Atlantic Health Care Medical PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

150973 Issued in NY

Legal business name

ATLANTIC HEALTH CARE MEDICAL PC

Practice address

281 E Main St
East Islip, NY 11730-2833

Phone

(631) 224-3625

Fax

(631) 224-3975

NPI assigned

Mar 15, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Carmine G Mandarano, MD

Title

Administor

Phone

(631) 224-3625

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

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

• Stephen G Sisselman, DO

  • Internal Medicine Physician
  • Massapequa, NY
  • NPI 1609948884
  NPD (past)

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

{
    "created_epoch": "1300147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300147200000",
    "number": "1720387863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "281 E MAIN ST",
            "city": "EAST ISLIP",
            "state": "NY",
            "postal_code": "117302833",
            "telephone_number": "631-224-3625",
            "fax_number": "631-224-3975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "281 E MAIN ST",
            "city": "EAST ISLIP",
            "state": "NY",
            "postal_code": "117302833",
            "telephone_number": "631-224-3625",
            "fax_number": "631-224-3975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLANTIC HEALTH CARE MEDICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-15",
        "last_updated": "2011-03-15",
        "status": "A",
        "authorized_official_last_name": "MANDARANO",
        "authorized_official_first_name": "CARMINE",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "ADMINISTOR",
        "authorized_official_telephone_number": "631-224-3625",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "150973",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01124221",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stephanie Arico
• Variola Aristilde
• Nicole Arlotta
• Michele Armenia
• At Home Active Motion Physical Therapy Services, P.C.
• Lillianne Sara Atlihan, L. AC.
• Karen Audia, LCSW
• Andrew Robert Auguste, LPN
• Joseph Gerard Aurilia
• Kevin Gregory Baist, PHARMD

• Internal Medicine Physician in East Islip, NY
• Providers in East Islip, 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 Mar 15, 2011; 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.