TMH Medical Home PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

TMH MEDICAL HOME PC

Practice address

1274 E Main St
Riverhead, NY 11901-2583

Phone

(631) 284-3793

Fax

(631) 729-3111

NPI assigned

Aug 26, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Bellamy Brook, DO

Title

Medical Director

Phone

(631) 284-3793

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1377475200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1423699200000",
    "number": "1063846194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1272 E MAIN ST",
            "city": "RIVERHEAD",
            "state": "NY",
            "postal_code": "119012583",
            "telephone_number": "631-284-3793",
            "fax_number": "631-729-3111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1274 E MAIN ST",
            "city": "RIVERHEAD",
            "state": "NY",
            "postal_code": "119012583",
            "telephone_number": "631-284-3793",
            "fax_number": "631-729-3111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TMH MEDICAL HOME PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-26",
        "last_updated": "2015-02-12",
        "status": "A",
        "authorized_official_last_name": "BROOK",
        "authorized_official_first_name": "BELLAMY",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "631-284-3793",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "NY",
            "license": "215053",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Total Medical Healthcare PC
• Latenice Trent, LPN
• Nicole Trentadue, RPH,PHARM D.
• Nishant Jayesh Trivedi, MD

• Family Medicine Physician in Riverhead, NY
• Providers in Riverhead, 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 Feb 12, 2015; 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.