Individual provider Active NPI

John Veliath, M.D.

  • Family Medicine Physician
  • Riverhead, NY
National Provider Identifier
1972674414
Registry record updated Jul 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
163432 Issued in NY
Practice address
1228 E Main St Ste C
Riverhead, NY 11901-2677
Phone
(631) 603-3400
Fax
(631) 603-3401
NPI assigned
Nov 13, 2006
Last updated
Jul 7, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 7, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 163432 NY Primary
Emergency Medicine Physician 207P00000X 163462 NY

Addresses

Primary practice location

1228 E Main St Ste C
Riverhead, NY 11901-2677

Mailing address

1228 E Main St Ste C
Riverhead, NY 11901-2677
Phone (631) 603-3400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060227000706 NY Practitioner - Family Practice 7810903911 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Caremed Primary and Urgent Care PCGroup PAC ID 8224353727, 21 clinicians

Practice addresses (Care Compare)

1228 E Main St
Suite C
Riverhead, NY 11901-2677
Phone (631) 603-3400

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
163432NYMDFamily Medicine Physician
163462NYMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Caremed Primary and Urgent Care PC Family Medicine CurrentSince Nov 9, 2019 Accepting new patients
St Catherine of Siena Medical Center Past Accepting new patients
Siena Emergency Medical Services, P.C. Emergency Medicine Past Accepting new patients
Island Medical Physicians, PC Emergency Medicine Past Accepting new patients
Island Urgent Medical Care, P.C. Family Medicine PastSince Nov 9, 2019 Accepting new patients

Locations

375 E Main St
Ste 26
Bay Shore, NY 11706
Phone (631) 665-2255

266 Middle Country Rd
Coram, NY 11727
Phone (631) 475-3900

1 E Roe Blvd
Patchogue, NY 11772
Phone (631) 475-3900

1228 E Main St
Riverhead, NY 11901
Phone (631) 603-3400

1228 E Main St
Ste C
Riverhead, NY 11901
Phone (631) 603-3400

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657152000000",
    "number": "1972674414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1228 E MAIN ST STE C",
            "city": "RIVERHEAD",
            "state": "NY",
            "postal_code": "119012677",
            "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 STE C",
            "city": "RIVERHEAD",
            "state": "NY",
            "postal_code": "119012677",
            "telephone_number": "631-603-3400",
            "fax_number": "631-603-3401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VELIATH",
        "first_name": "JOHN",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-13",
        "last_updated": "2022-07-07",
        "certification_date": "2022-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "163432",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NY",
            "license": "163462",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverhead, NY

Sources for this page

Verify at the official NPI Registry.