Organization Active NPI

Caring Family Medicine PLLC

  • Primary Care Clinic/Center
  • Middle Island, NY
National Provider Identifier
1841579562
Registry record updated Aug 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
240447 Issued in NY
Legal business name
CARING FAMILY MEDICINE PLLC
Practice address
225 Middle Country Rd
Suite 3
Middle Island, NY 11953-2553
Phone
(631) 775-8850
NPI assigned
Aug 11, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2011

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

Authorized official

Name
Dr. Christine Geronimo, D.O.NPI 1598914327
Title
Owner
Phone
(631) 775-8850

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 240447 NY Primary

Addresses

Primary practice location

225 Middle Country Rd
Suite 3
Middle Island, NY 11953-2553

Mailing address

225 Middle Country Rd
Suite 3
Middle Island, NY 11953-2553
Phone (631) 775-8850

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110829000108 NY Part B Supplier - Clinic/Group Practice 8123298205 Receives reassigned benefits from 1 practitioner
Practice locations: Middle Island, NY

National Provider Directory

National Provider Directory

Locations

225 Middle Country Rd
Ste 3
Middle Island, NY 11953
Phone (631) 775-8850

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": "1313020800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1313020800000",
    "number": "1841579562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 MIDDLE COUNTRY RD",
            "address_2": "SUITE 3",
            "city": "MIDDLE ISLAND",
            "state": "NY",
            "postal_code": "119532553",
            "telephone_number": "631-775-8850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 MIDDLE COUNTRY RD",
            "address_2": "SUITE 3",
            "city": "MIDDLE ISLAND",
            "state": "NY",
            "postal_code": "119532553",
            "telephone_number": "631-775-8850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARING FAMILY MEDICINE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-11",
        "last_updated": "2011-08-11",
        "status": "A",
        "authorized_official_last_name": "GERONIMO",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "631-775-8850",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NY",
            "license": "240447",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Middle Island, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.