DOC AT HOME MEDICAL, P.C. (NPI# 1942621511) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942621511 |
| Entity Type | Organization |
| Organization Name | DOC AT HOME MEDICAL, P.C. |
| Practice Address |
280 Broadway Suite D Bethpage NY 11714-3715 |
| Practice Telephone | 8558659697 |
| Practice Fax Number | 5166124975 |
| Mailing Telephone | 8558659697 |
| Mailing Fax Number | 5166124975 |
| Enumeration Date | 2013-12-26 |
| Last Update Date | 2013-12-26 |
| Authorized Official Name | DR. REGINALD D HUGHES (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 8558659697 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | DOC AT HOME MEDICAL, P.C. | 535 5th Avenue, 4th Fl., Manhattan, Ny 10017 |
| Street Address |
280 BROADWAY SUITE D |
| City | BETHPAGE |
| State | NY |
| Zip Code | 11714-3715 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417242611 | Mediquip, Inc | Durable Medical Equipment & Medical Supplies | 280 Broadway, Ste D, Bethpage, NY 11714-3715 | 2011-06-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023466208 | Angelika Cataldo | Physician Assistant | 96 Farmers Ave, Bethpage, NY 11714 | 2016-05-30 |
| 1215390240 | Jessica Cohen Micciulli | Counselor | 1211 Stewart Ave., Suite 100, Bethpage, NY 11714 | 2016-03-29 |
| 1295119329 | Van Tu | Physician Assistant | 72 Roosevelt Dr, Bethpage, NY 11714 | 2015-07-18 |
| 1124400072 | Nicole Simon | Speech-Language Pathologist | 28 Lee Avenue, Bethpage, NY 11714 | 2015-06-26 |
| 1083001556 | Gagandeep Sharma | Podiatrist | 255 Stewart Ave, Bethpage, NY 11714 | 2015-04-22 |
| 1245631399 | All About Kids | Local Education Agency (LEA) | 152 Sycamore Avenue, Bethpage, NY 11714 | 2014-09-09 |
| 1568871440 | Christina Healy | Home Health Aide | 49 West Millpage Drive, Bethpage, NY 11714 | 2014-08-05 |
| 1225444656 | Ryan Vincent Costello | Registered Nurse | 68 S. 2nd St., Apt A, Bethpage, NY 11714 | 2014-07-07 |
| 1598195125 | Lori-ann Perez | Case Manager/Care Coordinator | 18 Ellen Street, Bethpage, NY 11714 | 2013-11-18 |
| 1306195482 | Lisa Kozlowsky | Behavioral Analyst | 420 Kensington Lane, Bethpage, NY 11714 | 2012-09-05 |
| Find all providers in zip 11714 | ||||
| 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 |
|---|---|---|---|---|
| 1598211237 | Primary Health Medical PC | Family Medicine | 35 Whaley Ave, Bethpage, NY 11714-5338 | 2016-09-01 |
| 1144323569 | Rakesh Kumar Punn | Family Medicine | 675 Plainview Road, Bethpage, NY 11714 | 2006-09-07 |
| 1568400760 | Lawrence V Crafa | Family Medicine | 160 Hicksville Rd, Bethpage, NY 11714-3413 | 2006-06-02 |
| 1336148527 | Anthony Arcati | Family Medicine | 530 Hicksville Rd, Bethpage, NY 11714-3415 | 2005-07-19 |
| 1891150553 | Winthrop Community Medical Affiliates | Family Medicine | 530 Hicksville Rd, Bethpage, NY 11714-3415 | 2015-12-23 |
| 1043690266 | Lauren Stephanie Zagaria | Family Medicine | 4045 Hempstead Tpke, Bethpage, NY 11714-5611 | 2015-06-03 |
| 1780089342 | Ching Yeh Lin | Family Medicine | 4045 Hempstead Tpke, Bethpage, NY 11714-5611 | 2014-10-24 |
| 1851687016 | Elizabeth Anisis | Family Medicine | 160 Hicksville Rd, Bethpage, NY 11714-3413 | 2011-06-24 |
| 1629380209 | Erika Kalabacas | Family Medicine | 160 Hicksville Rd, Bethpage, NY 11714-3413 | 2010-07-12 |
| 1477509016 | Gary K Rachlin Do Pllc | Family Medicine | 4230 Hempstead Tpke, Suite 200, Bethpage, NY 11714-5700 | 2006-05-25 |
| Find all providers in BETHPAGE | ||||
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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.