Northport Family Medicine P.C

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

NORTHPORT FAMILY MEDICINE P.C

Practice address

325 Main St
Northport, NY 11768-1790

Phone

(631) 261-4445

Fax

(631) 261-3710

NPI assigned

May 21, 2008

Organization subpart

No

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

Authorized official

Name

Alan R Lampert, MD

Title

President

Phone

(631) 261-4445

Specialties & licenses 2

Addresses

Other identifiers 5

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

{
    "created_epoch": "1211328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282176000000",
    "number": "1710144340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 MAIN ST",
            "city": "NORTHPORT",
            "state": "NY",
            "postal_code": "117681790",
            "telephone_number": "631-261-4445",
            "fax_number": "631-261-3710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 MAIN ST",
            "city": "NORTHPORT",
            "state": "NY",
            "postal_code": "117681790",
            "telephone_number": "631-261-4445",
            "fax_number": "631-261-3710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHPORT FAMILY MEDICINE P.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-21",
        "last_updated": "2010-08-19",
        "status": "A",
        "authorized_official_last_name": "LAMPERT",
        "authorized_official_first_name": "ALAN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "631-261-4445",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00533248",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00590001",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02383080",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02089572",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03125188",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robert S Nissan, M.D.
• Kevin Joseph Nissen, PH.D.
• North Shore Medical Care, P.C.
• North Shore Wellness
• Northport Chemists Inc
• Northport Optical Center Inc.
• Northport Physical Therapy P C
• Northport Podiatry PC
• Northport VA
• Northport VA Medical Center

• Family Medicine Physician in Northport, NY
• Providers in Northport, 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 Aug 19, 2010; 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.