Active NPI
Equitable Health Corporation
- Family Medicine Physician
- Uniondale, NY
National Provider Identifier
1427914217
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- EQUITABLE HEALTH CORPORATION
- Practice address
- 626 RXR PLZ FL 6TH
Uniondale, NY 11556-3829 - Phone
- (801) 949-4021
- NPI assigned
- Dec 24, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Lance Johnson
- Title
- Director
- Phone
- (801) 949-4021
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | |||
| Family Medicine Physician | 207Q00000X | Primary | ||
| Home Health Agency | 251E00000X | |||
| Clinic/Center | 261Q00000X | |||
| Federal Public Health Clinic/Center | 261QP0904X | |||
| Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 332800000X |
Addresses
Primary practice location
626 RXR PLZ FL 6TH
Uniondale, NY 11556-3829
Mailing address
626 RXR PLZ FL 6TH
Uniondale, NY 11556-3829
Phone (801) 949-4021
National Provider Directory
National Provider DirectoryLocations
626 Rxr Plz
Uniondale, NY 11556
Phone (516) 280-9030
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1766534400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1767916800000",
"number": "1427914217",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "626 RXR PLZ FL 6TH",
"city": "UNIONDALE",
"state": "NY",
"postal_code": "115563829",
"telephone_number": "801-949-4021"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "626 RXR PLZ FL 6TH",
"city": "UNIONDALE",
"state": "NY",
"postal_code": "115563829",
"telephone_number": "801-949-4021"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EQUITABLE HEALTH CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2025-12-24",
"last_updated": "2026-01-09",
"certification_date": "2026-01-09",
"status": "A",
"authorized_official_last_name": "JOHNSON",
"authorized_official_first_name": "LANCE",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "801-949-4021"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QP0904X",
"taxonomy_group": "",
"desc": "Clinic/Center, Public Health, Federal",
"state": null,
"license": null,
"primary": false
},
{
"code": "332800000X",
"taxonomy_group": "",
"desc": "Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Uniondale, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.