Active NPI
St James Medical Services PC
- Family Medicine Physician
- St James, NY
National Provider Identifier
1164699138
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 170642
- Legal business name
- ST JAMES MEDICAL SERVICES PC
- Practice address
- 487 Lake Ave
St James, NY 11780 - Phone
- (631) 584-6014
- Fax
- (631) 584-6098
- NPI assigned
- May 9, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Emrick Richard Milligan, MD
- Title
- Doctor
- Phone
- (631) 584-6014
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 170642 | NY | Primary |
Addresses
Primary practice location
487 Lake Ave
St James, NY 11780
Mailing address
487 Lake Ave PO Box 624
St James, NY 11780
Phone (631) 584-6014
National Provider Directory
National Provider DirectoryLocations
433 Lake Ave
Saint James, NY 11780
Phone (631) 462-2993
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Nesconset, NY
- NPI 1841436458
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1210291200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1210291200000",
"number": "1164699138",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "487 LAKE AVE PO BOX 624",
"city": "ST JAMES",
"state": "NY",
"postal_code": "11780",
"telephone_number": "631-584-6014",
"fax_number": "631-584-6098"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "487 LAKE AVE",
"city": "ST JAMES",
"state": "NY",
"postal_code": "11780",
"telephone_number": "631-584-6014",
"fax_number": "631-584-6098"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ST JAMES MEDICAL SERVICES PC",
"organizational_subpart": "NO",
"enumeration_date": "2008-05-09",
"last_updated": "2008-05-09",
"status": "A",
"authorized_official_last_name": "MILLIGAN",
"authorized_official_first_name": "EMRICK",
"authorized_official_middle_name": "RICHARD",
"authorized_official_title_or_position": "DOCTOR",
"authorized_official_telephone_number": "631-584-6014",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "NY",
"license": "170642",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in St James, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 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.