Patchogue Medical Services, PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

183817 Issued in NY

Legal business name

PATCHOGUE MEDICAL SERVICES, PC

Practice address

202 E Main St
Patchogue, NY 11772-3159

Phone

(631) 207-0083

Fax

(631) 207-1275

NPI assigned

Dec 26, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Matthew J Viso, DC

Title

Manager

Phone

(631) 751-5588

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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

• Bradley Andrew Masem, DC

  • Chiropractor
  • Patchogue, NY
  • NPI 1316001977
  NPD (past)
• Joseph Perez, MD

  • Family Medicine Physician
  • Stony Brook, NY
  • NPI 1780612663
  NPD (past)

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

{
    "created_epoch": "1167091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1891850442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1890 NEW YORK AVE",
            "city": "HUNTINGTON STATION",
            "state": "NY",
            "postal_code": "117462904",
            "telephone_number": "631-427-6920",
            "fax_number": "631-425-0653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 E MAIN ST",
            "city": "PATCHOGUE",
            "state": "NY",
            "postal_code": "117723159",
            "telephone_number": "631-207-0083",
            "fax_number": "631-207-1275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATCHOGUE MEDICAL SERVICES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "VISO",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "631-751-5588",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "183817",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patchogue Dental Services PC
• Patchogue Diagnostic Radiology ,PC
• Patchogue Family Medical Care, PC
• Patchogue Fire Dept Ambulance Co Inc
• Patchogue Medical Group LLP
• Patchogue Open MRI, PC
• Patchogue Pharmacy, Inc
• Patchogue Physical Therapy PC
• Patchogue Supermarkets LLC
• Patchogue Transportation Corp.

• Family Medicine Physician in Patchogue, NY
• Providers in Patchogue, 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 Aug 22, 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.