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HEALTH 1 MEDICAL PC
NPI 1639124571
Family Medicine in Lake Grove, NY

Active since May 22, 2006CLIA 33D2023106 · Waiver
2780 MIDDLE COUNTRY RD, SUITE 140, LAKE GROVE, NY 11755(631) 580-1000(631) 580-0483 Get Directions Write a Review

NPPES record last updated: June 18, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Health 1 Medical Pc NPPES

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

HEALTH 1 MEDICAL PC (NPI 1639124571) is a healthcare organization registered as a family medicine in Lake Grove, New York and active in the NPI registry since May 2006. The organization holds a CLIA Waiver certificate valid through April 14, 2027 and lists Gary Dicanio, Owner, as its authorized official.

NPPES Registry Identity

NPI1639124571
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameHEALTH 1 MEDICAL PC
Location Address2780 MIDDLE COUNTRY RD, SUITE 140Lake Grove, NY 11755-2124
Mailing Address2780 Middle Country Rd, Suite 140Lake Grove, NY 11755-2124 · (631) 580-1000 · Fax (631) 580-0483
Phone(631) 580-1000
Fax(631) 580-0483
Organization SubpartNo
Authorized OfficialGary DicanioOwner · (631) 580-1000
Enumeration DateMay 22, 2006
Last NPPES UpdateJune 18, 2008
✔ NPI 1639124571 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ 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.

Also ListedChiropractorTaxonomy 111N00000X
Also ListedPhysical Medicine & RehabilitationTaxonomy 208100000X
Also ListedPhysical TherapistTaxonomy 225100000X
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: Name 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.

ALEXANDRA B PERKINS M.D.
Radiology (Diagnostic Radiology)
2780 MIDDLE COUNTRY RD, SUITE 210
LAKE GROVE, NY 11755
Suffolk County (631) 588-4500
ROBERTO ANTONACCI M.D.
Radiology (Radiation Oncology)
2780 MIDDLE COUNTRY RD, SUITE 210
LAKE GROVE, NY 11755
Suffolk County (631) 588-4500
ANA ZIA PT
Physical Therapist
2780 MIDDLE COUNTRY RD, SUITE 140
LAKE GROVE, NY 11755
Suffolk County (631) 580-1000
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
MR. JOSEPH B. MCCARTHY LCSW-R
Social Worker (Clinical)
2780 MIDDLE COUNTRY RD, SUITE 306
LAKE GROVE, NY 11755
Suffolk County (631) 764-5591
HEALTH ONE MEDICAL PC
Chiropractor (Rehabilitation)
2780 MIDDLE COUNTRY RD
LAKE GROVE, NY 11755
Suffolk County (631) 580-1000
KIMBERLY D. ZEDALIS
Radiology Practitioner Assistant
2780 MIDDLE COUNTRY RD, STE 210
LAKE GROVE, NY 11755
Suffolk County (631) 588-4500

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 1 Medical PC's NPI number?

The NPI number for Health 1 Medical PC is 1639124571. It was assigned to this organization in the NPPES registry on May 22, 2006.

Where is Health 1 Medical PC located?

Health 1 Medical PC is located at 2780 Middle Country Rd Suite 140, Lake Grove, NY 11755. The listed phone number is (631) 580-1000.

What is Health 1 Medical PC's specialty?

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

Does Health 1 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 1 Medical PC was last updated on June 18, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.