Preventive Medical Care PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

130686 Issued in NY

Legal business name

PREVENTIVE MEDICAL CARE PC

Practice address

2043 Deer Park Ave
Deer Park, NY 11729-2110

Phone

(631) 242-8488

Fax

(631) 274-3505

NPI assigned

Aug 17, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Paul P Tchao, M.D.NPI 1346286796

Title

President

Phone

(631) 745-0377

Specialties & licenses 3

Addresses

Locations

Practitioners 1

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

• Paul Tchao, MD

  • Internal Medicine Physician
  • Deer Park, NY
  • NPI 1346286796

  Family Medicine

  NPD (past) Authorized official

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

{
    "created_epoch": "1471392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471392000000",
    "number": "1710432018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2043 DEER PARK AVE",
            "city": "DEER PARK",
            "state": "NY",
            "postal_code": "117292110",
            "telephone_number": "631-242-8488",
            "fax_number": "631-274-3505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2043 DEER PARK AVE",
            "city": "DEER PARK",
            "state": "NY",
            "postal_code": "117292110",
            "telephone_number": "631-242-8488",
            "fax_number": "631-274-3505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREVENTIVE MEDICAL CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-17",
        "last_updated": "2016-08-17",
        "status": "A",
        "authorized_official_last_name": "TCHAO",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "631-745-0377",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": "NY",
            "license": "A130686",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "130686",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "130686",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Priscilla Rose Pouchie, RN, FNP
• Robin Powell
• Francesca Powers, RDN
• Precision Oral and Maxillofacial Surgery
• Preferred Hearing Care PLLC
• Salvatore R Principe, DC
• Progress Acupuncture
• Prosthodontic Dental Associates PC
• Beate Pucci, RPH
• Fay E Pusey, RN

• Internal Medicine Physician in Deer Park, NY
• Providers in Deer Park, 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 Aug 17, 2016; 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.