DWELL MEDICAL GROUP PC (NPI# 1386091932) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386091932 |
| Entity Type | Organization |
| Organization Name | DWELL MEDICAL GROUP PC |
| Other Organization Name | DWELL FAMILY DOCTORS |
| Practice Address |
2710 Long Beach Rd 2nd Floor Oceanside NY 11572-2255 |
| Practice Telephone | 5165587858 |
| Practice Fax Number | 5168123975 |
| Mailing Telephone | 5165587858 |
| Mailing Fax Number | 5168123975 |
| Enumeration Date | 2016-05-24 |
| Last Update Date | 2017-06-20 |
| Authorized Official Name | DR. A. BARTLEY BYRT (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 5165587858 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | 185275 | NY | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Dwell Family Doctors | Doing Business As Name - Organization |
| Street Address |
2710 LONG BEACH RD 2ND FLOOR |
| City | OCEANSIDE |
| State | NY |
| Zip Code | 11572-2255 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770761702 | Renee J. Reinertsen | Physician Assistant | 2710 Long Beach Rd, Oceanside, NY 11572-2255 | 2008-02-01 |
| 1013338995 | Amanda Rose Mcgowan | Physician Assistant | 2710 Long Beach Rd, Oceanside, NY 11572-2255 | 2013-12-19 |
| 1871838458 | Chandni Thakkar | Physician Assistant | 2710 Long Beach Rd, Oceanside, NY 11572-2255 | 2012-12-07 |
| 1437480357 | Rosemary Ann Murray | Nurse Practitioner | 2710 Long Beach Rd, Oceanside, NY 11572 | 2010-01-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376152868 | True North Dialysis Center LLC | Clinic/Center | 3005 Long Beach Rd, Oceanside, NY 11572 | 2020-07-30 |
| 1508493560 | Mercedes Andreina Cardenas Pena | Student in an Organized Health Care Education/Training Program | 196 South Nassau, Oceanside, NY 11572 | 2020-03-26 |
| 1275170219 | Prohealth Dental Pllc | Dentist | 2870 Long Beach Road, Oceanside, NY 11572 | 2019-12-10 |
| 1982252409 | Fe Jaurigue | Nurse Practitioner | 2391 Washington Ave, Oceanside, NY 11572 | 2019-08-28 |
| 1689160749 | Emil A Tocci, Dc, PC | Chiropractor | 3091 Lawson Blvd, Oceanside, NY 11572 | 2018-07-02 |
| 1336652726 | Jennifer L Rodgers | Nurse Practitioner | 435 Kinsley Ct, Oceanside, NY 11572 | 2017-11-08 |
| 1205387859 | Joanne Hudkins | Nurse Practitioner | 3353 5th St, Oceanside, NY 11572 | 2016-10-19 |
| 1346693595 | Michelle Coletta-guadagno | Case Manager/Care Coordinator | 400 Oceanside Pkwy, Oceanside, NY 11572 | 2016-07-22 |
| 1831543271 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 3705 Hampton Rd, Oceanside, NY 11572 | 2016-04-22 |
| 1598170474 | Amy Daleo | Licensed Practical Nurse | 299 Waukena Ave, Oceanside, NY 11572 | 2014-06-30 |
| Find all providers in zip 11572 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477050979 | Justin Michael Remer | General Practice | 100 Daly Blvd Apt 104, Oceanside, NY 11572-6001 | 2018-04-11 |
| 1427552421 | Naimul Abu Mohammed Alam | General Practice | 22 Area Branch Clinic Bldg 22190, Oceanside, CA 92058 | 2018-03-23 |
| 1649694530 | Gloria Maupin | General Practice | 6040 Patmos Way, Oceanside, CA 92056-7267 | 2014-02-12 |
| 1528365962 | Gary Alan Colner | General Practice | 4913 Colusa Dr, Oceanside, CA 92056-5465 | 2011-02-21 |
| 1376755157 | Enoc V Chambi | General Practice | 3876 Mission Av., Oceanside, CA 92054 | 2007-05-04 |
| 1043397094 | James John Monahan | General Practice | 2210 Mesa Drive, Suite #3, Oceanside, CA 92054 | 2006-11-01 |
| 1598259046 | Alejandro Luis Cuesta | General Practice | 200 Mercy Cir, Oceanside, CA 92055 | 2018-06-19 |
| 1619402559 | David Portnoy | General Practice | 1 Healthy Way, Oceanside, NY 11572-1551 | 2017-04-28 |
| 1578991097 | Oceanside Urgent Care and Family Practice | General Practice | 616 S Coast Hwy, Oceanside, CA 92054-4121 | 2013-10-18 |
| 1376851527 | Sms Management Services | General Practice | 2171 S El Camino Real, Suite 210, Oceanside, CA 92054-6229 | 2010-09-22 |
| Find all providers in OCEANSIDE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.