RONKONKOMA MEDICAL CARE, PLLC (NPI# 1184664641) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184664641 |
| Entity Type | Organization |
| Organization Name | RONKONKOMA MEDICAL CARE, PLLC |
| Other Organization Name | COMMACK MEDICAL CARE |
| Practice Address |
2171 Jericho Tpke Suite 304 Commack NY 11725-2915 |
| Practice Telephone | 6314622993 |
| Practice Fax Number | 6314622995 |
| Mailing Telephone | 6314622993 |
| Mailing Fax Number | 6314622995 |
| Enumeration Date | 2006-06-06 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. BEENA SAMIR PATEL (OWNER) |
| Authorized Official Telephone | 6314622993 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 229928 | NY | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Commack Medical Care | Doing Business As Name - Organization |
| Street Address |
2171 JERICHO TPKE SUITE 304 |
| City | COMMACK |
| State | NY |
| Zip Code | 11725-2915 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821623786 | Emma Moosmueller | Counselor | 2171 Jericho Tpke, Commack, NY 11725-2937 | 2020-03-10 |
| 1548894389 | Jillian Thorsen | Counselor | 2171 Jericho Tpke, Commack, NY 11725-2937 | 2020-03-02 |
| 1609400571 | Alexandra Quinn | Social Worker | 2171 Jericho Tpke, Commack, NY 11725-2937 | 2020-02-28 |
| 1942834825 | Lauren Miceli Counseling, PC | Social Worker | 2171 Jericho Tpke, Commack, NY 11725-2937 | 2020-02-28 |
| 1659921682 | Elizabeth Jennifer Cohen | Social Worker | 2171 Jericho Tpke, Commack, NY 11725-2937 | 2019-09-11 |
| 1013439132 | Shea Alvarez-cussen | Psychologist | 2171 Jericho Tpke, Suite 345, Commack, NY 11725-1172 | 2017-07-11 |
| 1386170660 | Danyel Salpietro | Psychologist | 2171 Jericho Tpke, 345, Commack, NY 11725-2937 | 2017-05-05 |
| 1871027458 | Lisa Vecchione | Social Worker | 2171 Jericho Tpke, 150, Commack, NY 11725-2937 | 2017-04-20 |
| 1376083774 | Wellspring of Life Acupuncture, PC | Acupuncturist | 2171 Jericho Tpke, Suite 135, Commack, NY 11725-2937 | 2017-03-03 |
| 1730633413 | James C Strickland Psychologist PC | Psychologist | 2171 Jericho Tpke, Suite 150, Commack, NY 11725-2937 | 2016-08-10 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699322131 | Amanda Grace Acebedo | Student in an Organized Health Care Education/Training Program | 785 Larkfield Rd, Commack, NY 11725 | 2019-08-20 |
| 1922667716 | Diana Mcnamara | Social Worker | 13 Audrey Lane, Commack, NY 11725 | 2019-06-06 |
| 1821504333 | Amy Koenig | Specialist | 787 Larkfield Rd, Commack, NY 11725 | 2017-12-19 |
| 1437661501 | Commack Chemist Inc | Pharmacy | 6216 Jericho Turnpike, Commack, NY 11725 | 2017-10-30 |
| 1285168880 | Stephanie Arico | Counselor | 14 Silver Pond Cir, Commack, NY 11725 | 2017-04-20 |
| 1235684432 | Ams Primary Medical Care House Calls,pc | Home Health | 6277 Jericho Tpk, Commack, NY 11725 | 2016-08-18 |
| 1376927459 | Min Sun Park | Dentist | All About Smiles Pediatric Dentistry, 5036 Jericho Turnpike Suite #307, Commack, NY 11725 | 2015-07-17 |
| 1467843748 | Joanna Keegan | Pharmacy Technician | 98 Veterans Memorial Highway, Commack, NY 11725 | 2015-02-09 |
| 1275936841 | Jennie Bernstein | Social Worker | 368 Veterans Hwy Ste 2, Commack, NY 11725 | 2014-09-26 |
| 1417362021 | Diana Matira Yildirim | Pediatrics | 646 Commack Road, Commack, NY 11725 | 2014-06-23 |
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| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972059384 | Mhroos Faik Barak Peters Physician P.C. | Internal Medicine | 6 Peacock Ln, Commack, NY 11725-4911 | 2016-08-27 |
| 1194156612 | Devaraj Jeyamitra | Internal Medicine | 22 Chardonnay Rd, Commack, NY 11725-1768 | 2013-12-09 |
| 1093014367 | Anna Lerner Angeles Md PC | Internal Medicine | 2171 Jericho Tpke Ste 300, Commack, NY 11725-2912 | 2011-03-25 |
| 1770801268 | Stephanie R Jones | Internal Medicine | 500 Commack Rd # Suie103, Commack, NY 11725-5020 | 2010-05-10 |
| 1043452501 | Asmita Satapathy | Internal Medicine | 777 Larkfield Rd Ste 1, Commack, NY 11725-3136 | 2009-03-30 |
| 1659431039 | Shamim A Begum | Internal Medicine | 45 Mall Drive, Suite 1liddso of Ny State, Commack, NY 11725-5700 | 2006-12-08 |
| 1154494003 | Mark Daryl Tieman | Internal Medicine | 356 Veterans Memorial Hwy, Commack, NY 11725-4332 | 2006-11-16 |
| 1154435576 | Comprehensive Island Medical Care LLC | Internal Medicine | 6080 Jericho Tpke Ste 205, Commack, NY 11725-2808 | 2006-08-19 |
| 1417975681 | Richard Steven Blum | Internal Medicine | 159 Indian Head Rd, Commack, NY 11725-2205 | 2006-07-17 |
| 1356309892 | Marc Allen | Internal Medicine | 358 Veterans Memorial Highway, Ste 11, Commack, NY 11725 | 2006-05-03 |
| Find all providers in COMMACK | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.