ORANGETOWN FAMILY PRACTICE NPI 1306884440

NPI Information

  • NPI: 1306884440
  • Provider Name: ORANGETOWN FAMILY PRACTICE
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • CLIA Number: 33D2132104
  • Address: 97 ROUTE 303
    TAPPAN, NY
    ZIP 10983
  • Phone: (845) 359-5005

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NPI Details

ORANGETOWN FAMILY PRACTICE is a family medicine in Tappan, NY. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. ORANGETOWN FAMILY PRACTICE NPI is 1306884440. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

97 ROUTE 303
TAPPAN, NY
ZIP 10983-514
Phone: (845) 359-5005

The provider's authorized official is Vincent M Ibelli .
The authorized official title is Partner and has the following contact phone number (845) 359-5005.

The CLIA number assigned to this NPI record is 33D2132104 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/2/2006 and was last updated on 7/2/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily Medicine167148-1NEW YORKYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1CE2055OTHERNEW YORKRAILROAD MEDICARE GROUP #

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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