Organization Active NPI

Fink Family Medical P.C

  • Family Medicine Physician
  • Islip, NY
National Provider Identifier
1609936228
Registry record updated Sep 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
198967 Issued in NY
Legal business name
FINK FAMILY MEDICAL P.C
Practice address
152 Islip Ave
Suite 22
Islip, NY 11751-3225
Phone
(631) 277-1692
Fax
(631) 277-1804
NPI assigned
Dec 12, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2010

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

Authorized official

Name
Dr. Leo P Fink, D.O.
Title
Physician
Phone
(631) 277-1692

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 198967 NY Primary

Addresses

Primary practice location

152 Islip Ave
Suite 22
Islip, NY 11751-3225

Mailing address

152 Islip Ave
Suite 22
Islip, NY 11751-3225
Phone (631) 277-1692

National Provider Directory

National Provider Directory

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": "1165881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1283299200000",
    "number": "1609936228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "152 ISLIP AVE",
            "address_2": "SUITE 22",
            "city": "ISLIP",
            "state": "NY",
            "postal_code": "117513225",
            "telephone_number": "631-277-1692",
            "fax_number": "631-277-1804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "152 ISLIP AVE",
            "address_2": "SUITE 22",
            "city": "ISLIP",
            "state": "NY",
            "postal_code": "117513225",
            "telephone_number": "631-277-1692",
            "fax_number": "631-277-1804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FINK FAMILY MEDICAL P.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-12",
        "last_updated": "2010-09-01",
        "status": "A",
        "authorized_official_last_name": "FINK",
        "authorized_official_first_name": "LEO",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "631-277-1692",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "198967",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Islip, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2010; 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.