MD 365 MEDICAL CARE PLLC (NPI# 1841531142) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841531142 |
| Entity Type | Organization |
| Organization Name | MD 365 MEDICAL CARE PLLC |
| Practice Address |
800 Montauk Hwy Ste 18 Shirley NY 11967-2128 |
| Mailing Address |
800-18 Montauk Highway Shirley NY 11967-2128 |
| Practice Telephone | 6317724646 |
| Practice Fax Number | 6317722495 |
| Mailing Telephone | 6317724646 |
| Mailing Fax Number | 6317722495 |
| Enumeration Date | 2013-03-12 |
| Last Update Date | 2019-12-06 |
| Authorized Official Name | DR. DEEPU ALEXANDER (M.D) |
| Authorized Official Telephone | 6317724646 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | MD 365 MEDICAL CARE PLLC | 800-18 Montauk Highway, Shirley, New York 11967 |
| Street Address |
800 MONTAUK HWY STE 18 |
| City | SHIRLEY |
| State | NY |
| Zip Code | 11967-2128 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881822906 | Zena Esther Sara Joseph | Family Medicine | 800 Montauk Hwy Ste 18, Shirley, NY 11967-2128 | 2009-06-26 |
| 1174172803 | Michelle Darling Maurina | Nurse Practitioner | 800 Montauk Hwy Ste 18, Shirley, NY 11967-2128 | 2019-09-05 |
| 1497222129 | Lauren Patricia Berman | Physician Assistant | 800 Montauk Hwy Ste 18, Shirley, NY 11967-2128 | 2018-10-31 |
| 1336597103 | Blessan Thomas | Family Medicine | 800 Montauk Hwy Ste 18, Shirley, NY 11967-2128 | 2016-06-02 |
| 1184000150 | Natalie Radino | Registered Nurse | 800 Montauk Hwy Ste 18, Shirley, NY 11967-2128 | 2015-07-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588149744 | Dawn Kirby | Licensed Practical Nurse | 8 Crestwood Drive, Shirley, NY 11967 | 2018-10-03 |
| 1538684451 | Crystal E Gambles | Licensed Practical Nurse | 502 Wellwood Drive, Shirley, NY 11967 | 2017-08-11 |
| 1003330887 | Aura Blum Care, Inc | Licensed Practical Nurse | 436 Auborn Av, Shirley, NY 11967 | 2017-08-02 |
| 1891239687 | Holly Scott-rodriguez | Behavior Technician | 57 Probst Drive, Shirley, NY 11967 | 2016-12-13 |
| 1487106357 | Joann C Duran | Licensed Practical Nurse | 320 Decatur Avenue, East Yaphank, NY 11967 | 2016-10-26 |
| 1053776815 | Andrea Janet Murphy-hamilton | Registered Nurse | 369 Puritan Dr., N Shirley, NY 11967 | 2015-12-22 |
| 1588039598 | Thomas B Maher | Student in an Organized Health Care Education/Training Program | 483 West End Ave., Shirley, NY 11967 | 2015-12-02 |
| 1346676707 | Sharon Marie Dougherty | Social Worker | 1250 William Floyd Parkway, Shirley, NY 11967 | 2013-09-17 |
| 1083964241 | Charlotte Dametra Fleming | Licensed Practical Nurse | 420 Lakepointe Drive, Middleisland, NY 11967 | 2012-09-14 |
| 1982954277 | Sefika Dimaggio | Registered Nurse | 32 Candido Ave, Shirley, NY 11967 | 2012-09-13 |
| Find all providers in zip 11967 | ||||
| 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 |
|---|---|---|---|---|
| 1881822906 | Zena Esther Sara Joseph | Family Medicine | 800 Montauk Hwy Ste 18, Shirley, NY 11967-2128 | 2009-06-26 |
| 1336597103 | Blessan Thomas | Family Medicine | 800 Montauk Hwy Ste 18, Shirley, NY 11967-2128 | 2016-06-02 |
| 1306005699 | Anthony Tomasso, Do Pllc | Family Medicine | 2 Coraci Blvd, Ste #4, Shirley, NY 11967-4833 | 2008-06-03 |
| 1497924476 | Kumar S Mandal Md PC | Family Medicine | 2 Coraci Blvd, Shirley, NY 11967-4833 | 2008-02-25 |
| 1891802468 | Edmee M Henriquez | Family Medicine | 550 Montauk Hwy, Shirley, NY 11967 | 2006-08-23 |
| 1700993375 | Lalaine T Que | Family Medicine | 550 Montauk Hwy, Shirley, NY 11967 | 2006-08-23 |
| 1639195381 | Sabrina Johnson | Family Medicine | 550 Montauk Hwy, Shirley, NY 11967-2114 | 2006-07-14 |
| 1962408708 | Anthony Tomasso | Family Medicine | 2 Coraci Blvd, Ste 4, Shirley, NY 11967-4833 | 2005-06-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881295558 | Mamoon Malik | Family Medicine | 90 Menands Rd, Albany, NY 12204-1400 | 2020-11-08 |
| 1336749571 | Chowdhury Medical PC | Family Medicine | 155 Alkier St, Brentwood, NY 11717-5129 | 2020-10-27 |
| 1356940084 | Rebecca Jean Smouse | Family Medicine | 1107 Prendergast Ave, Jamestown, NY 14701-3315 | 2020-10-23 |
| 1336748136 | Rapha House Calls | Family Medicine | 2 Fernglade Ct, Chester, NY 10918-2637 | 2020-10-22 |
| 1174122980 | Richmond Health Partners Ipa LLC | Family Medicine | 1161 Victory Blvd, Staten Island, NY 10301-3621 | 2020-10-22 |
| 1730787128 | Michael C Secallus | Family Medicine | 66 Kirkwood Gdns, Kirkwood, NY 13795-1623 | 2020-10-16 |
| 1861099053 | Julia Gross Family Health Nurse Practitioner, Pllc | Family Medicine | 950 Route 146 Ste 100, Clifton Park, NY 12065-3667 | 2020-10-01 |
| 1013523190 | Steinway Hope Medical LLC | Family Medicine | 8829 54th Ave Fl 2, Elmhurst, NY 11373-4543 | 2020-09-23 |
| 1538774500 | Jenny Brandt | Family Medicine | 3048 Sunset Ln # 2, Schenectady, NY 12303-5528 | 2020-09-15 |
| 1992319016 | Sarah Glaser | Family Medicine | 30 W 24th St, New York, NY 10010-3207 | 2020-09-04 |
| Find all providers with the same taxonomy | ||||
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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.