Health 1 Medical PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

HEALTH 1 MEDICAL PC

Practice address

2780 Middle Country Rd
Suite 140
Lake Grove, NY 11755-2124

Phone

(631) 580-1000

Fax

(631) 580-0483

NPI assigned

May 22, 2006

Last updated

Jun 18, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Gary Dicanio, DONPI 1770665721

Title

Owner

Phone

(631) 580-1000

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Tax ID family

Health 1 Medical PC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

• Health 1 Medical

  • Primary Care Clinic/Center
  • Bay Shore, NY
  • NPI 1780981407
  NPD tax ID
• Health 1 Medical P.C.

  • Acupuncturist
  • Lake Grove, NY
  • NPI 1962886259
  NPD tax ID
• Health One Medical PC

  • Rehabilitation Chiropractor
  • Lake Grove, NY
  • NPI 1386837177
  NPD tax ID

Locations

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Health 1 Medical

  • Primary Care Clinic/Center
  • Bay Shore, NY
  • NPI 1780981407
  NPPES parent name

Practitioners 3

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.

• Gary Dicanio, DO

  • Family Medicine Physician
  • Patchogue, NY
  • NPI 1770665721
  Medicare reassignment Authorized official
• Eduardo Go Rodriguez, PT

  • Physical Therapist
  • Brooklyn, NY
  • NPI 1891865986
  Medicare reassignment
• Rommel Cueto Vargas, PT

  • Physical Therapist
  • Levittown, NY
  • NPI 1649248667
  Medicare reassignment

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

{
    "created_epoch": "1148256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213747200000",
    "number": "1639124571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2780 MIDDLE COUNTRY RD",
            "address_2": "SUITE 140",
            "city": "LAKE GROVE",
            "state": "NY",
            "postal_code": "117552124",
            "telephone_number": "631-580-1000",
            "fax_number": "631-580-0483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2780 MIDDLE COUNTRY RD",
            "address_2": "SUITE 140",
            "city": "LAKE GROVE",
            "state": "NY",
            "postal_code": "117552124",
            "telephone_number": "631-580-1000",
            "fax_number": "631-580-0483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTH 1 MEDICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-22",
        "last_updated": "2008-06-18",
        "status": "A",
        "authorized_official_last_name": "DICANIO",
        "authorized_official_first_name": "GARY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "631-580-1000",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samantha Mary Hallock
• Edward Thomas Hanley, MHC
• Farah Haq, M.D.
• Jeanne Harmer, RN
• Health 1 Medical P.C.
• Health One Medical PC
• Healthy Meals Direct, LLC
• Sonja Hecht
• Alvin W Heller, DDS MD
• Robert Steven Henning, DPT

• Family Medicine Physician in Lake Grove, NY
• Providers in Lake Grove, 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 Jun 18, 2008; 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.