Northside Primary Medical Care PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

160056 Issued in NY

Legal business name

NORTHSIDE PRIMARY MEDICAL CARE PC

Practice address

3001 Expressway Dr N
Suite 200C
Islandia, NY 11749-5301

Phone

(631) 435-4358

Fax

(631) 435-4583

NPI assigned

Jul 19, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Wei K Kao, M.D.NPI 1629295571

Title

President

Phone

(631) 435-4358

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Wei K Kao, M.D.

  • Internal Medicine Physician
  • Ronkonkoma, NY
  • NPI 1629295571
  NPD (past) Authorized official

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

{
    "created_epoch": "1184803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191283200000",
    "number": "1508066440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3001 EXPRESSWAY DR N",
            "address_2": "SUITE 200C",
            "city": "ISLANDIA",
            "state": "NY",
            "postal_code": "117495301",
            "telephone_number": "631-435-4358",
            "fax_number": "631-435-4583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3001 EXPRESSWAY DR N",
            "address_2": "SUITE 200C",
            "city": "ISLANDIA",
            "state": "NY",
            "postal_code": "117495301",
            "telephone_number": "631-435-4358",
            "fax_number": "631-435-4583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHSIDE PRIMARY MEDICAL CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-19",
        "last_updated": "2007-10-02",
        "status": "A",
        "authorized_official_last_name": "KAO",
        "authorized_official_first_name": "WEI",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "631-435-4358",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "160056",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katie Newman
• Craig J Niederberger, RPH
• Susan Marie Noll, NP
• North Shore - Lij Pediatrics of Suffolk County, P.C.
• North Shore Lij OB GYN PC
• Howard Novotny, M.D.
• Nu-Tech Health Care Services, LTD
• Ny Northeast Medical Care PLLC
• Kerry O'Brien- Espinoza, NP
• Megan Kathleen O'Donnell

• Internal Medicine Physician in Islandia, NY
• Providers in Islandia, 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 Oct 2, 2007; 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.