United Comprehensive Care, LTD

Primary specialty

PodiatristTaxonomy code 213E00000X

License

005442 Issued in NY

Legal business name

UNITED COMPREHENSIVE CARE, LTD

Practice address

170 Old Country Rd
Riverhead, NY 11901

Phone

(631) 208-4460

NPI assigned

May 1, 2007

Last updated

Feb 24, 2010By 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

Gus Mantia, MD

Title

Owner

Phone

(631) 208-4460

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1177977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1266969600000",
    "number": "1942420989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "170 OLD COUNTRY RD",
            "city": "RIVERHEAD",
            "state": "NY",
            "postal_code": "11901",
            "telephone_number": "631-208-4460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "170 OLD COUNTRY RD",
            "city": "RIVERHEAD",
            "state": "NY",
            "postal_code": "11901",
            "telephone_number": "631-208-4460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNITED COMPREHENSIVE CARE, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-01",
        "last_updated": "2010-02-24",
        "status": "A",
        "authorized_official_last_name": "MANTIA",
        "authorized_official_first_name": "GUS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "631-208-4460",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "124142",
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NY",
            "license": "005442",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Anne Tyte, LMHC
• Jessa Bhel Arricivita Uguil
• Crista Uhmann
• Ultimate Medical Care, PC
• United Comprehensive Care, LTD
• Urological Associates of Li, PC
• Bonnie Jean Vahlsing, MSN, CCRN, FNP-BC
• Jennifer Valcin, LMSW
• Patrick Valentino, MD
• Martin Vandyne, MD

• Podiatrist in Riverhead, NY
• Providers in Riverhead, NY by specialty
• Podiatrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2010; 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.