NPIMap

Organization Active NPI

Home Medical Services PLLC

  • Internal Medicine Physician
  • Ronkonkoma, NY
National Provider Identifier
1558833384
Registry record updated Dec 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
HOME MEDICAL SERVICES PLLC
Practice address
3505 Veterans Memorial Hwy Ste C
Ronkonkoma, NY 11779-7613
Phone
(631) 676-7656
Fax
(631) 676-7648
NPI assigned
Dec 18, 2018
Last updated
Dec 18, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2018

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

Authorized official

Name
Amanda Lee
Title
Office Manager
Phone
(631) 676-7656

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X NU Primary

Addresses

Primary practice location

3505 Veterans Memorial Hwy Ste C
Ronkonkoma, NY 11779-7613

Mailing address

3505 Veterans Memorial Hwy Ste C
Ronkonkoma, NY 11779-7613
Phone (631) 676-7656

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190415001172 NY Part B Supplier - Clinic/Group Practice 2062753320 Receives reassigned benefits from 17 practitioners
Practice locations: Ronkonkoma, NY

National Provider Directory

National Provider Directory

Locations

3505 Veterans Memorial Hwy
Ste C
Ronkonkoma, NY 11779
Phone (631) 676-7556

Practitioners & affiliated clinicians

Practitioners 17

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.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1545091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1545091200000",
    "number": "1558833384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3505 VETERANS MEMORIAL HWY STE C",
            "city": "RONKONKOMA",
            "state": "NY",
            "postal_code": "117797613",
            "telephone_number": "631-676-7656",
            "fax_number": "631-676-7648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3505 VETERANS MEMORIAL HWY STE C",
            "city": "RONKONKOMA",
            "state": "NY",
            "postal_code": "117797613",
            "telephone_number": "631-676-7656",
            "fax_number": "631-676-7648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOME MEDICAL SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-18",
        "last_updated": "2018-12-18",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "631-676-7656"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ronkonkoma, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.