Unkechaug Nation Community Care

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

Legal business name

UNKECHAUG NATION COMMUNITY CARE

Practice address

151 Poospatuck LN
Mastic, NY 11950-5225

Phone

(631) 307-8824

NPI assigned

Feb 26, 2025

Organization subpart

No

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

Authorized official

Name

Barry Miller

Title

Director

Phone

(631) 307-8824

Specialties & licenses 1

Addresses

Other names 1

• 1658 Wellness Doing business as

Locations

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

{
    "created_epoch": "1740528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740528000000",
    "number": "1942007158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140B POOSPATUCK LN",
            "city": "MASTIC",
            "state": "NY",
            "postal_code": "119505223",
            "telephone_number": "631-307-8824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 POOSPATUCK LN",
            "city": "MASTIC",
            "state": "NY",
            "postal_code": "119505225",
            "telephone_number": "631-307-8824"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "140B Poospatuck Ln",
            "address_purpose": "LOCATION",
            "city": "Mastic",
            "state": "NY",
            "postal_code": "119505223",
            "country_code": "US",
            "telephone_number": "631-307-8824",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "UNKECHAUG NATION COMMUNITY CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-26",
        "last_updated": "2025-02-26",
        "certification_date": "2025-02-26",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "BARRY",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "631-307-8824"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "1658 Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Denise Toro
• Robin Torres, LMSW, CASAC-T
• Claire Toussaint
• Candace Trangucci
• Lisa Rosanne Turano, MS, TSD
• Jacqueline D Vaughan-Moscatiello, RN, BSN
• Daysi Jacqueline Villegas
• Jennifer Leigh Vonlang, CRPA
• Erika Votruba, DPT
• Melissa Waldmann-Villacis

• Community Health Worker in Mastic, NY
• Providers in Mastic, NY by specialty
• Community Health Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2025; 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.