Prohealth Care Associates, LLP

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Legal business name

PROHEALTH CARE ASSOCIATES, LLP

Practice address

937 E Main St
Riverhead, NY 11901-2564

Phone

(631) 369-0777

Fax

(631) 369-0976

NPI assigned

Jun 2, 2006

Organization subpart

No

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

Authorized official

Name

Tracy Demmerle

Title

Practice MNGR

Phone

(516) 593-1380

Specialties & licenses 1

Addresses

Other names 1

• ProHealth Care Associates, LLP Doing business as

Locations

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

{
    "created_epoch": "1149206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1589414400000",
    "number": "1811935943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "937 E MAIN ST",
            "city": "RIVERHEAD",
            "state": "NY",
            "postal_code": "119012564",
            "telephone_number": "631-369-0777",
            "fax_number": "631-369-0976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "937 E MAIN ST",
            "city": "RIVERHEAD",
            "state": "NY",
            "postal_code": "119012564",
            "telephone_number": "631-369-0777",
            "fax_number": "631-369-0976"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROHEALTH CARE ASSOCIATES, LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-02",
        "last_updated": "2020-05-14",
        "certification_date": "2020-05-14",
        "status": "A",
        "authorized_official_last_name": "DEMMERLE",
        "authorized_official_first_name": "TRACY",
        "authorized_official_title_or_position": "PRACTICE MNGR",
        "authorized_official_telephone_number": "516-593-1380"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ProHealth Care Associates, LLP",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "ProHealth Care Associates, LLP",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Ophthalmology Physician in Riverhead, NY
• Providers in Riverhead, NY by specialty
• Ophthalmology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2020; 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.