Active NPI
Department of Veterans Affairs Medical Center
- General Acute Care Hospital
- Northport, NY
National Provider Identifier
1962441824
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Acute Care Hospital
- License
- 036-040028
- Legal business name
- DEPARTMENT OF VETERANS AFFAIRS MEDICAL CENTER
- Practice address
- 79 Middleville Rd
Northport, NY 11768-2200 - Phone
- (631) 261-4400
- Fax
- (631) 754-7970
- NPI assigned
- Jun 6, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Peter C Altner, M.D.
- Title
- Chief Orthopedic Service
- Phone
- (631) 261-4400
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Acute Care Hospital | 282N00000X | 036-040028 | IL | Primary |
Addresses
Primary practice location
79 Middleville Rd
Northport, NY 11768-2200
Mailing address
79 Middleville Rd
Northport, NY 11768-2200
Phone (631) 261-4400
National Provider Directory
National Provider DirectoryLocations
79 Middleville Rd
Northport, NY 11768
Phone (631) 266-6057
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149552000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1218153600000",
"number": "1962441824",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "79 MIDDLEVILLE RD",
"city": "NORTHPORT",
"state": "NY",
"postal_code": "117682200",
"telephone_number": "631-261-4400",
"fax_number": "631-754-7970"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "79 MIDDLEVILLE RD",
"city": "NORTHPORT",
"state": "NY",
"postal_code": "117682200",
"telephone_number": "631-261-4400",
"fax_number": "631-754-7970"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DEPARTMENT OF VETERANS AFFAIRS MEDICAL CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-06",
"last_updated": "2008-08-08",
"status": "A",
"authorized_official_last_name": "ALTNER",
"authorized_official_first_name": "PETER",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "CHIEF ORTHOPEDIC SERVICE",
"authorized_official_telephone_number": "631-261-4400",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "282N00000X",
"taxonomy_group": "",
"desc": "General Acute Care Hospital",
"state": "IL",
"license": "036-040028",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Northport, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.