Organization Active NPI

Celestin Medical Care PLLC

  • Family Medicine Physician
  • Deer Park, NY
National Provider Identifier
1013521798
Registry record updated Sep 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
CELESTIN MEDICAL CARE PLLC
Practice address
1550 Deer Park Ave Ste 2
Deer Park, NY 11729-6624
Phone
(631) 940-1052
Fax
(631) 940-1053
NPI assigned
Sep 1, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Marie Florence Celestin, MD
Title
Physician/Owner
Phone
(631) 940-1052

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

1550 Deer Park Ave Ste 2
Deer Park, NY 11729-6624

Mailing address

1550 Deer Park Ave Ste 2
Deer Park, NY 11729-6624
Phone (631) 940-1052

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://www.celestinmed.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201105002901 NY Part B Supplier - Clinic/Group Practice 8628488418 Receives reassigned benefits from 1 practitioner
Practice locations: Deer Park, NY

National Provider Directory

National Provider Directory

Locations

1550 Deer Park Ave
Ste 2
Deer Park, NY 11729
Phone (631) 940-1052

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1598918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598918400000",
    "number": "1013521798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1550 DEER PARK AVE STE 2",
            "city": "DEER PARK",
            "state": "NY",
            "postal_code": "117296624",
            "telephone_number": "631-940-1052",
            "fax_number": "631-940-1053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1550 DEER PARK AVE STE 2",
            "city": "DEER PARK",
            "state": "NY",
            "postal_code": "117296624",
            "telephone_number": "631-940-1052",
            "fax_number": "631-940-1053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CELESTIN MEDICAL CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-01",
        "last_updated": "2020-09-01",
        "certification_date": "2020-08-29",
        "status": "A",
        "authorized_official_last_name": "CELESTIN",
        "authorized_official_first_name": "MARIE FLORENCE",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "631-940-1052",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.celestinmed.com",
            "affiliation": "N",
            "endpointDescription": "Website",
            "address_1": "1550 Deer Park Ave Ste 2",
            "city": "Deer Park",
            "state": "NY",
            "country_code": "US",
            "postal_code": "117296624",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Deer Park, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.