Center Moriches Medical Healthcare PC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

CENTER MORICHES MEDICAL HEALTHCARE PC

Practice address

2 Union Ave
Center Moriches, NY 11934-3324

Phone

(516) 243-8660

Fax

(516) 342-6179

NPI assigned

Feb 22, 2017

Organization subpart

No

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

Authorized official

Name

Bruce Weitzberg

Title

Business Manager

Phone

(516) 243-8660

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1487721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1494374400000",
    "number": "1972042075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 SUNNYSIDE BLVD",
            "address_2": "STE100",
            "city": "PLAINVIEW",
            "state": "NY",
            "postal_code": "118031539",
            "telephone_number": "516-243-8660",
            "fax_number": "516-342-6179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 UNION AVE",
            "city": "CENTER MORICHES",
            "state": "NY",
            "postal_code": "119343324",
            "telephone_number": "516-243-8660",
            "fax_number": "516-342-6179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER MORICHES MEDICAL HEALTHCARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-22",
        "last_updated": "2017-05-10",
        "status": "A",
        "authorized_official_last_name": "WEITZBERG",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "516-243-8660"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Canale
• Carmela Cannella
• Anthony Caracciolo, LCSW
• Elliott Caskie, RN
• Jeannine Casper, BCBA
• Center Moriches School District
• Josephine Marie Champlin, DO
• Rachel Laine Charvat, LMSW
• Katieann Clementi, R.N.
• Richard Cloney, NP

• General Practice Physician in Center Moriches, NY
• Providers in Center Moriches, NY by specialty
• General Practice Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2017; 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.