Individual provider Active NPI

Joseph Michael Venezia, MD

  • Family Medicine Physician
  • Miller Place, NY
National Provider Identifier
1114092061
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
1995901 Issued in NY
Practice address
765 Route 25a
Miller Place, NY 11764-2649
Phone
(631) 821-0505
Fax
(631) 821-5065
NPI assigned
Nov 22, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 1995901 NY Primary

Addresses

Primary practice location

765 Route 25a
Miller Place, NY 11764-2649

Mailing address

765 Route 25a
Miller Place, NY 11764-2649
Phone (631) 821-0505

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071108000438 NY Practitioner - Family Practice 3072601095 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
State University of New York at Stony Brook, School of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
CHS Physician Partners PCGroup PAC ID 7618955667, 739 clinicians

Practice addresses (Care Compare)

200 Belle Terre Rd
Port Jefferson, NY 11777-1928
Phone (631) 474-6000

Hospital & facility affiliations

  • Catholic Home Care Home health agency, Farmingdale, NY, CCN 337147
  • Tender Loving Care, an Amedisys Company Home health agency, Medford, NY, CCN 337260
  • St Charles Hospital Hospital, Port Jefferson, NY, CCN 330246
  • John T Mather Memorial Hospital of Port Jefferson Hospital, Port Jefferson, NY, CCN 330185

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
1995901NYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
CHS Physician Partners, PC Family Medicine CurrentSince Sep 11, 2018 Accepting new patients
CHS Physician Partners, P.C CurrentSince Sep 11, 2018 Accepting new patients
CHS Physician Partners, PC Current Accepting new patients
Long Island Family Medical Family Medicine Past Accepting new patients
Long Island Family Medical Group PC Family Medicine Past Accepting new patients

Locations

245 Old Country Rd
Melville, NY 11747
Phone (631) 465-6141

200 Belle Terre Rd
Prt Jefferson, NY 11777
Phone (631) 474-6000

200 Belle Terre Rd
Ste 110
Prt Jefferson, NY 11777
Phone (631) 476-1010

1000 N Village Ave
Rockville Ctr, NY 11570
Phone (516) 705-1012

100 Port Washington Blvd
Ste G3
Roslyn, NY 11576
Phone (516) 627-4800

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: jvenezia98467@direct-chsli.net

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1164153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1114092061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "765 ROUTE 25A",
            "city": "MILLER PLACE",
            "state": "NY",
            "postal_code": "117642649",
            "telephone_number": "631-821-0505",
            "fax_number": "631-821-5065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "765 ROUTE 25A",
            "city": "MILLER PLACE",
            "state": "NY",
            "postal_code": "117642649",
            "telephone_number": "631-821-0505",
            "fax_number": "631-821-5065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VENEZIA",
        "first_name": "JOSEPH",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "1995901",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miller Place, NY

Sources for this page

Verify at the official NPI Registry.