Organization Active NPI

Health 1 Medical P.C.

  • Acupuncturist
  • Lake Grove, NY
National Provider Identifier
1962886259
Registry record updated Jul 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
001621 Issued in NY
Legal business name
HEALTH 1 MEDICAL P.C.
Practice address
2780 Middle Country Rd
Suite 140
Lake Grove, NY 11755-2124
Phone
(631) 580-1000
Fax
(631) 580-0483
NPI assigned
Jul 16, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2015

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

Authorized official

Name
Linda L Wafford
Title
Billing Manager
Phone
(631) 580-1000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193200000X MULTI-SPECIALTY GROUP 171100000X 001621 NY Primary

Addresses

Primary practice location

2780 Middle Country Rd
Suite 140
Lake Grove, NY 11755-2124

Mailing address

2780 Middle Country Rd
Suite 140
Lake Grove, NY 11755-2124
Phone (631) 580-1000

National Provider Directory

National Provider Directory
Tax ID family
Health 1 Medical PC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2780 Middle Country Rd
Ste 140
Lake Grove, NY 11755
Phone (631) 520-1000

Practitioners & affiliated clinicians

Practitioners 1

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": "1437004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1437004800000",
    "number": "1962886259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2780 MIDDLE COUNTRY RD",
            "address_2": "SUITE 140",
            "city": "LAKE GROVE",
            "state": "NY",
            "postal_code": "117552124",
            "telephone_number": "631-580-1000",
            "fax_number": "631-580-0483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2780 MIDDLE COUNTRY RD",
            "address_2": "SUITE 140",
            "city": "LAKE GROVE",
            "state": "NY",
            "postal_code": "117552124",
            "telephone_number": "631-580-1000",
            "fax_number": "631-580-0483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTH 1 MEDICAL P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-16",
        "last_updated": "2015-07-16",
        "status": "A",
        "authorized_official_last_name": "WAFFORD",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "631-580-1000"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": "NY",
            "license": "001621",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Grove, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2015; 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.