Organization Active NPI

One on One Medical Care, P.C.

  • Family Medicine Physician
  • Sayville, NY
National Provider Identifier
1609323351
Registry record updated Mar 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
167827 Issued in NY
Legal business name
ONE ON ONE MEDICAL CARE, P.C.
Practice address
43 Broadway Ave
Sayville, NY 11782-1601
Phone
(631) 603-3770
Fax
(631) 251-7020
NPI assigned
Sep 9, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2025

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

Authorized official

Name
Anthony Nicholas Donatelli Jr., MDNPI 1730176793
Title
President
Phone
(631) 603-3770

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 167827 NY Primary

Addresses

Primary practice location

43 Broadway Ave
Sayville, NY 11782-1601

Mailing address

43 Broadway Ave
Sayville, NY 11782-1601
Phone (631) 603-3770

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180425000118 NY Part B Supplier - Clinic/Group Practice 1658634738 Receives reassigned benefits from 1 practitioner
Practice locations: Sayville, NY

National Provider Directory

National Provider Directory

Locations

440 Waverly Ave
Ste 10
Patchogue, NY 11772
Phone (631) 603-3370

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1473379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740960000000",
    "number": "1609323351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43 BROADWAY AVE",
            "city": "SAYVILLE",
            "state": "NY",
            "postal_code": "117821601",
            "telephone_number": "631-603-3770",
            "fax_number": "631-251-7020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43 BROADWAY AVE",
            "city": "SAYVILLE",
            "state": "NY",
            "postal_code": "117821601",
            "telephone_number": "631-603-3770",
            "fax_number": "631-251-7020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ONE ON ONE MEDICAL CARE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-09",
        "last_updated": "2025-03-03",
        "certification_date": "2025-03-03",
        "status": "A",
        "authorized_official_last_name": "DONATELLI",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "NICHOLAS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "631-603-3770",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "167827",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sayville, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2025; 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.