Individual provider Active NPI

Francis M. Francin, D.O.

  • Family Medicine Physician
  • Port Jefferson, NY
National Provider Identifier
1114197910
Registry record updated Mar 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
183752 Issued in NY
Practice address
680 Main St
Suite2
Port Jefferson, NY 11777-2203
Phone
(631) 474-8626
Fax
(531) 474-8626
NPI assigned
Mar 7, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2008

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 183752 NY Primary

Addresses

Primary practice location

680 Main St
Suite2
Port Jefferson, NY 11777-2203

Mailing address

680 Main St
Suite2
Port Jefferson, NY 11777-2203
Phone (631) 474-8626

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
183752NYMDFamily Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1204848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204848000000",
    "number": "1114197910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "680 MAIN ST",
            "address_2": "SUITE2",
            "city": "PORT JEFFERSON",
            "state": "NY",
            "postal_code": "117772203",
            "telephone_number": "631-474-8626",
            "fax_number": "531-474-8626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "680 MAIN ST",
            "address_2": "SUITE2",
            "city": "PORT JEFFERSON",
            "state": "NY",
            "postal_code": "117772203",
            "telephone_number": "631-474-8626",
            "fax_number": "531-474-8626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRANCIN",
        "first_name": "FRANCIS",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-03-07",
        "last_updated": "2008-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "183752",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Jefferson, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 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.