Doctors of Northport Primary Medical Care, P.C.

Primary specialty

SpecialistTaxonomy code 174400000X

License

173118 Issued in NY

Legal business name

DOCTORS OF NORTHPORT PRIMARY MEDICAL CARE, P.C.

Practice address

9406 59TH Ave
Suite E9
Elmhurst, NY 11373-5151

Phone

(718) 699-9737

Fax

(718) 699-4361

NPI assigned

Nov 9, 2006

Last updated

Oct 26, 2009By 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

Paul Leva, M.D.NPI 1841222577

Title

Delegated Official

Phone

(718) 699-9737

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 3

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.

• Paul R Leva, MD

  • Internal Medicine Physician
  • Northport, NY
  • NPI 1841222577
  Medicare reassignment NPD Authorized official
• Ginny Olazabal Leva, MD

  • Internal Medicine Physician
  • Northport, NY
  • NPI 1386680478
  Medicare reassignment NPD
• Jill Zembera, RPA-C

  • Physician Assistant
  • Elmhurst, NY
  • NPI 1306051974
  NPD (past)

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

{
    "created_epoch": "1163030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1256515200000",
    "number": "1144390766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1501",
            "city": "COMMACK",
            "state": "NY",
            "postal_code": "117250939",
            "telephone_number": "718-699-9737",
            "fax_number": "718-699-4361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9406 59TH AVE",
            "address_2": "SUITE E9",
            "city": "ELMHURST",
            "state": "NY",
            "postal_code": "113735151",
            "telephone_number": "718-699-9737",
            "fax_number": "718-699-4361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOCTORS OF NORTHPORT PRIMARY MEDICAL CARE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-09",
        "last_updated": "2009-10-26",
        "status": "A",
        "authorized_official_last_name": "LEVA",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "DELEGATED OFFICIAL",
        "authorized_official_telephone_number": "718-699-9737",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NY",
            "license": "173118",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ELMHURST RR MCR GROUP#",
            "identifier": "CG6264",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PPO GROUP#",
            "identifier": "5367752",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HMO#",
            "identifier": "2098944",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE NORTHPORT GRP",
            "identifier": "CG6265",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michele M. Dinome, P.A.
• Alicia Diorio, LMSW
• Andrew Ditchik, M.D.
• Makeda Ayana Dixon, FNP
• Doctors Medical Care, P.C.
• Jacqueline Dodoo, LPN
• Chime Dolkar, FNP
• Phurbu Dolker
• Lhakpa Dolma
• Pema Dolma

• Specialist in Elmhurst, NY
• Providers in Elmhurst, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2009; 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.