NPIMap

Organization Active NPI

Mette Larsen DO PLLC

  • Family Medicine Physician
  • Riverhead, NY
National Provider Identifier
1801002068
Registry record updated Jan 29, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
200286 Issued in NY
Legal business name
METTE LARSEN DO PLLC
Practice address
2248 Roanoke Ave
Riverhead, NY 11901-1822
Phone
(516) 695-1731
NPI assigned
May 15, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2012

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

Authorized official

Name
Dr. Mette P Larsen, DO
Title
Pres
Phone
(516) 695-1731

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 200286 NY Primary

Addresses

Primary practice location

2248 Roanoke Ave
Riverhead, NY 11901-1822

Mailing address

2248 Roanoke Ave
Riverhead, NY 11901-1822
Phone (516) 695-1731

National Provider Directory

National Provider Directory

Locations

2248 Roanoke Ave
Riverhead, NY 11901
Phone (516) 695-1731

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": "1179187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327795200000",
    "number": "1801002068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2248 ROANOKE AVE",
            "city": "RIVERHEAD",
            "state": "NY",
            "postal_code": "119011822",
            "telephone_number": "516-695-1731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2248 ROANOKE AVE",
            "city": "RIVERHEAD",
            "state": "NY",
            "postal_code": "119011822",
            "telephone_number": "516-695-1731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METTE LARSEN DO PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-15",
        "last_updated": "2012-01-29",
        "status": "A",
        "authorized_official_last_name": "LARSEN",
        "authorized_official_first_name": "METTE",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRES",
        "authorized_official_telephone_number": "516-695-1731",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "200286",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverhead, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2012; 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.