FAMILY CARE MEDICAL CENTER (NPI# 1598962797) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598962797 |
| Entity Type | Organization |
| Organization Name | FAMILY CARE MEDICAL CENTER |
| Practice Address |
6144 Route 25a Bldg C Suite 10 Wading River NY 11792-2018 |
| Practice Telephone | 6319295900 |
| Practice Fax Number | 6319296487 |
| Mailing Telephone | 6319295900 |
| Mailing Fax Number | 6319296487 |
| Enumeration Date | 2007-06-29 |
| Last Update Date | 2008-08-11 |
| Authorized Official Name | DR. ROBERT BERNARD (M.D.P.C.) |
| Authorized Official Telephone | 6319295900 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QU0200X |
Clinic/Center Specialization: Urgent Care |
178451 | NY | Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356532147 | Family Care Medical Center | Clinic/Center | 1205 N Josey Ln, Carrollton, TX 75006-6145 | 2007-08-06 |
| 1093761405 | Family Care Medical Center | Family Medicine | 1700 Horizon Dr, Suite 203, Chalfont, PA 18914-3950 | 2006-05-26 |
| Street Address |
6144 ROUTE 25A BLDG C SUITE 10 |
| City | WADING RIVER |
| State | NY |
| Zip Code | 11792-2018 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669497095 | Lauryn M Koke | Physical Therapist | 6144 Route 25a, Bldg C, Wading River, NY 11792-2018 | 2006-07-13 |
| 1124638424 | Asnis Dental Pllc | Dentist | 6144 Route 25a, Wading River, NY 11792-2018 | 2020-08-03 |
| 1922665231 | Island Foot and Ankle | Podiatrist | 6144 Route 25a, Wading River, NY 11792-2018 | 2019-05-22 |
| 1710423462 | Sarah Marcellus | Speech-Language Pathologist | 6144 Route 25a, Suite 9b, Wading River, NY 11792-2018 | 2017-01-18 |
| 1528518222 | Brittany Nicole Staker | Speech-Language Pathologist | 6144 Route 25a, Wading River, NY 11792 | 2016-10-06 |
| 1578013231 | Professional Occupational & Physical Therapy, Pllc | Physical Therapist | 6144 Route 25a, Suite 14, Wading River, NY 11792-2018 | 2016-10-06 |
| 1316393069 | Meredith Weber | Speech-Language Pathologist | 6144 Route 25a, Ste 9b, Wading River, NY 11792-2018 | 2016-05-12 |
| 1528412343 | Caitlin Robins | Speech-Language Pathologist | 6144 Route 25a, Ste 9b, Wading River, NY 11792-2018 | 2016-04-18 |
| 1255708442 | Professional Orthopedic and Sports Physical Therapy, P.C. | Physical Therapist | 6144 Route 25a, Suite 14, Wading River, NY 11792-2018 | 2015-08-24 |
| 1366822793 | Tmh Medical Home | Durable Medical Equipment & Medical Supplies | 6144 Route 25a, Wading River, NY 11792-2018 | 2015-06-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265906085 | Puja Kakar Godhwani | Nurse Practitioner | 6144 Ny-25a, Building C Suite 13, Wading River, NY 11792 | 2019-01-15 |
| 1336557230 | Danielle Schneider | Social Worker | 177 Cliff Rd West, Wading River, NY 11792 | 2014-07-24 |
| 1023428018 | Kristin Ponzini | Speech-Language Pathologist | 154 Sylvan Dr, Wading River, NY 11792 | 2014-04-30 |
| 1508281478 | Melissa Ellen Taylor | Audiologist | 5964 Route 25a, Wading River, NY 11792 | 2014-02-28 |
| 1992142285 | Alyssa Marie Wruck | Dentist | 6336 Ny 25-a, Suite 2, Wading River, NY 11792 | 2013-05-28 |
| 1639421803 | Barbara O. Higgins | Nutritionist | 12540 N Wading River Road, Little Flower Services, Wading River, NY 11792 | 2012-10-11 |
| 1821308545 | Sarah Jeanne Hogan | Licensed Practical Nurse | 63 Dogwood Dr, Wading River, NY 11792 | 2010-10-15 |
| 1336461854 | George Gabriel Hershman | Pharmacist | 1815 Wading River Manorville Road, Wading River, NY 11792 | 2010-02-25 |
| 1225365950 | Anne Valerie Nienstedt | Family Medicine | 67 Karen Court, Wading River, NY 11792 | 2009-11-18 |
| 1497894828 | Katherine Edith Gosman | Physical Therapist | 2098 N Wading River Rd, Wading River, NY 11792 | 2007-02-05 |
| Find all providers in zip 11792 | ||||
| Taxonomy Code | 261QU0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Urgent Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558961961 | City Medical of Upper East Side, Pllc | Clinic/Center | 48 East 170th Street, Bronx, Ny 10452, Bronx, NY 10452 | 2020-10-27 |
| 1174122923 | City Medical of Upper East Side, Pllc | Clinic/Center | 1412 Broadway, New York, NY 10018-9228 | 2020-10-22 |
| 1932708773 | City Medical of Upper East Side, Pllc | Clinic/Center | 3780 E Tremont Ave, Bronx, NY 10465-2434 | 2020-10-22 |
| 1932712049 | Lefferts Medical Associates PC | Clinic/Center | 808a Hicksville Rd, Massapequa, NY 11758-1262 | 2020-08-28 |
| 1619599578 | Rite Medical Care PC | Clinic/Center | 504 Myrtle Ave, Brooklyn, NY 11205-3542 | 2020-05-14 |
| 1649899832 | City Medical of Upper East Side, Pllc | Clinic/Center | 424 S Broadway, Yonkers, NY 10705-2301 | 2020-04-09 |
| 1902425192 | City Medical of Upper East Side, Pllc | Clinic/Center | 3494 Jerome Ave, Bronx, NY 10467-1002 | 2020-04-09 |
| 1558980748 | City Medical of Upper East Side, Pllc | Clinic/Center | 10202 Liberty Ave, Ozone Park, NY 11417-1727 | 2020-04-09 |
| 1548889736 | City Medical of Upper East Side, Pllc | Clinic/Center | 22405 Jamaica Ave, Queens Village, NY 11428-2019 | 2020-04-09 |
| 1851924294 | Tbhc Medical Services PC | Clinic/Center | 514 Fulton Street, Brooklyn, NY 11201 | 2020-02-13 |
| Find all providers with the same taxonomy | ||||
| City | WADING RIVER |
| Zip Code | 11792 |
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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.