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MAIN ST. MED CARE PC
NPI 1407889389
Family Medicine in Patchogue, NY

Active since July 07, 2006
475 E MAIN ST, SUITE 103-105, PATCHOGUE, NY 11772(631) 447-6100(631) 447-6126 Get Directions Write a Review

NPPES record last updated: March 13, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Main St. Med Care Pc NPPES

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

MAIN ST. MED CARE PC (NPI 1407889389) is a healthcare organization registered as a family medicine in Patchogue, New York and active in the NPI registry since July 2006. The organization lists Kristen Laird, Administrator, as its authorized official.

NPPES Registry Identity

NPI1407889389
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameMAIN ST. MED CARE PC
Location Address475 E MAIN ST, SUITE 103-105Patchogue, NY 11772-3121
Mailing Address475 E Main St, Suite 103-105Patchogue, NY 11772-3121 · (631) 447-6100 · Fax (631) 447-6126
Phone(631) 447-6100
Fax(631) 447-6126
Organization SubpartNo
Authorized OfficialKristen LairdAdministrator · (631) 447-6100
Enumeration DateJuly 7, 2006
Last NPPES UpdateMarch 13, 2008
✔ NPI 1407889389 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
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.
475 E MAIN ST, Patchogue, NY 11772
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Other Identifiers 3

Medicare ID-Type UnspecifiedW35711NY
Medicare PIN04337NY
Medicare PINW35712NY

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 MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

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

ROBERT BASEDOW
Social Worker
475 E MAIN ST
PATCHOGUE, NY 11772
Suffolk County (631) 286-8282
THERAPUTIC MEDICAL INFUSION PC
Anesthesiology (Pain Medicine)
475 E MAIN ST, SUITE 114
PATCHOGUE, NY 11772
Suffolk County (631) 475-7700
TERRY PONTINO NP
Nurse Practitioner (Acute Care)
475 E MAIN ST
EAST PATCHOGUE, NY 11772
Suffolk County (631) 475-7700
CAROLYN VELLA CASAC
Counselor (Addiction (Substance Use Disorder))
475 E MAIN ST
PATCHOGUE, NY 11772
Suffolk County (631) 569-7266
MRS. BONNIE F KOTKIN MA, LMHC
Counselor (Mental Health)
475 E MAIN ST, SUITE 200
PATCHOGUE, NY 11772
Suffolk County (516) 909-6850
DR. GINA MARIA CARDONE O.D.
Optometrist
475 E MAIN ST, 104
PATCHOGUE, NY 11772
Suffolk County (631) 654-2020
RASHA TAHA MOHAMED RIZK
Physical Therapist
475 E MAIN ST
PATCHOGUE, NY 11772
Suffolk County (631) 289-0044
WAYNE VICTOR HATAMI PT
Clinic/Center (Physical Therapy)
475 E MAIN ST, SUITE 103-105
PATCHOGUE, NY 11772
Suffolk County (631) 289-0044

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 Main St. Med Care PC's NPI number?

The NPI number for Main St. Med Care PC is 1407889389. It was assigned to this organization in the NPPES registry on July 7, 2006.

Where is Main St. Med Care PC located?

Main St. Med Care PC is located at 475 E Main St Suite 103-105, Patchogue, NY 11772. The listed phone number is (631) 447-6100.

What is Main St. Med Care PC's specialty?

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

When was this NPI record last updated?

The NPPES record for Main St. Med Care PC was last updated on March 13, 2008. 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.