Organization Active NPI

The Farmer's Medical Group, PC

  • Legal Medicine
  • Farmingville, NY
National Provider Identifier
1467485789
Registry record updated Feb 8, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Legal MedicineTaxonomy code 173000000X
License
221440 Issued in NY
Legal business name
THE FARMER'S MEDICAL GROUP, PC
Practice address
180 Granny Rd
Farmingville, NY 11738-2130
Phone
(631) 698-3258
Fax
(631) 698-3259
NPI assigned
Jul 9, 2006
Organization subpart
Yes
Parent organization
THE FARMER'S MEDICAL GROUP, PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 8, 2012

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

Authorized official

Name
Gail Fraser-Farmer, M.D.
Title
Sole Proprieter
Phone
(631) 698-3258

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Legal MedicineGroup: 193400000X SINGLE SPECIALTY GROUP 173000000X 221440 NY Primary

Addresses

Primary practice location

180 Granny Rd
Farmingville, NY 11738-2130

Mailing address

180 Granny Rd
Farmingville, NY 11738-2130
Phone (631) 698-3258

National Provider Directory

National Provider Directory
Part of
The Farmer's Medical Group

Locations

3650 Route 112
Ste 103
Coram, NY 11727
Phone (631) 698-3258

Practitioners & affiliated clinicians

Practitioners 1

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": "1152403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328659200000",
    "number": "1467485789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 GRANNY RD",
            "city": "FARMINGVILLE",
            "state": "NY",
            "postal_code": "117382130",
            "telephone_number": "631-698-3258",
            "fax_number": "631-698-3259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 GRANNY RD",
            "city": "FARMINGVILLE",
            "state": "NY",
            "postal_code": "117382130",
            "telephone_number": "631-698-3258",
            "fax_number": "631-698-3259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE FARMER'S MEDICAL GROUP, PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THE FARMER'S MEDICAL GROUP, PC",
        "enumeration_date": "2006-07-09",
        "last_updated": "2012-02-08",
        "status": "A",
        "authorized_official_last_name": "FRASER-FARMER",
        "authorized_official_first_name": "GAIL",
        "authorized_official_title_or_position": "SOLE PROPRIETER",
        "authorized_official_telephone_number": "631-698-3258",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "173000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Legal Medicine",
            "state": "NY",
            "license": "221440",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmingville, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2012; 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.