Organization Active NPI

Physician Who Makes House Calls

  • Family Medicine Physician
  • Fishkill, NY
National Provider Identifier
1649491127
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
181053 Issued in NY
Legal business name
PHYSICIAN WHO MAKES HOUSE CALLS
Practice address
124 Smithtown Rd
Fishkill, NY 12524-2452
Phone
(845) 896-7712
NPI assigned
May 1, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Jeanine Santiago, M.D.NPI 1750580148
Title
Ceo
Phone
(845) 896-7712

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 181053 NY Primary

Addresses

Primary practice location

124 Smithtown Rd
Fishkill, NY 12524-2452

Mailing address

124 Smithtown Rd
Fishkill, NY 12524-2452
Phone (845) 896-7712

Other identifiers 1

IdentifierTypeStateIssuer
01366898MedicaidNY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1177977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1649491127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 SMITHTOWN RD",
            "city": "FISHKILL",
            "state": "NY",
            "postal_code": "125242452",
            "telephone_number": "845-896-7712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 SMITHTOWN RD",
            "city": "FISHKILL",
            "state": "NY",
            "postal_code": "125242452",
            "telephone_number": "845-896-7712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICIAN WHO MAKES HOUSE CALLS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SANTIAGO",
        "authorized_official_first_name": "JEANINE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "845-896-7712",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "181053",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01366898",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fishkill, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.