Medical Teleheath Red, PLLC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

MEDICAL TELEHEATH RED, PLLC

Practice address

4271 Hempstead Tpke
Bethpage, NY 11714-5708

Phone

(516) 900-7922

Fax

(516) 268-6398

NPI assigned

May 22, 2023

Organization subpart

No

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

Authorized official

Name

Daniel Haller, MD

Title

President

Phone

(516) 900-7922

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1684713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684713600000",
    "number": "1972295657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 621",
            "city": "WOODMERE",
            "state": "NY",
            "postal_code": "115980621",
            "telephone_number": "516-900-7922",
            "fax_number": "516-268-6398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4271 HEMPSTEAD TPKE",
            "city": "BETHPAGE",
            "state": "NY",
            "postal_code": "117145708",
            "telephone_number": "516-900-7922",
            "fax_number": "516-268-6398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL TELEHEATH RED, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-22",
        "last_updated": "2023-05-22",
        "certification_date": "2023-05-22",
        "status": "A",
        "authorized_official_last_name": "HALLER",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "516-900-7922",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen McGuckin
• Matthew J McKinley, MD
• Bradley Scott Mechak, DPM
• Medical Teleheath Blue, PLLC
• Medical Teleheath Green, PLLC
• Medical Teleheath Yellow, PLLC
• Mediquip, Inc
• Mediquip, Inc
• Meena G Nadroo MD PC
• Zeba Memon, PA-C

• Surgery Physician in Bethpage, NY
• Providers in Bethpage, NY by specialty
• Surgery Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2023; 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.