East End Urgent & Primary Care Medicine PLLC

Primary specialty

Adult Medicine PhysicianTaxonomy code 207QA0505X

License

1634232 Issued in NY

Legal business name

EAST END URGENT & PRIMARY CARE MEDICINE PLLC

Practice address

1228 E Main St
Riverhead, NY 11901-2675

Phone

(631) 603-3400

Fax

(631) 603-3401

NPI assigned

May 21, 2014

Last updated

May 21, 2014By 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. John George Veliath, MDNPI 1972674414

Title

Physician/Owner

Phone

(631) 603-3400

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, and the practitioner matching its NPPES authorized official.

• John Veliath, M.D.

  • Family Medicine Physician
  • Riverhead, NY
  • NPI 1972674414
  Authorized official Same address or phone
• Michael A Troyan, RPA-C

  • Physician Assistant
  • Riverhead, NY
  • NPI 1477683852
  NPD (past)

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

{
    "created_epoch": "1400630400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1400630400000",
    "number": "1952713281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 KERRY CT",
            "city": "RIVERHEAD",
            "state": "NY",
            "postal_code": "119015251",
            "telephone_number": "631-603-3400",
            "fax_number": "631-603-3401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1228 E MAIN ST",
            "city": "RIVERHEAD",
            "state": "NY",
            "postal_code": "119012675",
            "telephone_number": "631-603-3400",
            "fax_number": "631-603-3401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST END URGENT & PRIMARY CARE MEDICINE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-21",
        "last_updated": "2014-05-21",
        "status": "A",
        "authorized_official_last_name": "VELIATH",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "GEORGE",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "631-603-3400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "NY",
            "license": "1634232",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Adult Medicine Physician in Riverhead, NY
• Providers in Riverhead, NY by specialty
• Adult Medicine Physician in New York

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