Platinum Family Medicine P.C.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

1995901 Issued in NY

Legal business name

PLATINUM FAMILY MEDICINE P.C.

Practice address

765 Route 25a
Miller Place, NY 11764-2649

Phone

(631) 849-5900

Fax

(631) 849-5897

NPI assigned

Mar 21, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Joseph Venezia, M.D.

Title

President

Phone

(631) 675-1919

Specialties & licenses 2

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ivy D Chung, M.D.

  • Family Medicine Physician
  • Commack, NY
  • NPI 1477822757
  NPD (past)

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

{
    "created_epoch": "1395360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395360000000",
    "number": "1841617412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "765 ROUTE 25A",
            "city": "MILLER PLACE",
            "state": "NY",
            "postal_code": "117642649",
            "telephone_number": "631-849-5900",
            "fax_number": "631-849-5897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "765 ROUTE 25A",
            "city": "MILLER PLACE",
            "state": "NY",
            "postal_code": "117642649",
            "telephone_number": "631-849-5900",
            "fax_number": "631-849-5897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLATINUM FAMILY MEDICINE P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-21",
        "last_updated": "2014-03-21",
        "status": "A",
        "authorized_official_last_name": "VENEZIA",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "631-675-1919",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "1995901",
            "primary": true
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "NY",
            "license": "1995901",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Rose Petrocelli, R.D.
• Christine Pfundstein, PNP, CCE, IBCLC
• Gina Phifer, PNP
• April L. Piecora, R.N.
• Nicole Pinto, RD
• Janelle Amber Polanco, RDN
• Samantha Polistina
• Karen Ann Polizzano, M.A., CCC-SLP, TSSLD
• Port Jeff Specific Chiropractic
• Port Jefferson Medical Wellness PLLC (Messi Medical Wellness)

• Family Medicine Physician in Miller Place, NY
• Providers in Miller Place, 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 Mar 21, 2014; 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.