FAMILY MEDICAL CARE OF BAYSHORE, PC
NPI 1487807061
Family Medicine in Bay Shore, NY

Q: What is Family Medical Care Of Bayshore, PC's NPI number?

The NPI number for Family Medical Care Of Bayshore, PC is 1487807061. It was assigned to this organization in the NPPES registry on October 28, 2008.

Q: What is Family Medical Care Of Bayshore, PC's specialty?

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

Active since October 28, 2008CLIA 33D1090792 · Waiver

1745 UNION BLVD, BAY SHORE, NY 11706(631) 328-5560(516) 328-5599 Get Directions Write a Review

NPPES record last updated: October 28, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Family Medical Care Of Bayshore, Pc NPPES

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

FAMILY MEDICAL CARE OF BAYSHORE, PC (NPI 1487807061) is a healthcare organization registered as a family medicine in Bay Shore, New York and active in the NPI registry since October 2008. The organization holds a CLIA Waiver certificate valid through July 2, 2027 and lists Carla Canavire-weber, Owner, as its authorized official.

NPPES Registry Identity

NPI1487807061

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameFAMILY MEDICAL CARE OF BAYSHORE, PC

Location Address1745 UNION BLVDBay Shore, NY 11706-7952

Mailing Address1745 Union BlvdBay Shore, NY 11706-7952 · (631) 328-5560 · Fax (516) 328-5599

Phone(631) 328-5560

Fax(516) 328-5599

Organization SubpartNo

Authorized OfficialCarla Canavire-weberOwner · (631) 328-5560

Enumeration DateOctober 28, 2008

✔ NPI 1487807061 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 · 210883

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.

1745 UNION BLVD, Bay Shore, NY 11706

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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 33D1090792

Family Medical Care Of Bay Shore, PC · Bayshore, NY

Active · expires Jul 2, 2027

CLIA Number33D1090792

Laboratory TypePhysician Office

Certificate Effective DateJuly 3, 2025

Certificate Expiration DateJuly 2, 2027

Laboratory DirectorDr. Carla C. Canavire-Weber

Laboratory Phone(631) 328-5560

Laboratory LocationFamily Medical Care Of Bay Shore, PC1745 Union Boulevard, Bayshore, NY 11706

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.

KAMRAN SANANDAJI D.D.S

Dentist (General Practice)