NPIMap

Organization Active NPI

William T. Konczynin & David M. Heckler Physicians PC

Doing business as Middle Country Medical Care

  • Family Medicine Physician
  • Coram, NY
National Provider Identifier
1477530772
Registry record updated Jun 19, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
170498 Issued in NY
Legal business name
WILLIAM T. KONCZYNIN & DAVID M. HECKLER PHYSICIANS PC
Doing business as
Middle Country Medical Care
Practice address
266 Middle Country Rd
Middle Country Medical Care
Coram, NY 11727
Phone
(631) 698-1111
Fax
(631) 698-1195
NPI assigned
Dec 28, 2005
Last updated
Jun 19, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2014

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

Authorized official

Name
Dr. David M Heckler, MDNPI 1407878275
Title
Owner
Phone
(631) 698-1111

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 170498 NY Primary

Addresses

Primary practice location

266 Middle Country Rd
Middle Country Medical Care
Coram, NY 11727

Mailing address

266 Middle Country Rd
Middle Country Medical Care
Coram, NY 11727
Phone (631) 698-1111

Other names 1

  • Middle Country Medical Care 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": "1135728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403136000000",
    "number": "1477530772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "266 MIDDLE COUNTRY RD",
            "address_2": "MIDDLE COUNTRY MEDICAL CARE",
            "city": "CORAM",
            "state": "NY",
            "postal_code": "11727",
            "telephone_number": "631-698-1111",
            "fax_number": "631-698-1195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "266 MIDDLE COUNTRY RD",
            "address_2": "MIDDLE COUNTRY MEDICAL CARE",
            "city": "CORAM",
            "state": "NY",
            "postal_code": "11727",
            "telephone_number": "631-698-1111",
            "fax_number": "631-698-1195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM T. KONCZYNIN & DAVID M. HECKLER PHYSICIANS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-28",
        "last_updated": "2014-06-19",
        "status": "A",
        "authorized_official_last_name": "HECKLER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "631-698-1111",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "170498",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Middle Country Medical Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Coram, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2014; 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.