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HEALTH ONE MEDICAL PC
NPI 1386837177
Chiropractor - Rehabilitation in Lake Grove, NY

Active since August 24, 2007CLIA 33D2023106 · Waiver
2780 MIDDLE COUNTRY RD, LAKE GROVE, NY 11755(631) 580-1000 Get Directions Write a Review

NPPES record last updated: August 24, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Health One Medical Pc NPPES

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

HEALTH ONE MEDICAL PC (NPI 1386837177) is a healthcare organization registered as a rehabilitation in Lake Grove, New York and active in the NPI registry since August 2007. The organization holds a CLIA Waiver certificate valid through April 14, 2027 and lists Gary Dicanio, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1386837177
Entity TypeOrganization
Primary Taxonomy111NR0400X
Legal Business NameHEALTH ONE MEDICAL PC
Location Address2780 MIDDLE COUNTRY RDLake Grove, NY 11755-2124
Mailing Address2780 Middle Country RdLake Grove, NY 11755-2124 · (631) 580-1000
Phone(631) 580-1000
Organization SubpartNo
Authorized OfficialGary DicanioMedical Director · (631) 580-1000
Enumeration DateAugust 24, 2007
✔ NPI 1386837177 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractor · RehabilitationChiropractic Providers
Taxonomy Code111NR0400X
License✔ Licensed in NY · X007674
Definition
Rehabilitation is the discipline focused on restoring a patient's functional abilities to pre-injury or pre-disease status. Functional abilities are defined as those activities in one's daily life, work, or sports and recreational activities that an individual participates in. Relevant impairments (e.g. strength, endurance, flexibility, motor control, etc.) are often intermediate goals of rehabilitation, but the final goal of successful care is return to participation in activities in which the patient was successful before the onset of the injury or disease. Essential to a rehabilitation approach is a focus on patient-centered outcomes such as independence and self-management or self-care skills.
2780 MIDDLE COUNTRY RD, Lake Grove, NY 11755
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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 of Waiver 33D2023106

Health 1 Medical , PC · Patchogue, NY
Active · expires Apr 14, 2027
CLIA Number33D2023106
Laboratory TypePhysician Office
Certificate Effective DateApril 15, 2025
Certificate Expiration DateApril 14, 2027
Laboratory DirectorDr. Gary Dicanio
Laboratory Phone(631) 580-1000
Laboratory LocationHealth 1 Medical , PC105 Medford Ave Unit B, Patchogue, NY 11772
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 14

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

SUFFOLK BREAST IMAGING PC
Radiology (Diagnostic Radiology)
2780 MIDDLE COUNTRY RD, SUITE 210
LAKE GROVE, NY 11755
Suffolk County (631) 588-4500
ALEXANDRA B PERKINS M.D.
Radiology (Diagnostic Radiology)
2780 MIDDLE COUNTRY RD, SUITE 210
LAKE GROVE, NY 11755
Suffolk County (631) 588-4500
KIMBERLY D. ZEDALIS
Radiology Practitioner Assistant
2780 MIDDLE COUNTRY RD, STE 210
LAKE GROVE, NY 11755
Suffolk County (631) 588-4500
MS. JULIE MANIS R.N., GNP, PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
2780 MIDDLE COUNTRY RD, SUITE 306
LAKE GROVE, NY 11755
Suffolk County (631) 981-8300
JULIO C ALMEYDA PHYSICIAN ASSISTANT
Physician Assistant
2780 MIDDLE COUNTRY RD, SUIT 140
LAKE GROVE, NY 11755
Suffolk County (631) 580-1000
ROBERTO ANTONACCI M.D.
Radiology (Radiation Oncology)
2780 MIDDLE COUNTRY RD, SUITE 210
LAKE GROVE, NY 11755
Suffolk County (631) 588-4500
EVAN KEITH BERNSTEIN DC
Chiropractor
2780 MIDDLE COUNTRY RD, SUITE 140
LAKE GROVE, NY 11755
Suffolk County (631) 580-1000
DEBORAH ANN PRIEBE PH.D.
Psychologist (Clinical)
2780 MIDDLE COUNTRY RD, SUITE 209
LAKE GROVE, NY 11755
Suffolk County (631) 361-5080

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 Health One Medical PC's NPI number?

The NPI number for Health One Medical PC is 1386837177. It was assigned to this organization in the NPPES registry on August 24, 2007.

Where is Health One Medical PC located?

Health One Medical PC is located at 2780 Middle Country Rd, Lake Grove, NY 11755. The listed phone number is (631) 580-1000.

What is Health One Medical PC's specialty?

The primary specialty registered for this NPI is Chiropractor, specializing in Rehabilitation, with taxonomy code 111NR0400X.

Does Health One Medical PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D2023106) is associated with this NPI, valid through April 14, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Health One Medical PC was last updated on August 24, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.