Wellcare Medical Of Long Island PLLC
in Patchogue, NY. Organization (NPI-2).
NPI number1114508587
StatusActive
Last updated in NPPESDec 9, 2022
Details
- NPI
- 1114508587
- Entity type
- Organization (NPI-2)
- Legal business name
- Wellcare Medical Of Long Island PLLC
- Organization subpart
- No
- Enumeration date
- Apr 17, 2021
- Certification date
- Dec 9, 2022
- Last updated
- Dec 9, 2022
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208VP0000X | – | – | Yes |
Other names
- Pure Medical (Doing Business As)
Practice location
85 S Ocean AvePatchogue, NY 11772-3702
Phone 516-412-7873
Mailing address
1300 Union Tpke Ste 206New Hyde Park, NY 11040-1759
Phone 516-680-3900
Authorized official
Evan B. Shapiro
Owner
5166803900
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Pain Medicine Physician providers in Patchogue, NY
- Li Medical Care PLLCNPI 1326661034
- Nassau County Wellcare Medical PLLCNPI 1811688955
- Trigger Point Medical Of South ShoreNPI 1699636787
- Wellcare Medical Of New York PLLCNPI 1902554421
- Wellcare Medical Of North ShoreNPI 1780310466
All 6 Pain Medicine Physician providers in Patchogue · All 1,282 providers in Patchogue
Checking a whole list?
Paste a list of NPIs and get status, record, Medicare enrollment and OIG exclusion for each one. 100 free a day, then from $5 for 5,000. Useful for credentialing, billing and pharmacy claim checks.