Organization Active NPI

Bay Family Medicine PLLC

  • Family Medicine Physician
  • East Islip, NY
National Provider Identifier
1972683647
Registry record updated Mar 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
BAY FAMILY MEDICINE PLLC
Practice address
220 E Main St
East Islip, NY 11730-2734
Phone
(631) 969-4590
Fax
(631) 665-3928
NPI assigned
Oct 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2013

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

Authorized official

Name
Maria Vaccari, MD
Title
MD
Phone
(631) 969-4590

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

220 E Main St
East Islip, NY 11730-2734

Mailing address

220 E Main St
East Islip, NY 11730-2734
Phone (631) 969-4590

National Provider Directory

National Provider Directory

Locations

200 E Main St
East Islip, NY 11730
Phone (631) 969-4590

220 E Main St
East Islip, NY 11730
Phone (631) 969-4590

NPI Registry JSON

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1362355200000",
    "number": "1972683647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 E MAIN ST",
            "city": "EAST ISLIP",
            "state": "NY",
            "postal_code": "117302734",
            "telephone_number": "631-969-4590",
            "fax_number": "631-665-3928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 E MAIN ST",
            "city": "EAST ISLIP",
            "state": "NY",
            "postal_code": "117302734",
            "telephone_number": "631-969-4590",
            "fax_number": "631-665-3928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAY FAMILY MEDICINE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-17",
        "last_updated": "2013-03-04",
        "status": "A",
        "authorized_official_last_name": "VACCARI",
        "authorized_official_first_name": "MARIA",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "631-969-4590",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Islip, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2013; 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.