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LAKE FAMILY MEDICAL PRACTICE PC
NPI 1639923675
Family Medicine in Lake Ronkonkoma, NY

Active since April 16, 2024
201 PORTION RD STE A, LAKE RONKONKOMA, NY 11779(631) 981-1333(631) 981-2326 Get Directions Write a Review

NPPES record last updated: November 13, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 13, 2024, Apr 16, 2024 (2 updates tracked since 2024).

About Lake Family Medical Practice Pc NPPES

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

LAKE FAMILY MEDICAL PRACTICE PC (NPI 1639923675) is a healthcare organization registered as a family medicine in Lake Ronkonkoma, New York and active in the NPI registry since April 2024. The organization lists Robert A Tufano, Ceo, as its authorized official.

NPPES Registry Identity

NPI1639923675
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameLAKE FAMILY MEDICAL PRACTICE PC
Location Address201 PORTION RD STE ALake Ronkonkoma, NY 11779-4172
Mailing Address201 Portion Rd Ste ALake Ronkonkoma, NY 11779-4172 · (631) 981-1333 · Fax (631) 981-2326
Phone(631) 981-1333
Fax(631) 981-2326
Organization SubpartNo
Authorized OfficialRobert A TufanoCeo · (631) 981-1333
Enumeration DateApril 16, 2024
Last NPPES UpdateNovember 13, 20242 updates tracked since enumeration
NPPES CertifiedNovember 13, 2024
✔ NPI 1639923675 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.
201 PORTION RD STE A, Lake Ronkonkoma, NY 11779
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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

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 Lake Family Medical Practice PC's NPI number?

The NPI number for Lake Family Medical Practice PC is 1639923675. It was assigned to this organization in the NPPES registry on April 16, 2024.

Where is Lake Family Medical Practice PC located?

Lake Family Medical Practice PC is located at 201 Portion Rd Ste A, Lake Ronkonkoma, NY 11779. The listed phone number is (631) 981-1333.

What is Lake Family Medical Practice 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 Lake Family Medical Practice PC was last updated on November 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.