NPIMap

Organization Active NPI

Long Island Family Medical Group PC

  • Family Medicine Physician
  • Saint James, NY
National Provider Identifier
1841223369
Registry record updated Jul 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
LONG ISLAND FAMILY MEDICAL GROUP PC
Practice address
631 Lake Ave
St James, NY 11780
Phone
(631) 878-7134
Fax
(631) 878-5118
NPI assigned
Jul 8, 2006
Last updated
Jul 23, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2009

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

Authorized official

Name
Margaret M Simat
Title
Practice Administrator
Phone
(631) 589-8324

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X Primary

Addresses

Primary practice location

631 Lake Ave
St James, NY 11780

Mailing address

631 Lake Avenue
St. James, NY 11780
Phone (631) 589-8324

National Provider Directory

National Provider Directory

Locations

631 Lake Ave
Saint James, NY 11780
Phone (631) 584-8783

Practitioners & affiliated clinicians

Practitioners 11

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.

NPI Registry JSON

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

{
    "created_epoch": "1152316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1248307200000",
    "number": "1841223369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "631 LAKE AVENUE",
            "city": "ST. JAMES",
            "state": "NY",
            "postal_code": "11780",
            "telephone_number": "631-589-8324",
            "fax_number": "631-589-4793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "631 LAKE AVE",
            "city": "ST JAMES",
            "state": "NY",
            "postal_code": "11780",
            "telephone_number": "631-878-7134",
            "fax_number": "631-878-5118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONG ISLAND FAMILY MEDICAL GROUP PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-08",
        "last_updated": "2009-07-23",
        "status": "A",
        "authorized_official_last_name": "SIMAT",
        "authorized_official_first_name": "MARGARET",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "631-589-8324"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint James, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2009; 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.