Organization Active NPI

John V Celentano Phys, PC

  • Family Medicine Physician
  • East Moriches, NY
National Provider Identifier
1033300751
Registry record updated Apr 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
JOHN V CELENTANO PHYS, PC
Practice address
516 Montauk Hwy
East Moriches, NY 11940-1225
Phone
(631) 874-2900
Fax
(631) 874-2948
NPI assigned
Aug 7, 2007
Last updated
Apr 22, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2008

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

Authorized official

Name
Dr. John V Celentano, M.D.NPI 1558445478
Title
President
Phone
(631) 874-2900

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

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

Addresses

Primary practice location

516 Montauk Hwy
East Moriches, NY 11940-1225

Mailing address

516 Montauk Hwy
East Moriches, NY 11940-1225
Phone (631) 874-2900

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1186444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208822400000",
    "number": "1033300751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "516 MONTAUK HWY",
            "city": "EAST MORICHES",
            "state": "NY",
            "postal_code": "119401225",
            "telephone_number": "631-874-2900",
            "fax_number": "631-874-2948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "516 MONTAUK HWY",
            "city": "EAST MORICHES",
            "state": "NY",
            "postal_code": "119401225",
            "telephone_number": "631-874-2900",
            "fax_number": "631-874-2948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN V CELENTANO PHYS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-07",
        "last_updated": "2008-04-22",
        "status": "A",
        "authorized_official_last_name": "CELENTANO",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "631-874-2900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Moriches, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.