NPIMap

Organization Active NPI

Primary Care Family Doctor P.C.

Doing business as Primary Care Family Doctors

  • Family Medicine Physician
  • Miller Place, NY
National Provider Identifier
1841557378
Registry record updated Jun 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
PRIMARY CARE FAMILY DOCTOR P.C.
Doing business as
Primary Care Family Doctors
Practice address
565 Route 25a Ste 101
Miller Place, NY 11764-2600
Phone
(631) 849-4551
Fax
(631) 849-4552
NPI assigned
Apr 23, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2020

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

Authorized official

Name
Dr. Leonid Basovich, MD, DONPI 1285626515
Title
President
Phone
(631) 849-4551

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neuromusculoskeletal Medicine & OMM PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 204D00000X
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

565 Route 25a Ste 101
Miller Place, NY 11764-2600

Mailing address

PO Box 383
Mount Sinai, NY 11766-0383
Phone (631) 849-4551

Other names 1

  • Primary Care Family Doctors Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1335139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591228800000",
    "number": "1841557378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 383",
            "city": "MOUNT SINAI",
            "state": "NY",
            "postal_code": "117660383",
            "telephone_number": "631-849-4551",
            "fax_number": "631-849-4552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "565 ROUTE 25A STE 101",
            "city": "MILLER PLACE",
            "state": "NY",
            "postal_code": "117642600",
            "telephone_number": "631-849-4551",
            "fax_number": "631-849-4552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMARY CARE FAMILY DOCTOR P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-23",
        "last_updated": "2020-06-04",
        "certification_date": "2020-06-04",
        "status": "A",
        "authorized_official_last_name": "BASOVICH",
        "authorized_official_first_name": "LEONID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "631-849-4551",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD, DO"
    },
    "taxonomies": [
        {
            "code": "204D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Neuromusculoskeletal Medicine & OMM",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Primary Care Family Doctors",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Primary Care Family Doctors",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Miller Place, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 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.