SETAUKET PRIMARY MEDICAL CARE PC NPI 1649369067

NPI Information

  • NPI: 1649369067
  • Provider Name: SETAUKET PRIMARY MEDICAL CARE PC
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • Address: 12 BREWSTER LN
    EAST SETAUKET, NY
    ZIP 11733
  • Phone: (631) 941-4480

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NPI Details

SETAUKET PRIMARY MEDICAL CARE PC is a family medicine in East Setauket, 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. SETAUKET PRIMARY MEDICAL CARE PC NPI is 1649369067. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

12 BREWSTER LN
EAST SETAUKET, NY
ZIP 11733-922
Phone: (631) 941-4480
Fax: (631) 941-4054

The provider's authorized official is Tanya Adams .
The authorized official title is Owner and has the following contact phone number (631) 941-4480.

The enumeration date for this NPI number is 10/12/2006 and was last updated on 8/22/2020.

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 Medicine2278671NEW YORKYes
2363LF0000XNurse PractitionerFamily4893961NEW YORKX
3363LF0000XNurse PractitionerFamilyF334091NEW YORKX
4363LF0000XNurse PractitionerFamilyF3040001NEW YORKX

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
1DC2402OTHERNEW YORKMEDICARE RAIL ROAD

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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