NPIMap

Organization Active NPI

Health 1 Medical

  • Primary Care Clinic/Center
  • Bay Shore, NY
National Provider Identifier
1780981407
Registry record updated Feb 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
014447 Issued in NY
Legal business name
HEALTH 1 MEDICAL
Practice address
8 Maple Ave
Bay Shore, NY 11706-8722
Phone
(631) 665-4392
Fax
(631) 665-5008
NPI assigned
Feb 15, 2011
Organization subpart
Yes
Parent organization
HEALTH 1 MEDICALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 15, 2011

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

Authorized official

Name
Dr. Gary Dicanio, DONPI 1770665721
Title
Medical Doctor
Phone
(631) 665-4392

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 014447 NY Primary

Addresses

Primary practice location

8 Maple Ave
Bay Shore, NY 11706-8722

Mailing address

8 Maple Ave
Bay Shore, NY 11706-8722
Phone (631) 665-4392

National Provider Directory

National Provider Directory
Tax ID family
Health 1 Medical PC4 organizations share this tax ID, including this one
Part of
Health 1 Medical PC

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1297728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297728000000",
    "number": "1780981407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 MAPLE AVE",
            "city": "BAY SHORE",
            "state": "NY",
            "postal_code": "117068722",
            "telephone_number": "631-665-4392",
            "fax_number": "631-665-5008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 MAPLE AVE",
            "city": "BAY SHORE",
            "state": "NY",
            "postal_code": "117068722",
            "telephone_number": "631-665-4392",
            "fax_number": "631-665-5008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTH 1 MEDICAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HEALTH 1 MEDICAL",
        "enumeration_date": "2011-02-15",
        "last_updated": "2011-02-15",
        "status": "A",
        "authorized_official_last_name": "DICANIO",
        "authorized_official_first_name": "GARY",
        "authorized_official_title_or_position": "MEDICAL DOCTOR",
        "authorized_official_telephone_number": "631-665-4392",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NY",
            "license": "014447",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bay Shore, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 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.