Kami Quinn Medical Doctor PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

222984 Issued in NY

Legal business name

KAMI QUINN MEDICAL DOCTOR PLLC

Practice address

76 Southaven Ave
Suite 4
Medford, NY 11763-3745

Phone

(631) 569-4055

Fax

(631) 569-4056

NPI assigned

Feb 4, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Kami Quinn Barry, D.O.

Title

Owner Family Practice Physician

Phone

(631) 569-4055

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1202083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202256000000",
    "number": "1265610166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "76 SOUTHAVEN AVE",
            "address_2": "SUITE 4",
            "city": "MEDFORD",
            "state": "NY",
            "postal_code": "117633745",
            "telephone_number": "631-569-4055",
            "fax_number": "631-569-4056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "76 SOUTHAVEN AVE",
            "address_2": "SUITE 4",
            "city": "MEDFORD",
            "state": "NY",
            "postal_code": "117633745",
            "telephone_number": "631-569-4055",
            "fax_number": "631-569-4056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAMI QUINN MEDICAL DOCTOR PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-04",
        "last_updated": "2008-02-06",
        "status": "A",
        "authorized_official_last_name": "BARRY",
        "authorized_official_first_name": "KAMI",
        "authorized_official_middle_name": "QUINN",
        "authorized_official_title_or_position": "OWNER  FAMILY PRACTICE PHYSICIAN",
        "authorized_official_telephone_number": "631-569-4055",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "222984",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI NUMBER",
            "identifier": "1114936317",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kahn,Kahn,Kahn
• Kelsey Rose Kalafut, LMSW
• Delores Kalakowski
• Mary Diane Kalkhof, LPN
• Brooke Alison Kalman, LCSW
• Valsamma T Kandathil, MD
• Jae Kang
• John Karahalis
• Amanda Elizabeth Kearns, MS SLP
• Kelly L Keefe

• Family Medicine Physician in Medford, NY
• Providers in Medford, NY by specialty
• Family Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2008; 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.