Active NPI
Amityville Medical Care P.C.
- Family Medicine Physician
- Amityville, NY
National Provider Identifier
1780064642
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 224376-1
- Legal business name
- AMITYVILLE MEDICAL CARE P.C.
- Practice address
- 100 W Oak St
Amityville, NY 11701-2927 - Phone
- (631) 264-1800
- Fax
- (631) 264-1813
- NPI assigned
- Jun 5, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Elena Borisovna Plavnik, M.D.
- Title
- Doctor
- Phone
- (631) 264-1800
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 224376-1 | NY | Primary |
Addresses
Primary practice location
100 W Oak St
Amityville, NY 11701-2927
Mailing address
100 W Oak St
Amityville, NY 11701-2927
Phone (631) 264-1800
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 33D2341911 | Amityville Medical Care PC | Certificate of waiver | Apr 9, 2028 |
National Provider Directory
National Provider DirectoryLocations
121 W Oak St
Amityville, NY 11701
8 Seitz Dr
Bethpage, NY 11714
Phone (516) 243-9777
Practitioners & affiliated clinicians
Practitioners 14
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Nurse Practitioner
- Amityville, NY
- NPI 1326610387
-
- Internal Medicine Physician
- Brooklyn, NY
- NPI 1952520017
-
- Cardiovascular Disease Physician
- Amityville, NY
- NPI 1831147511
-
- Diagnostic Radiology Physician
- Brooklyn, NY
- NPI 1003893041
-
- Podiatrist
- Bronx, NY
- NPI 1215964606
-
- Pulmonary Disease Physician
- Middle Village, NY
- NPI 1740252295
-
- Nurse Practitioner
- Massapequa, NY
- NPI 1750800405
-
- Cardiovascular Disease Physician
- Flushing, NY
- NPI 1144220674
-
- Neurology Physician
- Melville, NY
- NPI 1285723791
-
- Physical Therapist
- Brooklyn, NY
- NPI 1174692651
-
- Diagnostic Radiology Physician
- Brooklyn, NY
- NPI 1720050040
-
- School Registered Nurse
- Baldwin, NY
- NPI 1710492723
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1433462400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1439337600000",
"number": "1780064642",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 W OAK ST",
"city": "AMITYVILLE",
"state": "NY",
"postal_code": "117012927",
"telephone_number": "631-264-1800",
"fax_number": "631-264-1813"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 W OAK ST",
"city": "AMITYVILLE",
"state": "NY",
"postal_code": "117012927",
"telephone_number": "631-264-1800",
"fax_number": "631-264-1813"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AMITYVILLE MEDICAL CARE P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2015-06-05",
"last_updated": "2015-08-12",
"status": "A",
"authorized_official_last_name": "PLAVNIK",
"authorized_official_first_name": "ELENA",
"authorized_official_middle_name": "BORISOVNA",
"authorized_official_title_or_position": "DOCTOR",
"authorized_official_telephone_number": "631-264-1800",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "NY",
"license": "224376-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Amityville, NY
- Amity Obg Associates P.C.
- Amity Shuttle Inc
- Amityville Acupuncture & Massage
- Amityville Family Practice
- Amityville Internal Medicine, P.C.
- Amityville Orthodontics P.C.
- Amityville Podiatry Associates PC
- Amityville Psychotherapy Mental Health Counseling PLLC
- Amityville Pulmonology PLLC
- Amityville Ufsd
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2015; 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.