Long Beach Family Medicine PC

Primary specialty

Adult Medicine PhysicianTaxonomy code 207QA0505X

Legal business name

LONG BEACH FAMILY MEDICINE PC

Practice address

10 Franklin Blvd Apt 102
Long Beach, NY 11561-4511

Phone

(516) 889-0100

NPI assigned

May 1, 2007

Organization subpart

No

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

Authorized official

Name

Sergey Kulikov, D.O.NPI 1821177825

Title

Pres.

Phone

(516) 889-0100

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

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

• Sergey K Kulikov, D.O.

  • Family Medicine Physician
  • Long Beach, NY
  • NPI 1821177825
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1177977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1443139200000",
    "number": "1629299516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 FRANKLIN BLVD APT 102",
            "city": "LONG BEACH",
            "state": "NY",
            "postal_code": "115614511",
            "telephone_number": "516-889-0100",
            "fax_number": "516-897-2425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 FRANKLIN BLVD APT 102",
            "city": "LONG BEACH",
            "state": "NY",
            "postal_code": "115614511",
            "telephone_number": "516-889-0100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONG BEACH FAMILY MEDICINE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-01",
        "last_updated": "2015-09-25",
        "status": "A",
        "authorized_official_last_name": "KULIKOV",
        "authorized_official_first_name": "SERGEY",
        "authorized_official_title_or_position": "PRES.",
        "authorized_official_telephone_number": "516-889-0100",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Adult Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Long Beach Chemists Inc
• Long Beach Community Health Center
• Long Beach Comprehensive Pain Services, PLLC
• Long Beach Ekg
• Long Beach Family Care Center
• Long Beach FCC Physician Practice
• Long Beach Imaging Center LLC
• Long Beach Medical Center
• Long Beach Medical Center
• Long Beach Medical Center

• Adult Medicine Physician in Long Beach, NY
• Providers in Long Beach, NY by specialty
• Adult Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.