Family Medical Care of Long Island, P.C.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

147898 Issued in NY

Legal business name

FAMILY MEDICAL CARE OF LONG ISLAND, P.C.

Practice address

227 Mount Pleasant Rd
Hauppauge, NY 11788-2709

Phone

(631) 360-3442

Fax

(631) 360-3317

NPI assigned

Apr 10, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Orlando Vic. Bautista, M.D.

Title

President

Phone

(631) 360-3442

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1176163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222819200000",
    "number": "1619090818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "227 MOUNT PLEASANT RD",
            "city": "HAUPPAUGE",
            "state": "NY",
            "postal_code": "117882709",
            "telephone_number": "631-360-3442",
            "fax_number": "631-360-3317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "227 MOUNT PLEASANT RD",
            "city": "HAUPPAUGE",
            "state": "NY",
            "postal_code": "117882709",
            "telephone_number": "631-360-3442",
            "fax_number": "631-360-3317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY MEDICAL CARE OF LONG ISLAND, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-10",
        "last_updated": "2008-10-01",
        "status": "A",
        "authorized_official_last_name": "BAUTISTA",
        "authorized_official_first_name": "ORLANDO",
        "authorized_official_middle_name": "VIC.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "631-360-3442",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "147898",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00715173",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jordan F. Ezring
• Gloria Lorraine Faithead I, CASAC
• Kathleen Falco, RN
• Barbara Jean Falcone, R.N.
• Family Dental Care LLP
• Family Residences & Essential Enterprises, Inc.
• Family Residences & Essential Enterprises, Inc.
• Family Service League, Inc.
• Alan H. Farber, D.D.S.
• Nicholas T Farr, MS, LCAT

• Family Medicine Physician in Hauppauge, NY
• Providers in Hauppauge, 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 Oct 1, 2008; 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.