Access Osteopathy PC

Primary specialty

Neuromusculoskeletal Medicine & OMM PhysicianTaxonomy code 204D00000X

License

60-206232 Issued in NY

Legal business name

ACCESS OSTEOPATHY PC

Practice address

717 Larkfield Rd
Commack, NY 11725-2600

Phone

(631) 486-4720

Fax

(631) 486-4722

NPI assigned

Oct 25, 2007

Last updated

May 26, 2009By 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

Dr. Charles Joseph Smutny III, D.O.NPI 1912962473

Title

Ceo/President

Phone

(631) 486-4720

Specialties & licenses 1

Addresses

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.

• Charles Joseph Smutny III, D.O.

  • Neuromusculoskeletal Medicine & OMM Physician
  • Commack, NY
  • NPI 1912962473
  Authorized official Same address or phone

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

{
    "created_epoch": "1193270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1243296000000",
    "number": "1639358799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "717 LARKFIELD RD",
            "city": "COMMACK",
            "state": "NY",
            "postal_code": "117252600",
            "telephone_number": "631-486-4720",
            "fax_number": "631-486-4722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "717 LARKFIELD RD",
            "city": "COMMACK",
            "state": "NY",
            "postal_code": "117252600",
            "telephone_number": "631-486-4720",
            "fax_number": "631-486-4722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACCESS OSTEOPATHY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-25",
        "last_updated": "2009-05-26",
        "status": "A",
        "authorized_official_last_name": "SMUTNY",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "631-486-4720",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "204D00000X",
            "taxonomy_group": "",
            "desc": "Neuromusculoskeletal Medicine & OMM",
            "state": "NY",
            "license": "60-206232",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Neuromusculoskeletal Medicine & OMM Physician in Commack, NY
• Providers in Commack, NY by specialty
• Neuromusculoskeletal Medicine & OMM Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 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.