NPIMap

Decerina Uy MD PC

Organization Active NPI Pediatrics Physician · Rocky Point, NY

NPI 1639709157 · NPPES record last updated Jan 23, 2020

Key facts

NPI
1639709157
Entity type
Organization (NPI type 2)
Primary specialty
Pediatrics Physician 208000000X
Legal business name
DECERINA UY MD PC
Practice address
649 Route 25a Ste 3
Rocky Point, NY 11778-8983
Phone
(631) 509-0671
Fax
(631) 509-0672
NPI assigned
Jan 23, 2020
Organization subpart
No

Authorized official

Name
Decerina D Uy
Title
MD
Phone
(631) 509-0671

Practitioners 3

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

Laboratory certificates & supplier records

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
33D1075914Decerina Uy MD PC
649 Route 25a Suite 3, Rocky Point, NY 11778		Certificate of waiverOct 30, 2027

National Provider Directory

Locations

649 Route 25A
Ste 3
Rocky Point, NY 11778
Phone (631) 509-0671

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.71168

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician
Group: 193400000X SINGLE SPECIALTY GROUP		 208000000X Yes

Addresses

Primary practice location

649 Route 25a Ste 3
Rocky Point, NY 11778-8983

Mailing address

649 Route 25a Ste 3
Rocky Point, NY 11778-8983
Phone (631) 509-0671

Other identifiers

IdentifierTypeStateIssuer
01536965MedicaidNY

Other providers in Rocky Point, NY

All providers in Rocky Point, NY · Pediatrics Physician in New York

Sources for this page

Verify at the official NPI Registry.