Organization Active NPI

Li Premier Medical Care PLLC

  • Surgery Physician
  • Valley Stream, NY
National Provider Identifier
1245575448
Registry record updated Mar 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
2292291 Issued in NY
Legal business name
LI PREMIER MEDICAL CARE PLLC
Practice address
15 Fletcher Ave
Valley Stream, NY 11580-4000
Phone
(516) 872-0922
Fax
(516) 872-5927
NPI assigned
Nov 29, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2013

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

Authorized official

Name
Victor Hugo Taranto, M.D., D.O.
Title
President
Phone
(516) 872-0922

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X 2292291 NY Primary

Addresses

Primary practice location

15 Fletcher Ave
Valley Stream, NY 11580-4000

Mailing address

3235 Ilene LN
Levittown, NY 11756-2813
Phone (516) 872-0922

National Provider Directory

National Provider Directory

Locations

286 E Rockaway Rd
Hewlett, NY 11557
Phone (516) 569-3838

NPI Registry JSON

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

{
    "created_epoch": "1354147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1362960000000",
    "number": "1245575448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3235 ILENE LN",
            "city": "LEVITTOWN",
            "state": "NY",
            "postal_code": "117562813",
            "telephone_number": "516-872-0922",
            "fax_number": "516-872-5927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 FLETCHER AVE",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115804000",
            "telephone_number": "516-872-0922",
            "fax_number": "516-872-5927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LI PREMIER MEDICAL CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-29",
        "last_updated": "2013-03-11",
        "status": "A",
        "authorized_official_last_name": "TARANTO",
        "authorized_official_first_name": "VICTOR",
        "authorized_official_middle_name": "HUGO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "516-872-0922",
        "authorized_official_credential": "M.D., D.O."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "NY",
            "license": "2292291",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valley Stream, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2013; 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.