Your Family Doc, P.C.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

YOUR FAMILY DOC, P.C.

Practice address

2 Sherman Potts Dr
Ghent, NY 12075-3216

Phone

(518) 314-0889

Fax

(518) 244-8812

NPI assigned

Jun 4, 2012

Last updated

Jul 11, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Vahe Avedis Keukjian, MD

Title

President

Phone

(518) 314-0889

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

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.

• Lance Castellana, MD

  • Family Medicine Physician
  • Hudson, NY
  • NPI 1780638676
  Medicare reassignment NPD

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

{
    "created_epoch": "1338768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1341964800000",
    "number": "1053672238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 SHERMAN POTTS DR",
            "city": "GHENT",
            "state": "NY",
            "postal_code": "120753216",
            "telephone_number": "518-314-0889",
            "fax_number": "518-244-8812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 SHERMAN POTTS DR",
            "city": "GHENT",
            "state": "NY",
            "postal_code": "120753216",
            "telephone_number": "518-314-0889",
            "fax_number": "518-244-8812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUR FAMILY DOC, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-04",
        "last_updated": "2012-07-11",
        "status": "A",
        "authorized_official_last_name": "KEUKJIAN",
        "authorized_official_first_name": "VAHE",
        "authorized_official_middle_name": "AVEDIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "518-314-0889",
        "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": [],
    "other_names": []
}

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• Linda Van Der Meulen, RPA-C
• Vortex Physical Therapy, PC
• Whittier Health Services Inc (Whittier Place)

• Family Medicine Physician in Ghent, NY
• Providers in Ghent, NY by specialty
• Family Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2012; 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.