Selden Primary Medicine,P.C.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

182907 Issued in NY

Legal business name

SELDEN PRIMARY MEDICINE,P.C.

Practice address

12 New LN
Selden, NY 11784-3322

Phone

(631) 736-7220

Fax

(631) 736-7307

NPI assigned

Nov 2, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Patricia Elaine Webley-Bethune, M.D.

Title

President

Phone

(631) 736-7220

Specialties & licenses 1

Addresses

Other identifiers 3

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

{
    "created_epoch": "1193961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193961600000",
    "number": "1922287218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 NEW LN",
            "city": "SELDEN",
            "state": "NY",
            "postal_code": "117843322",
            "telephone_number": "631-736-7220",
            "fax_number": "631-736-7307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 NEW LN",
            "city": "SELDEN",
            "state": "NY",
            "postal_code": "117843322",
            "telephone_number": "631-736-7220",
            "fax_number": "631-736-7307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SELDEN PRIMARY MEDICINE,P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-02",
        "last_updated": "2007-11-02",
        "status": "A",
        "authorized_official_last_name": "WEBLEY-BETHUNE",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "ELAINE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "631-736-7220",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "182907",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE BLUE CROSS/SHIELD",
            "identifier": "063AD1",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01693356",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI NUMBER",
            "identifier": "1518962000",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Wendiann Schwalback, LPN
• Anna Schwartz, MD
• Stephen Scotto-Lavino, DDS
• Joseph A Scuereb II, RPH
• Selden Fire District
• Aruna Mayur Shah, R.PH
• Cindy L Shah, LPN
• Mayur J Shah, R.PH
• Tara Shahgholi
• Irsah Shahzad

• Internal Medicine Physician in Selden, NY
• Providers in Selden, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2007; 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.