Active NPI
Island Family Medicine PC
- Family Medicine Physician
- Massapequa, NY
National Provider Identifier
1194831016
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 208853
- Legal business name
- ISLAND FAMILY MEDICINE PC
- Practice address
- 20 Unqua Rd
Massapequa, NY 11758 - Phone
- (516) 799-9700
- Fax
- (516) 799-0134
- NPI assigned
- Aug 22, 2006
- Last updated
- May 6, 2014
- 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. Anthony A Foto, DO
- Title
- Physician President
- Phone
- (516) 799-9700
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 208853 | NY | Primary |
Addresses
Primary practice location
20 Unqua Rd
Massapequa, NY 11758
Mailing address
20 Unqua Rd
Massapequa, NY 11758
Phone (516) 799-9700
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02095036 | Medicaid | NY |
National Provider Directory
National Provider DirectoryLocations
20 Unqua Rd
Massapequa, NY 11758
Phone (516) 644-8772
Practitioners & affiliated clinicians
Practitioners 1
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
- Massapequa, NY
- NPI 1386750206
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156204800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1399334400000",
"number": "1194831016",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20 UNQUA RD",
"city": "MASSAPEQUA",
"state": "NY",
"postal_code": "11758",
"telephone_number": "516-799-9700",
"fax_number": "516-799-0134"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20 UNQUA RD",
"city": "MASSAPEQUA",
"state": "NY",
"postal_code": "11758",
"telephone_number": "516-799-9700",
"fax_number": "516-799-0134"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ISLAND FAMILY MEDICINE PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-22",
"last_updated": "2014-05-06",
"status": "A",
"authorized_official_last_name": "FOTO",
"authorized_official_first_name": "ANTHONY",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "PHYSICIAN PRESIDENT",
"authorized_official_telephone_number": "516-799-9700",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DO"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NY",
"license": "208853",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02095036",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Massapequa, NY
- Intrinsic Energy Acupuncture PLLC (Intrinsic Wellness Center)
- Marjorie J. Isdith, D.O.
- Sabrina Islam, LMSW
- Island Chiropractic Wellness P.C.
- Island Diagnostic Imaging Associates
- Island Lighthouse Consultation Services, NP in Psychiatry, P.C.
- Island Medical Office PC
- Island Neuro Care, PC
- Island Neurological Therapy, P.C.
- Island Orthopaedics & Sports Medicine PC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.