Jackie P. Orfanos,MD, PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

180070 Issued in NY

Legal business name

JACKIE P. ORFANOS,MD, PC

Practice address

700 Old Country Rd
Suite 200
Plainview, NY 11803-4932

Phone

(516) 681-5801

Fax

(516) 681-5861

NPI assigned

Dec 31, 2014

Last updated

Jan 12, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jackie P. OrfanosNPI 1548250715

Title

MD

Phone

(516) 993-1207

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 2

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.

• Jackie P Orfanos, MD

  • Internal Medicine Physician
  • Plainview, NY
  • NPI 1548250715
  Medicare reassignment Authorized official
• Jeffrey Alan Goodman, M.D.

  • Internal Medicine Physician
  • Plainview, NY
  • NPI 1962458141
  NPD (past)

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

{
    "created_epoch": "1419984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421020800000",
    "number": "1225426018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 OLD COUNTRY RD",
            "address_2": "SUITE 200",
            "city": "PLAINVIEW",
            "state": "NY",
            "postal_code": "118034932",
            "telephone_number": "516-681-5801",
            "fax_number": "516-681-5861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 OLD COUNTRY RD",
            "address_2": "SUITE 200",
            "city": "PLAINVIEW",
            "state": "NY",
            "postal_code": "118034932",
            "telephone_number": "516-681-5801",
            "fax_number": "516-681-5861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACKIE P. ORFANOS,MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-31",
        "last_updated": "2015-01-12",
        "status": "A",
        "authorized_official_last_name": "ORFANOS",
        "authorized_official_first_name": "JACKIE",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "516-993-1207",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "180070",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Plainview, NY
• Providers in Plainview, 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 Jan 12, 2015; 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.

Verify at the official NPI Registry.