Organization Active NPI

Town Country Medical Group PLLC

  • Family Medicine Physician
  • Great Neck, NY
National Provider Identifier
1538837331
Registry record updated Sep 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
TOWN COUNTRY MEDICAL GROUP PLLC
Practice address
3 Grace Ave Ste 167
Great Neck, NY 11021-2400
Phone
(855) 693-7362
NPI assigned
Sep 6, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2021

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

Authorized official

Name
Dr. Richard Anthony Marino, MD
Title
Ceo
Phone
(914) 719-3069

Specialties & licenses 1

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

Addresses

Primary practice location

3 Grace Ave Ste 167
Great Neck, NY 11021-2400

Mailing address

3 Grace Ave Ste 167
Great Neck, NY 11021-2400

National Provider Directory

National Provider Directory

Locations

3 Grace Ave
Ste 167
Great Neck, NY 11021
Phone (855) 693-7362

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/22924/brand/1/csg/1/fhir/r4

NPI Registry JSON

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

{
    "created_epoch": "1630886400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1630886400000",
    "number": "1538837331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 GRACE AVE STE 167",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110212400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 GRACE AVE STE 167",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110212400",
            "telephone_number": "855-693-7362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOWN COUNTRY MEDICAL GROUP PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-06",
        "last_updated": "2021-09-06",
        "certification_date": "2021-09-06",
        "status": "A",
        "authorized_official_last_name": "MARINO",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "914-719-3069",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Great Neck, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2021; 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.