1. Home
  2. Directory
  3. New York
  4. Canton
  5. Family Medicine
  6. NPI Profile

HEALEY MEDICAL PRACTICE, PLLC
NPI 1457568792
Family Medicine in Canton, NY

Active since May 17, 2007CLIA 33D0956796 · Waiver
25 PARK ST, CANTON, NY 13617(315) 379-9158(315) 379-9604 Get Directions Write a Review

NPPES record last updated: October 28, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Healey Medical Practice, Pllc NPPES

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

HEALEY MEDICAL PRACTICE, PLLC (NPI 1457568792) is a healthcare organization registered as a family medicine in Canton, New York and active in the NPI registry since May 2007. The organization holds a CLIA Waiver certificate valid through March 24, 2027 and lists Gregory J Healey, Owner, as its authorized official.

NPPES Registry Identity

NPI1457568792
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameHEALEY MEDICAL PRACTICE, PLLC
Location Address25 PARK STCanton, NY 13617-1265
Mailing Address25 Park StCanton, NY 13617-1265 · (315) 379-0404 · Fax (315) 379-9604
Phone(315) 379-9158
Fax(315) 379-9604
Organization SubpartNo
Authorized OfficialGregory J HealeyOwner · (315) 379-9158
Enumeration DateMay 17, 2007
Last NPPES UpdateOctober 28, 2017
✔ NPI 1457568792 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 · 214981
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.
25 PARK ST, Canton, NY 13617
Open in Google Maps ↗

Other Identifiers 2

Medicare PINDN6061NY
Medicare PINBA1427NY

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 of Waiver 33D0956796

Gregory J Healey MD Dba Healey Medical Practice · Canton, NY
Active · expires Mar 24, 2027
CLIA Number33D0956796
Laboratory TypePhysician Office
Certificate Effective DateMarch 25, 2025
Certificate Expiration DateMarch 24, 2027
Laboratory DirectorDr. Gregory J. Healey
Laboratory Phone(315) 379-9158
Laboratory LocationGregory J Healey MD Dba Healey Medical Practice25 Park Street, Canton, NY 13617
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only 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.

GREGORY HEALEY MD
Family Medicine
25 PARK ST
CANTON, NY 13617
St. Lawrence County (315) 379-9158
JOANNE B SCOTT PA
Physician Assistant
25 PARK ST
CANTON, NY 13617
St. Lawrence County (315) 379-9588
JORDAN ROBERT FENTON FNP-C
Nurse Practitioner (Family)
25 PARK ST
CANTON, NY 13617
St. Lawrence County (315) 379-9158
LINDY L CHAPMAN PA-C
Physician Assistant
25 PARK ST
CANTON, NY 13617
St. Lawrence County (315) 379-9158

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 Healey Medical Practice, PLLC's NPI number?

The NPI number for Healey Medical Practice, PLLC is 1457568792. It was assigned to this organization in the NPPES registry on May 17, 2007.

Where is Healey Medical Practice, PLLC located?

Healey Medical Practice, PLLC is located at 25 Park St, Canton, NY 13617. The listed phone number is (315) 379-9158.

What is Healey Medical Practice, PLLC's specialty?

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

Does Healey Medical Practice, PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D0956796) is associated with this NPI, valid through March 24, 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 Healey Medical Practice, PLLC was last updated on October 28, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.