NPIMap

Organization Active NPI

Long Beach Family Care Center

  • Clinic/Center
  • Long Beach, NY
National Provider Identifier
1457796690
Registry record updated May 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
LONG BEACH FAMILY CARE CENTER
Practice address
455 E Bay Dr
Long Beach, NY 11561-2301
Phone
(516) 544-2351
NPI assigned
May 1, 2013
Organization subpart
Yes
Parent organization
LONG BEACH MEDICAL CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 1, 2013

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

Authorized official

Name
Dr. Nancy Bono
Title
Program Director
Phone
(516) 544-2351

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

455 E Bay Dr
Long Beach, NY 11561-2301

Mailing address

455 E Bay Dr
Long Beach, NY 11561-2301

National Provider Directory

National Provider Directory
Tax ID family
Long Beach Medical Center5 organizations share this tax ID, including this one
Part of
Long Beach Medical Center

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1367366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1367366400000",
    "number": "1457796690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "455 E BAY DR",
            "city": "LONG BEACH",
            "state": "NY",
            "postal_code": "115612301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "455 E BAY DR",
            "city": "LONG BEACH",
            "state": "NY",
            "postal_code": "115612301",
            "telephone_number": "516-544-2351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONG BEACH FAMILY CARE CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LONG BEACH MEDICAL CENTER",
        "enumeration_date": "2013-05-01",
        "last_updated": "2013-05-01",
        "status": "A",
        "authorized_official_last_name": "BONO",
        "authorized_official_first_name": "NANCY",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "516-544-2351",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2013; 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.