Patchogue Family Medical Care, PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

214240 Issued in NY

Legal business name

PATCHOGUE FAMILY MEDICAL CARE, PC

Practice address

130 Medford Ave
Patchogue, NY 11772-1206

Phone

(631) 475-5734

Fax

(631) 758-2568

NPI assigned

Mar 2, 2007

Last updated

Mar 22, 2011By 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. Christine M Doucet, M.D.NPI 1063596823

Title

Owner

Phone

(631) 475-5734

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

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

CLIA laboratory certificates

Locations

Practitioners 6

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.

• Christine Marie Doucet, M.D.

  • Family Medicine Physician
  • Patchogue, NY
  • NPI 1063596823
  Medicare reassignment Care Compare group NPD Authorized official
• Doreen Esther Amankwah Owusu, MD

  • Family Medicine Physician
  • Patchogue, NY
  • NPI 1922595891
  Medicare reassignment Care Compare group NPD
• Rivkah Raza, D.O.

  • Family Medicine Physician
  • Patchogue, NY
  • NPI 1063827384
  Medicare reassignment Care Compare group NPD
• Simone Keisha Guest, D.O

  • Family Medicine Physician
  • Bay Shore, NY
  • NPI 1558598177
  Medicare reassignment NPD
• Sam M Fassnacht

  • Medical Physician Assistant
  • Patchogue, NY
  • NPI 1558670463
  Medicare reassignment
• Lyndie Andrea Hughes, RPA-C

  • Medical Physician Assistant
  • Patchogue, NY
  • NPI 1780838862
  Medicare reassignment

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

{
    "created_epoch": "1172793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300752000000",
    "number": "1700915113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 MEDFORD AVE",
            "city": "PATCHOGUE",
            "state": "NY",
            "postal_code": "117721206",
            "telephone_number": "631-475-5734",
            "fax_number": "631-758-2568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 MEDFORD AVE",
            "city": "PATCHOGUE",
            "state": "NY",
            "postal_code": "117721206",
            "telephone_number": "631-475-5734",
            "fax_number": "631-758-2568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATCHOGUE FAMILY MEDICAL CARE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-02",
        "last_updated": "2011-03-22",
        "status": "A",
        "authorized_official_last_name": "DOUCET",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "631-475-5734",
        "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": "214240",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sherrilee Partiss, LMSW
• Paulitha Pasala
• Eva Pashkoff, CASAC
• Patchogue Dental Services PC
• Patchogue Diagnostic Radiology ,PC
• Patchogue Fire Dept Ambulance Co Inc
• Patchogue Medical Group LLP
• Patchogue Medical Services, PC
• Patchogue Open MRI, PC (mainstreet medical imaging)
• Patchogue Pharmacy, Inc (SaluMed Pharmacy Patchogue)

• Family Medicine Physician in Patchogue, NY
• Providers in Patchogue, NY by specialty
• Family Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.