DR. CHARLES PETER HACKETT D.O. NPI 1497934905

NPI Information

NPI: 1497934905
Provider Name: DR. CHARLES PETER HACKETT, D.O.
Classification: Family Medicine - 207Q00000X
Entity Type: Individual
Address:
4427 OAK BEACH ASSN
47 LARBOARD CT.
OAK BEACH, NY
ZIP 11702
Phone: (631) 422-1484
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DR. Charles Peter Hackett, D.O. is a family medicine in Oak Beach, 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. DR. Charles Peter Hackett, D.O. NPI is 1497934905. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

4427 OAK BEACH ASSN
47 LARBOARD CT.
OAK BEACH, NY
ZIP 11702-619
Phone: (631) 422-1484
Fax: (631) 422-9103

The enumeration date for this NPI number is 10/31/2007 and was last updated on 10/31/2007.

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
1	207PE0004X	Emergency Medicine	Emergency Medical Services	163238	NEW YORK	No
2	207Q00000X	Family Medicine		163238	NEW YORK	Yes

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
1	74F32	MEDICARE PIN

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: 4/28/2024

NPI Synchronization or Removal

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