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NORTH OCEAN FAMILY MEDICINE NPI 1801982822


NPI Information

NPI: 1801982822
Provider Name: NORTH OCEAN FAMILY MEDICINE
Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 33D1038821

Address:
5 ROOSEVELT AVE
PORT JEFFERSON STATION, NY
ZIP 11776
Phone: (631) 732-6984
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NORTH OCEAN FAMILY MEDICINE is a family medicine in Port Jefferson Station, 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. NORTH OCEAN FAMILY MEDICINE NPI is 1801982822. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

5 ROOSEVELT AVE
PORT JEFFERSON STATION, NY
ZIP 11776
Phone: (631) 732-6984
Fax: (631) 732-7019

The provider's authorized official is Cynthia Santiago .
The authorized official title is President/owner and has the following contact phone number (631) 732-6984.

The CLIA number assigned to this NPI record is 33D1038821 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/5/2006 and was last updated on 5/22/2014.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily Medicine217808NEW 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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
102162494MEDICAIDNEW YORK
2H37637MEDICARE ID-TYPE UNSPECIFIEDNEW YORK
3WES071MEDICARE PINNEW YORK

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.