Nassau Suffolk Medical Practice, P.C.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

NASSAU SUFFOLK MEDICAL PRACTICE, P.C.

Practice address

120 Route 109
West Babylon, NY 11704-6210

Phone

(631) 422-3636

Fax

(631) 422-2788

NPI assigned

Jun 10, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Ani A Bodoutchian, M.D.

Title

Owner

Phone

(631) 422-3636

Specialties & licenses 1

Addresses

Locations

Practitioners 4

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

• Christopher J Berard, D.O.

  • Family Medicine Physician
  • Babylon, NY
  • NPI 1013921592
  NPD (past)
• Gloria S Escobar, MD

  • Family Medicine Physician
  • Islip, NY
  • NPI 1992978654
  NPD (past)
• John S Ferraro, D.O.

  • Internal Medicine Physician
  • East Northport, NY
  • NPI 1295795912
  NPD (past)
• Christopher John Magnifico, MD

  • Family Medicine Physician
  • Bayport, NY
  • NPI 1528082856
  NPD (past)

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

{
    "created_epoch": "1149897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1251244800000",
    "number": "1417998352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 ROUTE 109",
            "city": "WEST BABYLON",
            "state": "NY",
            "postal_code": "117046210",
            "telephone_number": "631-422-3636",
            "fax_number": "631-422-2788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 ROUTE 109",
            "city": "WEST BABYLON",
            "state": "NY",
            "postal_code": "117046210",
            "telephone_number": "631-422-3636",
            "fax_number": "631-422-2788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NASSAU SUFFOLK MEDICAL PRACTICE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-10",
        "last_updated": "2009-08-26",
        "status": "A",
        "authorized_official_last_name": "BODOUTCHIAN",
        "authorized_official_first_name": "ANI",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "631-422-3636",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nadine S Beach DC PC
• Nadine S. Beach DC, PC
• Nancy Brasil-Kolich Physician PC
• Michael A. Napoli, D.P.M.
• Jack Nass, M.D.
• Shellyann Janalee Nation
• National Vision Inc (America's Best Contacts & Eyeglasses)
• Ana Navarro
• Jennifer A Nealon
• Madalyn Neary

• Family Medicine Physician in West Babylon, NY
• Providers in West Babylon, 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 Aug 26, 2009; 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.