Patchogue Medical PC

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

PATCHOGUE MEDICAL PC

Practice address

100 N Centre Ave
Rockville Centre, NY 11570-3937

Phone

(646) 504-3116

NPI assigned

Jun 21, 2022

Organization subpart

No

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

Authorized official

Name

Michele Davis, DONPI 1164420352

Title

Partner

Phone

(908) 451-5362

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michele Davis, D.O.

  • Family Medicine Physician
  • East Brunswick, NJ
  • NPI 1164420352
  NPD Authorized official

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

{
    "created_epoch": "1655769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655769600000",
    "number": "1982335907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "244 5TH AVE STE V273",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100017604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 N CENTRE AVE",
            "city": "ROCKVILLE CENTRE",
            "state": "NY",
            "postal_code": "115703937",
            "telephone_number": "646-504-3116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATCHOGUE MEDICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-21",
        "last_updated": "2022-06-21",
        "certification_date": "2022-06-21",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "MICHELE",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "908-451-5362",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deborah Parrella, NP
• Henry S Partridge, MD
• Alfia Ann Passarelli, PT
• Alexandria Marie Pastor, M.A., CCC-SLP
• Elena Patchke, PT
• Maulik Mafatlal Patel, M.D.
• Lysa Pegler Morgan
• Vernard C Pelage
• Marie Azzu Peloso, M.D.
• Barbara Pepe

• Multi-Specialty Clinic/Center in Rockville Centre, NY
• Providers in Rockville Centre, NY by specialty
• Multi-Specialty Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2022; 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.