THEODORE FRIED BURFORD WELCH & DAVID HAUER MD, PC
NPI 1639233901
Family Medicine in Lake Ronkonkoma, NY

Q: What is Theodore Fried Burford Welch & David Hauer MD, PC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Active since December 21, 2006

388 HAWKINS AVE, SUITE 1, LAKE RONKONKOMA, NY 11779(631) 588-8460(631) 588-8480 Get Directions Write a Review

NPPES record last updated: December 7, 2009. Verified against the NPPES registry weekly; last sync: November 01, 2026.

On this page

About Theodore Fried Burford Welch & David Hauer Md, Pc NPPES

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

THEODORE FRIED BURFORD WELCH & DAVID HAUER MD, PC (NPI 1639233901) is a healthcare organization registered as a family medicine in Lake Ronkonkoma, New York and active in the NPI registry since December 2006. The organization lists David Hauer, President, as its authorized official.

NPPES Registry Identity

NPI1639233901

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameTHEODORE FRIED BURFORD WELCH & DAVID HAUER MD, PC

Location Address388 HAWKINS AVE, SUITE 1Lake Ronkonkoma, NY 11779-4280

Mailing Address388 Hawkins Ave, Suite 1Lake Ronkonkoma, NY 11779-4280 · (631) 588-8460 · Fax (631) 588-8480

Phone(631) 588-8460

Fax(631) 588-8480

Organization SubpartNo

Authorized OfficialDavid HauerPresident · (631) 588-8460

Enumeration DateDecember 21, 2006

Last NPPES UpdateDecember 7, 2009

✔ NPI 1639233901 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

388 HAWKINS AVE, Lake Ronkonkoma, NY 11779

Open in Google Maps ↗

Other Identifiers 1

Medicare ID-Type UnspecifiedW19631NY

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Theodore Fried Burford Welch & David Hauer Md, Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 3 clinicians reassign Medicare billing to Theodore Fried Burford Welch & David Hauer MD, PC, which bills Medicare for the services they deliver. Of these, 3 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (3)

David Hauer, MD

Family Practice

NPI 1518969880

388 HAWKINS AVE STE 1
Lake Ronkonkoma, NY 11779

(631) 588-8460

✔ PECOS0.1 mi

Jack Nussbaum, MD

Family Practice

NPI 1346242690

388 HAWKINS AVE STE 1
Lake Ronkonkoma, NY 11779

(631) 588-8460

✔ PECOS✔ Accepts Medicare0.1 mi

Manuel Rosales, MD

General Practice

NPI 1487656740

388 HAWKINS AVE STE 1
Lake Ronkonkoma, NY 11779

(631) 588-8460

✔ PECOS✔ Accepts Medicare0.1 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Theodore Fried Burford Welch & David Hauer MD, PC's NPI number?

The NPI number for Theodore Fried Burford Welch & David Hauer MD, PC is 1639233901. It was assigned to this organization in the NPPES registry on December 21, 2006.

Where is Theodore Fried Burford Welch & David Hauer MD, PC located?

Theodore Fried Burford Welch & David Hauer MD, PC is located at 388 Hawkins Ave Suite 1, Lake Ronkonkoma, NY 11779. The listed phone number is (631) 588-8460.

What is Theodore Fried Burford Welch & David Hauer MD, PC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Theodore Fried Burford Welch & David Hauer MD, PC enrolled in Medicare?

Yes. Theodore Fried Burford Welch & David Hauer MD, PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Theodore Fried Burford Welch & David Hauer MD, PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Theodore Fried Burford Welch & David Hauer MD, PC, in Family Practice and General Practice. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 3 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Theodore Fried Burford Welch & David Hauer MD, PC was last updated on December 7, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.