NASSAU IMMED MED CARE PLLC
NPI 1255429254
Internal Medicine in Williston Park, NY
- Organization
- Internal Medicine
- CLIA Number: 33D1057626
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 05-31-2026
About NASSAU IMMED MED CARE PLLC
This page provides the complete NPI Profile along with additional information for Nassau Immed Med Care Pllc, an internist established in Williston Park, New York operating as a Internal Medicine. The healthcare provider is registered in the NPI registry with number 1255429254 assigned on October 2006. The practitioner's primary taxonomy code is 207R00000X with license number 187440 (NY). The provider is registered as an organization and their NPI record was last updated 18 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Dr. Susan P. Welgrin M.d. (Member)
- NPI
- 1255429254 Verify this NPI
- Provider Name
- NASSAU IMMED MED CARE PLLC
- Entity Type
- Organization
- Location Address
- 465 WILLIS AVE WILLISTON PARK, NY 11596
- Location Phone
- (516) 294-3535
- Location Fax
- (516) 294-6451
- Mailing Address
- 465 WILLIS AVE WILLISTON PARK, NY 11596
- Mailing Phone
- (516) 294-3535
- Mailing Fax
- (516) 294-6451
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 10-11-2006
- Last Update Date
- 03-17-2008
- Code Navigator
An internist like Nassau Immed Med Care Pllc is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Internal Medicine
- Taxonomy Code
- 207R00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 187440
- License State
- NY
- Taxonomy Description
- A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| WLW201 | MEDICARE ID-TYPE UNSPECIFIED (04) | NY |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 33D1057626
- Facility Type
- Physician Office
- Certificate Effective Date
- July 24, 2023
- Certificate Expiration Date
- May 31, 2026
- Laboratory Director
- SUSAN P. WELGRIN
- Certificate Type
- Certificate of Compliance
- Certificate Type Description
- This CLIA certificate is issued to Nassau Immed Med Care Pllc after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing.
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Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1255429254, enumerated as an "organization" on October 11, 2006.
The provider is located at 465 WILLIS AVE WILLISTON PARK, NY 11596 and the phone number is (516) 294-3535.
Internal Medicine with taxonomy code 207R00000X.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
