DR. JOSEPH LOIODICE (NPI# 1548317761) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548317761 |
| Entity Type | Individual |
| Full Name | DR. JOSEPH LOIODICE |
| Credential | M.D. |
| Practice Address |
487 Lake Ave Saint James NY 11780-2233 |
| Practice Telephone | 6315846152 |
| Practice Fax Number | 6315848063 |
| Mailing Telephone | 6315846152 |
| Mailing Fax Number | 6315848063 |
| Enumeration Date | 2007-01-03 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 140027 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | VYTRA | 2418 | 01 |
| NY | 00714750 | 05 | |
| NY | UNITED HEALTHCARE | 00000379401 07 | 01 |
| NY | CIGNA | 0313243 | 01 |
| NY | BCBS | 5269A | 01 |
| NY | AETNA | 1018319 | 01 |
| NY | GHI | 9646484 | 01 |
| NY | OXFORD | CP555 | 01 |
| Street Address |
487 LAKE AVE |
| City | SAINT JAMES |
| State | NY |
| Zip Code | 11780-2233 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174910483 | Jeselle Dookran | Family Medicine | 487 Lake Ave, Saint James, NY 11780-2277 | 2015-04-24 |
| 1053636084 | Linda Frances Smith | Nurse Practitioner | 487 Lake Ave, Saint James, NY 11780-2277 | 2010-04-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528623956 | Mercy Cryz Kenny | Technician | 12 Three Sisters Rd, St James, NY 11780 | 2019-05-01 |
| 1720503089 | Lindsay Anne Struss | Specialist | 5 Storybook Lane, Saint James, NY 11780 | 2017-08-08 |
| 1194250027 | Dr. Suzanne Greenberg | Chiropractor | 2 Grill Drive, Saint James, NY 11780 | 2017-04-28 |
| 1811363484 | Rely Rx Inc | Durable Medical Equipment & Medical Supplies | 731 B Middle Country Rd, Saint James, NY 11780 | 2015-08-18 |
| 1639563018 | Victoria Grande | Counselor | 348 Lake Ave, Saint James, NY 11780 | 2015-03-24 |
| 1962822502 | Eugene S. Rosati, Md | Internal Medicine | 230 Lincoln Ave, St James, NY 11780 | 2014-04-22 |
| 1346664323 | Judith Ann Pedley | Occupational Therapist | 10 Lancelot Court, Saint James, NY 11780 | 2014-02-11 |
| 1619303336 | Kimberly Ada Flugman | Physical Therapist | 16 Deepwells Lane, St James, NY 11780 | 2013-09-26 |
| 1952606113 | Valley Stream Optometry Pllc | Optometrist | 129 Rockaway Avenue, Valley Stream, NY 11780 | 2011-01-20 |
| 1154586733 | Edward C Brant | Dentist | 447 Lake Avenue, St James, NY 11780 | 2008-07-23 |
| Find all providers in zip 11780 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| 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. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578820783 | Complete Medical Family Care Pllc | Family Medicine | 735 Middle Country Road, Saint James, NY 11780-3211 | 2012-04-13 |
| 1639384928 | George Jack Lehner | Family Medicine | 735 Middle Country Rd, Saint James, NY 11780-3211 | 2007-05-11 |
| 1629121819 | Hesed N Mugaisi | Family Medicine | 1204 10th Ave N, Saint James, MN 56081-2011 | 2007-01-19 |
| 1932204922 | Roxanne Gail Carfora | Family Medicine | 412 N Country Rd, Ste 10, Saint James, NY 11780-1761 | 2006-09-14 |
| 1336114800 | Rachelle L Gorrell | Family Medicine | 1000 N Jefferson St, Saint James, MO 65559 | 2006-02-20 |
| 1174910483 | Jeselle Dookran | Family Medicine | 487 Lake Ave, Saint James, NY 11780-2277 | 2015-04-24 |
| 1831458033 | Jennifer Nicole O'malley | Family Medicine | 1000 N Jefferson St, Saint James, MO 65559 | 2012-05-08 |
| 1134251929 | Mercy Clinic Springfield Communities | Family Medicine | 107 W Eldon St, Saint James, MO 65559 | 2007-03-09 |
| 1700935459 | Grace S. Beaumont | Family Medicine | 107 W Eldon St, Saint James, MO 65559-1903 | 2007-01-10 |
| 1255492575 | Forest City Family Practice LLC | Family Medicine | 1000 N Jefferson St, Saint James, MO 65559-1078 | 2006-12-12 |
| Find all providers in SAINT JAMES | ||||
| City | SAINT JAMES |
| Zip Code | 11780 |
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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.