Organization Active NPI

Premier Family Medical Associates, P.C.

Doing business as Physician House Call Services

  • Family Medicine Physician
  • Hauppauge, NY
National Provider Identifier
1437159647
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
200599 Issued in NY
Legal business name
PREMIER FAMILY MEDICAL ASSOCIATES, P.C.
Doing business as
Physician House Call Services
Practice address
227 Mount Pleasant Rd
Hauppauge, NY 11788-2747
Phone
(631) 724-9394
Fax
(631) 724-8076
NPI assigned
Jul 29, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Samuel Vincent Smith, D.O.
Title
President
Phone
(631) 724-9394

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 200599 NY Primary

Addresses

Primary practice location

227 Mount Pleasant Rd
Hauppauge, NY 11788-2747

Mailing address

227 Mount Pleasant Rd
Hauppauge, NY 11788-2747
Phone (631) 724-9394

Other names 1

  • Physician House Call Services Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1122595200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1437159647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "227 MOUNT PLEASANT RD",
            "city": "HAUPPAUGE",
            "state": "NY",
            "postal_code": "117882747",
            "telephone_number": "631-724-9394",
            "fax_number": "631-724-8076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "227 MOUNT PLEASANT RD",
            "city": "HAUPPAUGE",
            "state": "NY",
            "postal_code": "117882747",
            "telephone_number": "631-724-9394",
            "fax_number": "631-724-8076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER FAMILY MEDICAL ASSOCIATES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_middle_name": "VINCENT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "631-724-9394",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "200599",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Physician House Call Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hauppauge, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.