 333-5585
NPI assigned
Mar 21, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2012

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

Authorized official

Name
Michael Kaplan, MDNPI 1841298593
Title
Owner
Phone
(516) 333-5555

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
Obesity Medicine (Internal Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RB0002X Primary

Addresses

Primary practice location

467 Old Country Rd
Westbury, NY 11590-5136

Mailing address

PO Box 1451
Smithtown, NY 11787-8538
Phone (516) 333-5555

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130107000157 NY Part B Supplier - Clinic/Group Practice 9739332420 Receives reassigned benefits from 1 practitioner
Practice locations: East Meadow, NY

National Provider Directory

National Provider Directory

Locations

467 Old Country Rd
Westbury, NY 11590
Phone (516) 333-5555

Practitioners & affiliated clinicians

Practitioners 2

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": "1332288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332288000000",
    "number": "1891060984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1451",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "117878538",
            "telephone_number": "516-333-5555",
            "fax_number": "516-333-5585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "467 OLD COUNTRY RD",
            "city": "WESTBURY",
            "state": "NY",
            "postal_code": "115905136",
            "telephone_number": "516-333-5555",
            "fax_number": "516-333-5585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONG ISLAND WEIGHT LOSS INSTITUTE",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-21",
        "last_updated": "2012-03-21",
        "status": "A",
        "authorized_official_last_name": "KAPLAN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "516-333-5555",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RB0002X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Obesity Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westbury, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2012; 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.