LAKE SUCCESS HEALTH MEDICAL WELLNESS PC
NPI 1083492128
Anesthesiology - Pain Medicine in New Hyde Park, NY

Active since September 19, 2023
2001 MARCUS AVE STE W95, NEW HYDE PARK, NY 11042(917) 524-7246 Get Directions Write a Review

NPPES record last updated: September 20, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Lake Success Health Medical Wellness Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LAKE SUCCESS HEALTH MEDICAL WELLNESS PC (NPI 1083492128) is a healthcare organization registered as a pain medicine in New Hyde Park, New York and active in the NPI registry since September 2023. The organization maintains a secondary practice location in New York and lists Jeffrey Rosen, Cfo, as its authorized official.

NPPES Registry Identity

NPI1083492128
Entity TypeOrganization
Primary Taxonomy207LP2900X
Legal Business NameLAKE SUCCESS HEALTH MEDICAL WELLNESS PC
Location Address2001 MARCUS AVE STE W95New Hyde Park, NY 11042-2052
Mailing Address295 Madison Ave Rm 407New York, NY 10017-6438 · (914) 960-5578
Organization SubpartNo
Authorized OfficialJeffrey RosenCfo · (914) 860-5578
Enumeration DateSeptember 19, 2023
Last NPPES UpdateSeptember 20, 2023
NPPES CertifiedSeptember 20, 2023
NPI 1083492128 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyAnesthesiology · Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207LP2900X
Definition
An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists.
2001 MARCUS AVE STE W95, New Hyde Park, NY 11042

Secondary Practice Location 1

Location 1295 Madison Ave Rm 407New York, NY 10017-6438 · Phone (917) 524-7246

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lake Success Health Medical Wellness PC's NPI number?

The NPI number for Lake Success Health Medical Wellness PC is 1083492128. It was assigned to this organization in the NPPES registry on September 19, 2023.

Where is Lake Success Health Medical Wellness PC located?

Lake Success Health Medical Wellness PC is located at 2001 Marcus Ave Ste W95, New Hyde Park, NY 11042. The listed phone number is (917) 524-7246.

What is Lake Success Health Medical Wellness PC's specialty?

The primary specialty registered for this NPI is Anesthesiology, specializing in Pain Medicine, with taxonomy code 207LP2900X.

When was this NPI record last updated?

The NPPES record for Lake Success Health Medical Wellness PC was last updated on September 20, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.