Doctors Medical Office PLLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

DOCTORS MEDICAL OFFICE PLLC

Practice address

1825 Merrick Rd
Merrick, NY 11566-4559

Phone

(516) 867-5132

Fax

(516) 867-5519

NPI assigned

Mar 5, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Mark Haltrecht, DONPI 1366510620

Title

Manager/Member

Phone

(516) 867-5132

Specialties & licenses 3

Addresses

Other names 3

• Doctor's Medical Office PLLC Doing business as
• Doctors Office Doing business as
• THE DOCTOR'S OFFICE FAMILY PRACTICE AND IMMEDIATE CARE Doing business as

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mark Harris Haltrecht, D.O.

  • Family Medicine Physician
  • Merrick, NY
  • NPI 1366510620
  Medicare reassignment Care Compare group NPD Authorized official
• Meredith Marie Corson, D.O

  • Family Medicine Physician
  • Long Beach, NY
  • NPI 1356679963
  Medicare reassignment Care Compare group NPD
• Danielle Marie Dono, PA-C

  • Physician Assistant
  • Baldwin, NY
  • NPI 1952072704
  Medicare reassignment
• Shane Tatar, PA

  • Medical Physician Assistant
  • Merrick, NY
  • NPI 1770932303
  Medicare reassignment
• Patrycja A Kazana, PA-C

  • Physician Assistant
  • Commack, NY
  • NPI 1407406135
  NPD (past)

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

{
    "created_epoch": "1393977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1767744000000",
    "number": "1164848818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1825 MERRICK RD",
            "city": "MERRICK",
            "state": "NY",
            "postal_code": "115664559",
            "telephone_number": "516-867-5132",
            "fax_number": "516-867-5519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1825 MERRICK RD",
            "city": "MERRICK",
            "state": "NY",
            "postal_code": "115664559",
            "telephone_number": "516-867-5132",
            "fax_number": "516-867-5519"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "389 Merrick Ave",
            "address_purpose": "LOCATION",
            "city": "Merrick",
            "state": "NY",
            "postal_code": "115662723",
            "country_code": "US",
            "telephone_number": "516-867-5132",
            "fax_number": "516-867-5519",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DOCTORS MEDICAL OFFICE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-05",
        "last_updated": "2026-01-07",
        "certification_date": "2026-01-07",
        "status": "A",
        "authorized_official_last_name": "HALTRECHT",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "MANAGER/MEMBER",
        "authorized_official_telephone_number": "516-867-5132",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Doctor's Medical Office PLLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Doctors Office",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "THE DOCTOR'S OFFICE FAMILY PRACTICE AND IMMEDIATE CARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Agnelo B Dias, ED. D., LCSW
• Amanda Dias
• Christian Matthew Diconsiglio, LMSW, CASAC-T
• Distinctive Physical Therapy PLLC
• Frauke Dittel
• Karen Dorman, O.D.
• Vanessa Myriam Douge, RN
• Margaret Nicole Doxsee, MS OTR/L
• Dr Sabeeh R Khan DDS PC
• Douglas L Drobbin, DC

• Primary Care Clinic/Center in Merrick, NY
• Providers in Merrick, NY by specialty
• Primary Care Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.