Organization Active NPI

North Country Family Health & Medicine, PC

  • Family Medicine Physician
  • Mount Sinai, NY
National Provider Identifier
1912026667
Registry record updated Mar 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
210112 Issued in NY
Legal business name
NORTH COUNTRY FAMILY HEALTH & MEDICINE, PC
Practice address
4 High CT
Mount Sinai, NY 11766-1204
Phone
(631) 521-0323
Fax
(631) 521-0323
NPI assigned
Mar 27, 2007
Last updated
Mar 6, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2020

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

Authorized official

Name
Dr. Erika M Jurasits, D.O.NPI 1043287006
Title
Owner
Phone
(631) 521-0323

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 210112 NY Primary

Addresses

Primary practice location

4 High CT
Mount Sinai, NY 11766-1204

Mailing address

4 High CT
Mount Sinai, NY 11766-1204
Phone (631) 509-6888

National Provider Directory

National Provider Directory

Locations

745 Route 25A
Ste A
Rocky Point, NY 11778
Phone (631) 689-1400

Practitioners & affiliated clinicians

Practitioners 2

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": "1174953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583452800000",
    "number": "1912026667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 HIGH CT",
            "city": "MOUNT SINAI",
            "state": "NY",
            "postal_code": "117661204",
            "telephone_number": "631-509-6888",
            "fax_number": "631-509-6895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 HIGH CT",
            "city": "MOUNT SINAI",
            "state": "NY",
            "postal_code": "117661204",
            "telephone_number": "631-521-0323",
            "fax_number": "631-521-0323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH COUNTRY FAMILY HEALTH & MEDICINE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-27",
        "last_updated": "2020-03-06",
        "certification_date": "2020-03-06",
        "status": "A",
        "authorized_official_last_name": "JURASITS",
        "authorized_official_first_name": "ERIKA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "631-521-0323",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "210112",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Sinai, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 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.