FAMILY MEDICINE OF CARTHAGE PC NPI 1770678559

NPI Information

  • NPI: 1770678559
  • Provider Name: FAMILY MEDICINE OF CARTHAGE, PC
  • Classification: Family Medicine - 207QG0300X
  • Specialization: Geriatric Medicine
  • Entity Type: Organization
  • Other Name: FAMILY MEDICINE OF CARTHAGE PC
  • CLIA Number: 33D0706562
  • Address: 214 CHURCH ST
    CARTHAGE, NY
    ZIP 13619
  • Phone: (315) 493-0128

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NPI Details

FAMILY MEDICINE OF CARTHAGE, PC is a geriatric medicine family medicine in Carthage, NY. The provider is a family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital. FAMILY MEDICINE OF CARTHAGE, PC NPI is 1770678559. The provider is registered as an organization entity type and is a single specialty group.
The provider Other Name Is Family Medicine Of Carthage Pc.

The provider's business location address is:

214 CHURCH ST
CARTHAGE, NY
ZIP 13619-212
Phone: (315) 493-0128
Fax: (315) 493-6200

The provider's authorized official is Jocelyn C Beane .
The authorized official title is Owner and has the following contact phone number (315) 493-0128.

The CLIA number assigned to this NPI record is 33D0706562 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/4/2006 and was last updated on 1/8/2023.

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
1207QG0300XFamily MedicineGeriatric MedicineYes

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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