Northstar Medical Care PC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

NORTHSTAR MEDICAL CARE PC

Practice address

100 N Country Rd
East Setauket, NY 11733-1354

Phone

(917) 992-8049

NPI assigned

May 13, 2022

Last updated

Sep 16, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Darron Yelling, DONPI 1770744336

Title

President

Phone

(917) 992-8049

Specialties & licenses 1

Addresses

Electronic endpoints 1

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.

• Darron Yelling, D.O.

  • Surgery Physician
  • Massapequa, NY
  • NPI 1770744336
  Authorized official Same address or phone

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

{
    "created_epoch": "1652400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726444800000",
    "number": "1932846763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 MALIBU RD",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069033826",
            "telephone_number": "917-992-8049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 N COUNTRY RD",
            "city": "EAST SETAUKET",
            "state": "NY",
            "postal_code": "117331354",
            "telephone_number": "917-992-8049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHSTAR MEDICAL CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-13",
        "last_updated": "2024-09-16",
        "certification_date": "2024-09-16",
        "status": "A",
        "authorized_official_last_name": "YELLING",
        "authorized_official_first_name": "DARRON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "917-992-8049",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "practicesuite.com",
            "affiliation": "N",
            "endpointDescription": "practicesuite.com",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "100 N Country Rd",
            "city": "East Setauket",
            "state": "NY",
            "country_code": "US",
            "postal_code": "117331354",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Surgery Physician in East Setauket, NY
• Providers in East Setauket, NY by specialty
• Surgery Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2024; 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.