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Virtual Medicine Wellness

Internal Medicine in Setauket, NY. Organization (NPI-2).

NPI number1396367884
StatusActive
Last updated in NPPESMay 7, 2020

Details

NPI
1396367884
Entity type
Organization (NPI-2)
Legal business name
Virtual Medicine Wellness
Organization subpart
No
Enumeration date
May 7, 2020
Certification date
May 7, 2020
Last updated
May 7, 2020

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 codeDescriptionLicenseStatePrimary
207R00000X Internal Medicine––Yes
225100000X Physical Therapist––
225X00000X Occupational Therapist––
235Z00000X Speech-Language Pathologist,––

Practice location

60 Buccaneer Ln
Setauket, NY 11733-1968

Phone 631-650-2087 · Fax 631-650-0497

Mailing address

60 Buccaneer Ln
Setauket, NY 11733-1968

Phone 631-650-2087 · Fax 631-650-0497

Authorized official

James R. Powell
Ceo
6316502087

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 Internal Medicine Physician providers in Setauket, NY

All 6 Internal Medicine Physician providers in Setauket · All 324 providers in Setauket

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