Organization Active NPI

Farmingville Medical Care, PLLC

  • Internal Medicine Physician
  • Melville, NY
National Provider Identifier
1972652576
Registry record updated Nov 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
222080-1 Issued in NY
Legal business name
FARMINGVILLE MEDICAL CARE, PLLC
Practice address
445 Broadhollow Rd Ste 25
Melville, NY 11747-3645
Phone
(631) 202-9011
Fax
(503) 386-2841
NPI assigned
Jan 10, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2019

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

Authorized official

Name
Dr. Arary B Canavarros, M.D.
Title
Owner
Phone
(631) 202-9011

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 222080-1 NY Primary

Addresses

Primary practice location

445 Broadhollow Rd Ste 25
Melville, NY 11747-3645

Mailing address

445 Broadhollow Rd Ste 25
Melville, NY 11747-3645
Phone (631) 202-9011

National Provider Directory

National Provider Directory

Locations

400 Horseblock Rd
Ste H
Farmingville, NY 11738
Phone (631) 233-9490

NPI Registry JSON

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

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1574640000000",
    "number": "1972652576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "445 BROADHOLLOW RD STE 25",
            "city": "MELVILLE",
            "state": "NY",
            "postal_code": "117473645",
            "telephone_number": "631-202-9011",
            "fax_number": "503-386-2841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "445 BROADHOLLOW RD STE 25",
            "city": "MELVILLE",
            "state": "NY",
            "postal_code": "117473645",
            "telephone_number": "631-202-9011",
            "fax_number": "503-386-2841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FARMINGVILLE MEDICAL CARE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-10",
        "last_updated": "2019-11-25",
        "status": "A",
        "authorized_official_last_name": "CANAVARROS",
        "authorized_official_first_name": "ARARY",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "631-202-9011",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "222080-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Melville, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2019; 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.