Caremed Primary and Urgent Care PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

271435 Issued in NY

Legal business name

CAREMED PRIMARY AND URGENT CARE PC

Doing business as

Middle Country Medical Care

Practice address

1 E Roe Blvd
Patchogue, NY 11772-2631

Phone

(631) 475-3900

Fax

(631) 475-5166

NPI assigned

Nov 7, 2014

Last updated

Jul 7, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jodi Silver-Smith

Title

Practice Administrator

Phone

(631) 475-3900

Specialties & licenses 5

Addresses

Other identifiers 1

Other names 1

• Middle Country Medical Care Doing business as

Medicare fee-for-service enrollment

Enrolled in NY2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Medicare medical equipment & supply locations

Locations

Practitioners 33

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.

• Faiza Ali, M.D.

  • Family Medicine Physician
  • Coram, NY
  • NPI 1891137360
  Medicare reassignment Care Compare group NPD
• Pierre Collin, M.D.

  • Internal Medicine Physician
  • West Babylon, NY
  • NPI 1134181282
  Medicare reassignment Care Compare group NPD
• Melanie Frank, DO

  • Family Medicine Physician
  • Selden, NY
  • NPI 1255341418
  Medicare reassignment Care Compare group NPD
• Christine Maria Honor, RN, ANP

  • Adult Health Nurse Practitioner
  • Patchogue, NY
  • NPI 1659687358
  Medicare reassignment Care Compare group NPD
• Christine Kadien, NP

  • Adult Health Nurse Practitioner
  • Riverhead, NY
  • NPI 1790450898
  Medicare reassignment Care Compare group NPD
• Mark Alan Koenig, D.O.

  • Family Medicine Physician
  • Miller Place, NY
  • NPI 1831252964
  Medicare reassignment Care Compare group NPD
• Jayeshkumar Makavana, MD

  • Internal Medicine Physician
  • Patchogue, NY
  • NPI 1871691659
  Medicare reassignment Care Compare group NPD
• Richard Marotto Jr., DPM

  • Podiatrist
  • Patchogue, NY
  • NPI 1003905688
  Medicare reassignment Care Compare group NPD
• Lauren Misuraca, FNP

  • Family Nurse Practitioner
  • West Babylon, NY
  • NPI 1639612815
  Medicare reassignment Care Compare group NPD
• Corin Danielle Newman, NP

  • Nurse Practitioner
  • Miller Place, NY
  • NPI 1801482062
  Medicare reassignment Care Compare group NPD
• Young Park

  • Family Medicine Physician
  • Bay Shore, NY
  • NPI 1083094189
  Medicare reassignment Care Compare group NPD
• Nileshkumar G. Patel, MD

  • Family Medicine Physician
  • Patchogue, NY
  • NPI 1043316755
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1415318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594080000000",
    "number": "1487050134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 E ROE BLVD",
            "city": "PATCHOGUE",
            "state": "NY",
            "postal_code": "117722631",
            "telephone_number": "631-475-3900",
            "fax_number": "631-475-5166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 E ROE BLVD",
            "city": "PATCHOGUE",
            "state": "NY",
            "postal_code": "117722631",
            "telephone_number": "631-475-3900",
            "fax_number": "631-475-5166"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "765 Route 25A Ste 6",
            "address_purpose": "LOCATION",
            "city": "Miller Place",
            "state": "NY",
            "postal_code": "117642649",
            "country_code": "US",
            "telephone_number": "631-320-3200",
            "fax_number": "631-350-7798",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "41 Brentwood Rd",
            "address_purpose": "LOCATION",
            "city": "Bay Shore",
            "state": "NY",
            "postal_code": "117066923",
            "country_code": "US",
            "telephone_number": "631-891-6200",
            "fax_number": "631-350-7803",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "900 Straight Path",
            "address_purpose": "LOCATION",
            "city": "West Babylon",
            "state": "NY",
            "postal_code": "117043234",
            "country_code": "US",
            "telephone_number": "631-957-0066",
            "fax_number": "631-957-2701",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "266 Middle Country Rd",
            "address_purpose": "LOCATION",
            "city": "Coram",
            "state": "NY",
            "postal_code": "117274425",
            "country_code": "US",
            "telephone_number": "631-698-1111",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1228 E Main St Ste C",
            "address_purpose": "LOCATION",
            "city": "Riverhead",
            "state": "NY",
            "postal_code": "119012677",
            "country_code": "US",
            "telephone_number": "631-603-3400",
            "fax_number": "631-603-3401",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1228 E Main St Ste C",
            "address_purpose": "LOCATION",
            "city": "Riverhead",
            "state": "NY",
            "postal_code": "119012677",
            "country_code": "US",
            "telephone_number": "631-603-3400",
            "fax_number": "631-603-3401",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CAREMED PRIMARY AND URGENT CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-07",
        "last_updated": "2020-07-07",
        "certification_date": "2020-07-07",
        "status": "A",
        "authorized_official_last_name": "SILVER-SMITH",
        "authorized_official_first_name": "JODI",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "631-475-3900"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "271435",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "271435",
            "primary": true
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "NY",
            "license": "271435",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04770283",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Middle Country Medical Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Middle Country Medical Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Dax Christopher Campbell, PT
• Gustavo A. Cardenas, M.D.
• Cardio Thoracic & Vascular Surgery PC
• Cardone Family Optometry, PLLC
• Gina Maria Cardone, O.D.
• Emily Marie Caron, DPT
• Carolina Carrion Maura
• Courtney Lynn Case, O.D.
• Michele Lynn Casey, M.A. CCC-SLP
• Erin L Casper, LPN

• Internal Medicine Physician in Patchogue, NY
• Providers in Patchogue, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.