House Medical PLLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

HOUSE MEDICAL PLLC

Practice address

5018 Express Dr S
Ronkonkoma, NY 11779-5589

Phone

(833) 266-7171

Fax

(631) 209-5129

NPI assigned

Jan 3, 2020

Last updated

Dec 7, 2022By 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

Sunil Sharma, MD

Title

Owner/ Physician

Phone

(833) 266-7171

Specialties & licenses 3

Addresses

Other names 1

• House MD Other name

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 6

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.

• David Christopher Cesarino, PA-C

  • Physician Assistant
  • East Setauket, NY
  • NPI 1063840866
  Medicare reassignment
• Daniel R. Raio, RPA-C

  • Physician Assistant
  • Miller Place, NY
  • NPI 1417078767
  Medicare reassignment
• Danielle Marie Zick, PA-C

  • Physician Assistant
  • East Setauket, NY
  • NPI 1407197130
  Medicare reassignment
• Matthew Charles Rutman, DO

  • Emergency Medicine Physician
  • Bay Shore, NY
  • NPI 1013969880
  NPD
• Kathleen Osman, RPA-C

  • Physician Assistant
  • Smithtown, NY
  • NPI 1659504207
  NPD (past)
• Jessica Petchonka, PA-C

  • Physician Assistant
  • Manorville, NY
  • NPI 1518360536
  NPD (past)

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

{
    "created_epoch": "1578009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670371200000",
    "number": "1134768591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5018 EXPRESS DR S",
            "city": "RONKONKOMA",
            "state": "NY",
            "postal_code": "117795589",
            "telephone_number": "833-266-7171",
            "fax_number": "631-209-5129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5018 EXPRESS DR S",
            "city": "RONKONKOMA",
            "state": "NY",
            "postal_code": "117795589",
            "telephone_number": "833-266-7171",
            "fax_number": "631-209-5129"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "148 Natures Ln",
            "address_purpose": "LOCATION",
            "city": "Miller Place",
            "state": "NY",
            "postal_code": "117643137",
            "country_code": "US",
            "telephone_number": "631-636-6888",
            "fax_number": "631-209-5129",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "HOUSE MEDICAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-03",
        "last_updated": "2022-12-07",
        "certification_date": "2022-12-07",
        "status": "A",
        "authorized_official_last_name": "SHARMA",
        "authorized_official_first_name": "SUNIL",
        "authorized_official_title_or_position": "OWNER/ PHYSICIAN",
        "authorized_official_telephone_number": "833-266-7171",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207RH0002X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hospice and Palliative Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "House MD",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "House MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Joanna L Hoban, M.A.
• Lisa Hoffmann
• Victoria Anne Holden
• Home Medical Services PLLC
• Jacqueline Horbot
• Michael T Hushin, R.PH.
• Mariam Abdelazim Ibrahim, PT
• Youssef Ibrahim
• ICU Optical Inc.
• Katherine Ilharregui, LMT

• Internal Medicine Physician in Ronkonkoma, NY
• Providers in Ronkonkoma, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2022; 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.