NPIMap

Organization Active NPI

Dr. Judith Magloczki, D.O., P.C.

  • Family Medicine Physician
  • Riverhead, NY
National Provider Identifier
1649916404
Registry record updated May 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
DR. JUDITH MAGLOCZKI, D.O., P.C.
Practice address
300 Old Country Rd Ste 2
Riverhead, NY 11901-2146
Phone
(631) 405-5544
Fax
(800) 627-1462
NPI assigned
May 5, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 5, 2022

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

Authorized official

Name
Dr. Judith M Magloczki, D.O.NPI 1801240064
Title
Physician
Phone
(773) 771-7465

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neuromusculoskeletal Medicine & OMM PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 204D00000X
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

300 Old Country Rd Ste 2
Riverhead, NY 11901-2146

Mailing address

132 Bernstein Blvd
Center Moriches, NY 11934-1500
Phone (773) 771-7465

Other names 1

  • Dr. Judith Magloczki, D.O., P.C. Doing business as

National Provider Directory

National Provider Directory

Locations

300 Old Country Rd
Ste 2
Riverhead, NY 11901
Phone (631) 405-5544

Practitioners & affiliated clinicians

Practitioners 3

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": "1651708800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651708800000",
    "number": "1649916404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "132 BERNSTEIN BLVD",
            "city": "CENTER MORICHES",
            "state": "NY",
            "postal_code": "119341500",
            "telephone_number": "773-771-7465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 OLD COUNTRY RD STE 2",
            "city": "RIVERHEAD",
            "state": "NY",
            "postal_code": "119012146",
            "telephone_number": "631-405-5544",
            "fax_number": "800-627-1462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. JUDITH MAGLOCZKI, D.O., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-05",
        "last_updated": "2022-05-05",
        "certification_date": "2022-05-05",
        "status": "A",
        "authorized_official_last_name": "MAGLOCZKI",
        "authorized_official_first_name": "JUDITH",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "773-771-7465",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "204D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Neuromusculoskeletal Medicine & OMM",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dr. Judith Magloczki, D.O., P.C.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Riverhead, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2022; 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.