Organization Active NPI

One World Family Medicine PC

  • Family Medicine Physician
  • Woodstock, NY
National Provider Identifier
1629061312
Registry record updated Nov 12, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
220557 Issued in NY
Legal business name
ONE WORLD FAMILY MEDICINE PC
Practice address
2565 Route 212
Woodstock, NY 12498-2115
Phone
(845) 679-6210
Fax
(845) 679-6214
NPI assigned
Aug 26, 2005
Last updated
Nov 12, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2009

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

Authorized official

Name
Dr. Tracie L Dimarco, M.D.
Title
Medical Director
Phone
(845) 876-2174

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 220557 NY Primary

Addresses

Primary practice location

2565 Route 212
Woodstock, NY 12498-2115

Mailing address

6805 Route 9
Suite 31
Rhinebeck, NY 12572-1148
Phone (845) 876-3868

National Provider Directory

National Provider Directory

Locations

2565 Route 212
Woodstock, NY 12498
Phone (845) 679-6210

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1125014400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1257984000000",
    "number": "1629061312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6805 ROUTE 9",
            "address_2": "SUITE 31",
            "city": "RHINEBECK",
            "state": "NY",
            "postal_code": "125721148",
            "telephone_number": "845-876-3868",
            "fax_number": "845-876-3756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2565 ROUTE 212",
            "city": "WOODSTOCK",
            "state": "NY",
            "postal_code": "124982115",
            "telephone_number": "845-679-6210",
            "fax_number": "845-679-6214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ONE WORLD FAMILY MEDICINE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-26",
        "last_updated": "2009-11-12",
        "status": "A",
        "authorized_official_last_name": "DIMARCO",
        "authorized_official_first_name": "TRACIE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "845-876-2174",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "220557",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodstock, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2009; 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.