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DUTCH BROADWAY FAMILY MEDICAL CARE, P.C.
NPI 1013022987
Family Medicine in Elmont, NY

Active since August 20, 2006CLIA 33D2181783 · Microscopy
2366 DUTCH BROADWAY, ELMONT, NY 11003(516) 488-8599 Get Directions Write a Review

NPPES record last updated: September 19, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dutch Broadway Family Medical Care, P.c. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DUTCH BROADWAY FAMILY MEDICAL CARE, P.C. (NPI 1013022987) is a healthcare organization registered as a family medicine in Elmont, New York and active in the NPI registry since August 2006. The organization holds a CLIA Microscopy certificate valid through April 9, 2028 and lists Max Noel, Owner, as its authorized official.

NPPES Registry Identity

NPI1013022987
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameDUTCH BROADWAY FAMILY MEDICAL CARE, P.C.
Location Address2366 DUTCH BROADWAYElmont, NY 11003-3508
Mailing Address2366 Dutch BroadwayElmont, NY 11003-3508 · (516) 488-8599
Phone(516) 488-8599
Organization SubpartNo
Authorized OfficialMax NoelOwner · (516) 488-8595
Enumeration DateAugust 20, 2006
Last NPPES UpdateSeptember 19, 2014
✔ NPI 1013022987 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in NY · 230045
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
2366 DUTCH BROADWAY, Elmont, NY 11003
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Other Identifiers 3

Medicare ID-Type Unspecified1009P1NY
Medicaid02624091NY
Medicare UPINI10412NY

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 33D2181783

Dutch Broadway Family Medical Care PC · Elmont, NY
Active · expires Apr 9, 2028
CLIA Number33D2181783
Laboratory TypePhysician Office
Certificate Effective DateApril 10, 2026
Certificate Expiration DateApril 9, 2028
Laboratory DirectorDr. Max Noel
Laboratory Phone(516) 488-8595
Laboratory LocationDutch Broadway Family Medical Care PC2366 Dutch Broadway, Elmont, NY 11003
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NEW YORK SLEEP DIAGNOSTIC CENTER
Respiratory Therapist, Certified
2366 DUTCH BROADWAY
ELMONT, NY 11003
Nassau County (516) 437-4308
DR. MAX NOEL M.D.
Family Medicine
2366 DUTCH BROADWAY
ELMONT, NY 11003
Nassau County (516) 488-8595
CLAUDE-HENRI JEAN M.D
Internal Medicine
2366 DUTCH BROADWAY
ELMONT, NY 11003
Nassau County (516) 488-8595
NICOLETTA GUERRIER NURSE PRACTITIONER
Nurse Practitioner (Adult Health)
2366 DUTCH BROADWAY
ELMONT, NY 11003
Nassau County (516) 488-8595

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dutch Broadway Family Medical Care, P.C.'s NPI number?

The NPI number for Dutch Broadway Family Medical Care, P.C. is 1013022987. It was assigned to this organization in the NPPES registry on August 20, 2006.

Where is Dutch Broadway Family Medical Care, P.C. located?

Dutch Broadway Family Medical Care, P.C. is located at 2366 Dutch Broadway, Elmont, NY 11003. The listed phone number is (516) 488-8599.

What is Dutch Broadway Family Medical Care, P.C.'s specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Dutch Broadway Family Medical Care, P.C. hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 33D2181783) is associated with this NPI, valid through April 9, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Dutch Broadway Family Medical Care, P.C. was last updated on September 19, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.