Provider Demographics
NPI:1013135136
Name:NEW HEALTH MEDICAL
Entity Type:Organization
Organization Name:NEW HEALTH MEDICAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:M.D.,
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:ASLEY
Authorized Official - Suffix:I
Authorized Official - Credentials:
Authorized Official - Phone:631-979-8000
Mailing Address - Street 1:PO BOX 1516
Mailing Address - Street 2:
Mailing Address - City:SMITHTOWN
Mailing Address - State:NY
Mailing Address - Zip Code:11787-8594
Mailing Address - Country:US
Mailing Address - Phone:631-979-8000
Mailing Address - Fax:
Practice Address - Street 1:363 ROUTE 111
Practice Address - Street 2:SUITE 98
Practice Address - City:SMITHTOWN
Practice Address - State:NY
Practice Address - Zip Code:11787-4756
Practice Address - Country:US
Practice Address - Phone:631-979-8000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-23
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1754961246XS1301X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes246XS1301XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist CardiovascularSonographyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY2Y8151Medicare ID - Type Unspecified