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PROGRESSED MEDICAL PROFESSIONAL CORPORATION
NPI 1851003636
Clinic/Center - Primary Care in Melville, NY

Active since December 23, 2022
68 S SERVICE RD STE 100, MELVILLE, NY 11747(646) 895-1174 Get Directions Write a Review

NPPES record last updated: March 6, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 6, 2025, Dec 27, 2022, Dec 23, 2022 (3 updates tracked since 2022).

About Progressed Medical Professional Corporation NPPES

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

PROGRESSED MEDICAL PROFESSIONAL CORPORATION (NPI 1851003636) is a healthcare organization registered as a primary care in Melville, New York and active in the NPI registry since December 2022. The organization maintains a secondary practice location in New York and lists Bo Headlam, Founder, as its authorized official.

NPPES Registry Identity

NPI1851003636
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NamePROGRESSED MEDICAL PROFESSIONAL CORPORATION
Location Address68 S SERVICE RD STE 100Melville, NY 11747-2350
Mailing Address68 S Service Rd Ste 100Melville, NY 11747-2350 · (646) 895-1174
Phone(646) 895-1174
Organization SubpartNo
Authorized OfficialBo HeadlamFounder · (646) 895-1174
Enumeration DateDecember 23, 2022
Last NPPES UpdateMarch 6, 20253 updates tracked since enumeration
NPPES CertifiedMarch 6, 2025
✔ NPI 1851003636 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
68 S SERVICE RD STE 100, Melville, NY 11747
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Secondary Practice Location 1

Location 1450 W 42nd St Apt 50PNew York, NY 10036-6885 · Phone (646) 895-1174

Other Providers at the Same Location NPPES 15

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. DANIELLE NICOLE STRAHAN PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
68 S SERVICE RD STE 100
MELVILLE, NY 11747
Suffolk County (929) 777-0173
3 AMIGOS TAXI & LIMOUSINE, INC.
Taxi
68 S SERVICE RD STE 100
MELVILLE, NY 11747
Suffolk County (631) 629-2493
EMILY SIDOTI PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
68 S SERVICE RD STE 100
MELVILLE, NY 11747
Suffolk County (929) 810-2207
LIVE LOVE LOUD MENTAL HEALTH COUNSELING
Counselor (Mental Health)
68 S SERVICE RD STE 100
MELVILLE, NY 11747
Suffolk County (516) 987-5122
IN PSYCH WE TRUST
Clinical Neuropsychologist
68 S SERVICE RD STE 100
MELVILLE, NY 11747
Suffolk County (516) 749-9047
JENNIFER ROSE BARONE
Social Worker (Clinical)
68 S SERVICE RD STE 100
MELVILLE, NY 11747
Suffolk County (516) 430-8362
MR. ALGERNON ANTHONY STEPHEN WALLER
Driver
68 S SERVICE RD STE 100
MELVILLE, NY 11747
Suffolk County (631) 629-2493
SCOPE HEALTHCARE SERVICES, INC.
Home Health
68 S SERVICE RD STE 100
MELVILLE, NY 11747
Suffolk County (631) 237-5750

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 Progressed Medical Professional Corporation's NPI number?

The NPI number for Progressed Medical Professional Corporation is 1851003636. It was assigned to this organization in the NPPES registry on December 23, 2022.

Where is Progressed Medical Professional Corporation located?

Progressed Medical Professional Corporation is located at 68 S Service Rd Ste 100, Melville, NY 11747. The listed phone number is (646) 895-1174.

What is Progressed Medical Professional Corporation's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

When was this NPI record last updated?

The NPPES record for Progressed Medical Professional Corporation was last updated on March 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.