COMPLETE WELLCARE MEDICAL PLLC (NPI# 1639576655) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639576655 |
| Entity Type | Organization |
| Organization Name | COMPLETE WELLCARE MEDICAL PLLC |
| Practice Address |
15 Chaffee Avenue Albertson NY 11507-1807 |
| Mailing Address |
15 Chaffee Ave Albertson NY 11507-1807 |
| Practice Telephone | 5164770511 |
| Practice Fax Number | 5162483895 |
| Mailing Telephone | 5164770511 |
| Mailing Fax Number | 5162483895 |
| Enumeration Date | 2014-11-20 |
| Last Update Date | 2014-11-20 |
| Authorized Official Name | DR. LALIT P PATEL (PRESIDENT) |
| Authorized Official Telephone | 5164770511 |
| Authorized Official Credential | M.D |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | 252096 | NY | Allopathic & Osteopathic Physicians |
| N | 207R00000X | Internal Medicine | 232725 | NY | Allopathic & Osteopathic Physicians |
| N | 207RS0012X |
Internal Medicine Specialization: Sleep Medicine |
232725 | NY | Allopathic & Osteopathic Physicians |
| N | 207UN0901X |
Nuclear Medicine Specialization: Nuclear Cardiology |
258269 | NY | Allopathic & Osteopathic Physicians |
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
258269 | NY | Allopathic & Osteopathic Physicians |
| Street Address |
15 CHAFFEE AVENUE |
| City | ALBERTSON |
| State | NY |
| Zip Code | 11507-1807 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043757719 | Hudson Eye Plastic Surgery Pllc | Ophthalmology | 29 Crest Hollow Ln, Albertson, NY 11507 | 2017-01-19 |
| 1386188035 | Infinite Speech Physical Occupational Therapy Services Pllc | Physical Therapist | 98 Chaffee Avenue, Albertson, NY 11507 | 2016-12-15 |
| 1366835258 | Mital Jhaveri | Pharmacist | 56 Parkview Drive, Albertson, NY 11507 | 2015-03-17 |
| 1609200401 | Theodore Wayne Meshover | Optometrist | 888 Willis Avenue, Albertson, NY 11507 | 2013-08-28 |
| 1952670564 | Kathryn A. Mirino | Registered Nurse | 106 Beverly Drive, Albertson, NY 11507 | 2011-12-28 |
| 1235415951 | Dana Lieberman | Registered Nurse | 7 Hilldale Drive, Albertson, NY 11507 | 2011-10-26 |
| 1427389758 | Lawrence R. Sirota, Do, PC | Plastic Surgery | 936 Willis Avenue, Albertson, NY 11507 | 2010-01-27 |
| 1972836039 | Harvey B Etess | Internal Medicine | 189 Nassau Dr, Albertson, NY 11507 | 2009-09-08 |
| 1407094097 | Nancy Caruana | Physical Therapist | 201 I.u. Willets Road, Albertson, NY 11507 | 2009-02-04 |
| 1013165430 | Patrick Tse | Pharmacist | 373 Willis Avenue, Albertson, NY 11507 | 2008-08-28 |
| Find all providers in zip 11507 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316548738 | St. Peter's Health Partners Medical Associates, P.C. | Internal Medicine | 2546 Balltown Road Suite 300, Cardiology Associates of Schenectady, Schenectady, NY 12309-1079 | 2020-11-03 |
| 1649871260 | Advanced Cardiovascular Diagnostics, Pllc | Internal Medicine | 410 Lakeville Road Suite 209, New Hyde Park, NY 11042 | 2020-11-02 |
| 1801495320 | Guler Cardiology and Wellness | Internal Medicine | 34 Swan St Ste 3, Batavia, NY 14020-3292 | 2020-10-26 |
| 1174138382 | Southern Westchester Medical PC | Internal Medicine | 944 N Broadway Ste G04, Yonkers, NY 10701-1307 | 2020-09-14 |
| 1922628320 | Phuong Dinh Lam Mac | Internal Medicine | 1400 Pelham Pkwy S Rm 5, Bronx, NY 10461-1197 | 2020-04-26 |
| 1114547064 | Lotus Cardiovascular Care Pllc | Internal Medicine | 198 Oakley Ave, Elmont, NY 11003-2520 | 2020-04-21 |
| 1841824885 | Raman Kumar Md Pllc | Internal Medicine | 333 Broadway Ste 1, Amityville, NY 11701-2719 | 2020-02-28 |
| 1578197729 | North Shore Onsite Medical Diagnostic P.C. | Internal Medicine | 7418 41st Ave, Elmhurst, NY 11373-5601 | 2020-02-26 |
| 1720624604 | Atlantic Cardiovascular Care PC | Internal Medicine | 5114 Post Rd Fl 2, Bronx, NY 10471-3010 | 2019-11-26 |
| 1508401217 | Atlantic Cardiovascular Care PC | Internal Medicine | 5114 Post Rd, Bronx, NY 10471-3010 | 2019-11-18 |
| Find all providers with the same taxonomy | ||||
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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.