Organization Active NPI

Long Island Family Medical PLLC

  • Family Medicine Physician
  • East Islip, NY
National Provider Identifier
1285743427
Registry record updated Oct 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
212172 Issued in NY
Legal business name
LONG ISLAND FAMILY MEDICAL PLLC
Practice address
8 Laurel Ave
East Islip, NY 11730-2190
Phone
(631) 224-4442
Fax
(631) 224-4446
NPI assigned
Aug 30, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2015

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

Authorized official

Name
Dr. Salvatore Giantinoto, DONPI 1811969504
Title
Physician
Phone
(631) 587-0940

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 212172 NY Primary

Addresses

Primary practice location

8 Laurel Ave
East Islip, NY 11730-2190

Mailing address

8 Laurel Ave
East Islip, NY 11730-2190
Phone (631) 224-4442

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040727001141 NY Part B Supplier - Clinic/Group Practice 0042280133 Receives reassigned benefits from 1 practitioner
Practice locations: East Islip, NY

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
33D1016045Long Island Family Medical PLLC8 Laurel Avenue, East Islip, NY 11730Certificate of waiverAug 18, 2027

National Provider Directory

National Provider Directory

Locations

8 Laurel Ave
East Islip, NY 11730
Phone (631) 224-4442

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1443744000000",
    "number": "1285743427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 LAUREL AVE",
            "city": "EAST ISLIP",
            "state": "NY",
            "postal_code": "117302190",
            "telephone_number": "631-224-4442",
            "fax_number": "631-224-4446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 LAUREL AVE",
            "city": "EAST ISLIP",
            "state": "NY",
            "postal_code": "117302190",
            "telephone_number": "631-224-4442",
            "fax_number": "631-224-4446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONG ISLAND FAMILY MEDICAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-30",
        "last_updated": "2015-10-02",
        "status": "A",
        "authorized_official_last_name": "GIANTINOTO",
        "authorized_official_first_name": "SALVATORE",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "631-587-0940",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "212172",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Islip, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.