Complete Medical Family Care PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

242516 Issued in NY

Legal business name

COMPLETE MEDICAL FAMILY CARE PLLC

Practice address

735 Middle Country Road
Saint James, NY 11780-3211

Phone

(631) 656-9200

NPI assigned

Apr 13, 2012

Last updated

Sep 18, 2012By 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

Dr. George Jack Lehner, MD

Title

Owner

Phone

(631) 656-9200

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

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.

• Stella Vanegas

  • Medical Physician Assistant
  • Saint James, NY
  • NPI 1154744027
  NPD (past)

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

{
    "created_epoch": "1334275200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1347926400000",
    "number": "1578820783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "735 MIDDLE COUNTRY ROAD",
            "city": "SAINT JAMES",
            "state": "NY",
            "postal_code": "117803211",
            "telephone_number": "631-559-6869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "735 MIDDLE COUNTRY ROAD",
            "city": "SAINT JAMES",
            "state": "NY",
            "postal_code": "117803211",
            "telephone_number": "631-656-9200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPLETE MEDICAL FAMILY CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-13",
        "last_updated": "2012-09-18",
        "status": "A",
        "authorized_official_last_name": "LEHNER",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "JACK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "631-656-9200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "242516",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03057045",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Central Suffolk Surgical,PC.
• Marie Charlot, R.N., M.S.N.
• Michelle Chartoff
• Laura J Chiarelli, MA CCC/SLP
• Jodie Galler Collins, PT
• Comtech Services LLC
• Madeline Confessore
• Thomas Cromer, PHD
• Da Vinci Education & Research (Da Vinci Collaborative)
• Davinci Therapy Services, LCSW, PLLC

• Family Medicine Physician in Saint James, NY
• Providers in Saint James, NY by specialty
• Family Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2012; 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.