Centereach Medical Care PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

NY128949 Issued in NY

Legal business name

CENTEREACH MEDICAL CARE PC

Practice address

18 Eastwood Blvd
Centereach, NY 11720

Phone

(631) 461-3600

Fax

(631) 467-3755

NPI assigned

Dec 6, 2007

Last updated

Jun 2, 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

Dennis U Carbonell, MD

Title

Owner President

Phone

(631) 467-3600

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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.

• Nuzhat Faridi, MD

  • Endocrinology, Diabetes & Metabolism Physician
  • Jackson Heights, NY
  • NPI 1992876346
  NPD (past)
• Felicitas Figueroa Santiago, M.D.

  • General Practice Physician
  • Centereach, NY
  • NPI 1760459895
  NPD (past)

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

{
    "created_epoch": "1196899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1243900800000",
    "number": "1659554178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 EASTWOOD BLVD",
            "city": "CENTEREACH",
            "state": "NY",
            "postal_code": "11720",
            "telephone_number": "631-461-3600",
            "fax_number": "631-467-3755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 EASTWOOD BLVD",
            "city": "CENTEREACH",
            "state": "NY",
            "postal_code": "11720",
            "telephone_number": "631-461-3600",
            "fax_number": "631-467-3755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTEREACH MEDICAL CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-06",
        "last_updated": "2009-06-02",
        "status": "A",
        "authorized_official_last_name": "CARBONELL",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_middle_name": "U",
        "authorized_official_title_or_position": "OWNER PRESIDENT",
        "authorized_official_telephone_number": "631-467-3600",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "NY128949",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leonard Matthew Catanzaro, R.N.
• Jamie Christian Cavalieri, MASTERS IN EDUCATION
• Joan Carol Cavanagh, PTA
• Rachel L Cazalet
• Centereach Fire District
• Centereach Medical Office P.C.
• Centereach RX Inc.
• Centereach RX Inc.
• Lawrence Joseph Cepelak Jr., D.D.S.
• Lynette Marie Chacona, PA-C

• Internal Medicine Physician in Centereach, NY
• Providers in Centereach, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 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.