Mette Larsen DO PLLC

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

Last updated

Jan 29, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Mette P Larsen, DONPI 1205947074

Title

Pres

Phone

(516) 695-1731

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mette Larsen, DO

  • Family Medicine Physician
  • Riverhead, NY
  • NPI 1205947074
  Authorized official Same address or phone
• Tracy Marmer, PA

  • Physician Assistant
  • Jamaica, NY
  • NPI 1568513257
  NPD (past)

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": []
}

• Clementina Melone, RPH
• Isabel Meltzer, LCSW
• Joybelle Menzies, DMD
• Martin Andres Merenzon, MD
• Mariah Leigh Messina, PA-C
• Mitchell Meyerson, MD
• Demetrios Michaelides
• Laurie Anne Michaels, RN
• Shannakay M Michel
• Karen Marie Mickaliger, REGISTERED NURSE

• Family Medicine Physician in Riverhead, NY
• Providers in Riverhead, NY by specialty
• Family Medicine Physician in New York

• 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.