EAST END FAMILY PRACTICE (NPI# 1720120686) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720120686 |
| Entity Type | Organization |
| Organization Name | EAST END FAMILY PRACTICE |
| Other Organization Name | PECONIC BAY MEDICAL CENTER |
| Practice Address |
31 Main Rd Riverhead NY 11901-1953 |
| Practice Telephone | 6317224400 |
| Practice Fax Number | 6317224426 |
| Mailing Telephone | 6317224400 |
| Mailing Fax Number | 6317224426 |
| Enumeration Date | 2007-02-13 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MRS. NIRUPA RAMJISINGH (PHYSICIAN ASSISTANT) |
| Authorized Official Telephone | 6317224400 |
| Authorized Official Credential | RPA-C |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
010331 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Other Name | Type Code |
|---|---|
| Peconic Bay Medical Center | Doing Business As Name - Organization |
| Street Address |
31 MAIN RD |
| City | RIVERHEAD |
| State | NY |
| Zip Code | 11901-1953 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760473573 | Roy Prashad | Internal Medicine | 31 Main Rd, Suite 1, Riverhead, NY 11901-1953 | 2005-10-31 |
| 1801240064 | Judith Marianna Magloczki | Family Medicine | 31 Main Rd, Riverhead, NY 11901-1953 | 2016-04-14 |
| 1336526870 | Marina Homecare Agency of Ny, Inc. | Home Health | 31 Main Rd, Suite 9, Riverhead, NY 11901-1953 | 2015-05-05 |
| 1962840207 | Jeffrey Tiu | Family Medicine | 31 Main Rd, Suite 1, Riverhead, NY 11901-1953 | 2013-06-09 |
| 1427399161 | Kaushik Satyanarayana Manthani | Family Medicine | 31 Main Rd, Suite 1, Riverhead, NY 11901-1953 | 2013-03-05 |
| 1477863082 | Mary Kathleen Martin | Nurse Practitioner | 31 Main Rd, Riverhead, NY 11901-1953 | 2010-10-15 |
| 1811187214 | Peconic Surgical Group, PC | Specialist | 31 Main Rd, Suite 2, Riverhead, NY 11901-1953 | 2007-07-31 |
| 1972655041 | North Fork Physical Therapy PC | Clinic/Center | 31 Main Rd, Suite 4, Riverhead, NY 11901-1953 | 2007-01-17 |
| 1477601649 | Marc P Wahl | Physical Therapist | 31 Main Rd, Suite 4, Riverhead, NY 11901-1953 | 2007-01-06 |
| 1205919115 | Vishnudat Seodat | Family Medicine | 31 Main Rd, Suite 1, Riverhead, NY 11901-1953 | 2006-10-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578102786 | Michael Arthur Frangeskos | Physician Assistant | 1330 Roanoke Avenue, Riverhead, NY 11901 | 2020-01-06 |
| 1922569136 | Mjd Optical Corp | Optometrist | 1053 Route 58 Roanoke Ave, Riverhead, NY 11901 | 2019-03-29 |
| 1356837702 | Justin M Liu | Physician Assistant | 31 Main Rd Ste 3, Riverhead, NY 11901 | 2018-07-09 |
| 1467943522 | North Shore Hematology Oncology Associates PC | Clinic/Center | 750 Old Country Rd Bldg 2, Riverhead, NY 11901 | 2018-05-24 |
| 1063918688 | Riverhead Volunteer Ambulance Corps Inc | Ambulance | 111 Osborn Ave, Riverhead, NY 11901 | 2018-04-03 |
| 1669977906 | Joseph Cataldo | Student in an Organized Health Care Education/Training Program | 64 Ida Lane, Riverhead, NY 11901 | 2018-03-28 |
| 1861903056 | The Flanders Northampton Volunteer Ambulance Company Inc | Ambulance | 641 Flanders Road, Flanders, NY 11901 | 2017-10-16 |
| 1336676659 | Patricia Ann Leask | Registered Nurse | 300 Center Drive Suite 250, Methadone Clinic Department of Mental Health, Riverhead, NY 11901 | 2017-05-17 |
| 1922463447 | Diana Williams-burke | Counselor | 550 East Main St Suite 103, Riverhead, NY 11901 | 2015-12-29 |
| 1699155549 | Twin Forks Optometry, Pllc | Optometrist | 25 Cranberry Street, Riverhead, NY 11901 | 2015-06-05 |
| Find all providers in zip 11901 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033182498 | Nicole Elise Auclair-masone | Physician Assistant | 1228 E Main St, Riverhead, NY 11901-2675 | 2006-02-08 |
| 1285272740 | Mariah Leigh Messina | Physician Assistant | 31 Main Rd Ste 2, Riverhead, NY 11901-1953 | 2019-12-16 |
| 1235404880 | Christopher Ragona | Physician Assistant | 951 Roanoke Ave, Riverhead, NY 11901-2724 | 2012-03-15 |
| 1821363458 | Kim M Scarpati | Physician Assistant | 100 Center Dr, Riverhead, NY 11901-3307 | 2012-03-15 |
| 1457661373 | Thomas Samuel Wooding | Physician Assistant | 300 Center Dr, Riverhead, NY 11901-3393 | 2010-10-13 |
| 1215001011 | Douglas A. Riggs | Physician Assistant | 1300 Roanoke Ave, Riverhead, NY 11901-2031 | 2006-11-20 |
| 1760472468 | Denise Spielman | Physician Assistant | 951 Roanoke Ave, Riverhead, NY 11901-2724 | 2005-10-24 |
| 1669462370 | Michelina Sundberg | Physician Assistant | 951 Roanoke Ave, Riverhead, NY 11901-2724 | 2005-10-24 |
| 1649260357 | Jennifer Fulton | Physician Assistant | 951 Roanoke Ave, Riverhead, NY 11901-2724 | 2005-10-24 |
| 1639166846 | Christopher Michael Hart | Physician Assistant | 1300 Roanoke Ave, Riverhead, NY 11901-2031 | 2005-10-03 |
| Find all providers in RIVERHEAD | ||||
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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.