Ronkonkoma Medical Care, PLLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

229928 Issued in NY

Legal business name

RONKONKOMA MEDICAL CARE, PLLC

Practice address

2171 Jericho Tpke
Suite 304
Commack, NY 11725-2915

Phone

(631) 462-2993

Fax

(631) 462-2995

NPI assigned

Jun 6, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Beena Samir Patel, M.D.NPI 1669427720

Title

Owner

Phone

(631) 462-2993

Specialties & licenses 1

Addresses

Other names 1

• Commack Medical Care Doing business as

Locations

Practitioners 1

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

• Beena Samir Patel, M.D.

  • Internal Medicine Physician
  • Orlando, FL
  • NPI 1669427720

  Internal Medicine

  NPD (past) Authorized official

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

{
    "created_epoch": "1149552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1184664641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2171 JERICHO TPKE",
            "address_2": "SUITE 304",
            "city": "COMMACK",
            "state": "NY",
            "postal_code": "117252915",
            "telephone_number": "631-462-2993",
            "fax_number": "631-462-2995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2171 JERICHO TPKE",
            "address_2": "SUITE 304",
            "city": "COMMACK",
            "state": "NY",
            "postal_code": "117252915",
            "telephone_number": "631-462-2993",
            "fax_number": "631-462-2995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RONKONKOMA MEDICAL CARE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "BEENA",
        "authorized_official_middle_name": "SAMIR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "631-462-2993",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "229928",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Commack Medical Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• George Rogu, MD
• Nicholas Rogu, M.D.
• Harold Roher, DC
• Lisa Vera Romanacce, NP
• Amanda Lauren Romito, D.P.M.
• Amy B Rosario, RPA
• Jeffrey Christian Rosario, D.D.S.
• Joanna Michele Rose, NP
• Beth Rosen
• Laurie S Rosen, LCSW

• Internal Medicine Physician in Commack, NY
• Providers in Commack, 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 Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.