Organization Active NPI

Holbrook Internal Medicine, PC

  • Primary Care Clinic/Center
  • Holbrook, NY
National Provider Identifier
1972825420
Registry record updated Feb 25, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
230975 Issued in NY
Legal business name
HOLBROOK INTERNAL MEDICINE, PC
Practice address
900 Main St
Holbrook, NY 11741-1623
Phone
(631) 960-5945
NPI assigned
Feb 25, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2010

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

Authorized official

Name
Dr. Daniel Jospeh Laieta, D.O., F.A.C.P.
Title
President/Ceo
Phone
(631) 960-5945

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 230975 NY Primary

Addresses

Primary practice location

900 Main St
Holbrook, NY 11741-1623

Mailing address

PO Box 82
Wading River, NY 11792-0082
Phone (631) 960-5945

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1267056000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1267056000000",
    "number": "1972825420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 82",
            "city": "WADING RIVER",
            "state": "NY",
            "postal_code": "117920082",
            "telephone_number": "631-960-5945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 MAIN ST",
            "city": "HOLBROOK",
            "state": "NY",
            "postal_code": "117411623",
            "telephone_number": "631-960-5945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLBROOK INTERNAL MEDICINE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-25",
        "last_updated": "2010-02-25",
        "status": "A",
        "authorized_official_last_name": "LAIETA",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "JOSPEH",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "631-960-5945",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O., F.A.C.P."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NY",
            "license": "230975",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Holbrook, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2010; 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.