Active NPI
Carefirst Family Medical PC
- Primary Care Clinic/Center
- Commack, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- License
- 240642
- Legal business name
- CAREFIRST FAMILY MEDICAL PC
- Practice address
- 353 Veterans Memorial Hwy
Commack, NY 11725-4200 - Phone
- (631) 864-8535
- Fax
- (631) 864-8504
- NPI assigned
- Sep 20, 2007
- Last updated
- Sep 20, 2007
- 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
- Dr. Fangqin Li, MD
- Title
- Director
- Phone
- (631) 751-6389
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | 240642 | NY | Primary |
Addresses
Primary practice location
353 Veterans Memorial Hwy
Commack, NY 11725-4200
Mailing address
163 Sycamore Cir
Stony Brook, NY 11790-3171
Phone (631) 751-6389
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
2500 Nesconset Hwy
Bldg 12C
Stony Brook, NY 11790
Phone (631) 675-9555
2500 Route 347
Bldg 6D
Stony Brook, NY 11790
Phone (631) 675-1895
Practitioners & affiliated clinicians
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.
-
- Family Medicine Physician
- Stony Brook, NY
- NPI 1427198076
-
- Family Medicine Physician
- Islip, NY
- NPI 1386723716
-
- Endocrinology, Diabetes & Metabolism Physician
- Stony Brook, NY
- NPI 1598860967
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1190246400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1190246400000",
"number": "1174719496",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "163 SYCAMORE CIR",
"city": "STONY BROOK",
"state": "NY",
"postal_code": "117903171",
"telephone_number": "631-751-6389"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "353 VETERANS MEMORIAL HWY",
"city": "COMMACK",
"state": "NY",
"postal_code": "117254200",
"telephone_number": "631-864-8535",
"fax_number": "631-864-8504"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CAREFIRST FAMILY MEDICAL PC",
"organizational_subpart": "NO",
"enumeration_date": "2007-09-20",
"last_updated": "2007-09-20",
"status": "A",
"authorized_official_last_name": "LI",
"authorized_official_first_name": "FANGQIN",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "631-751-6389",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": "NY",
"license": "240642",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Commack, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2007; 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.