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MEDFORD MEDICAL
NPI 1669328423
Family Medicine in Glen Head, NY

Active since March 05, 2026CLIA 33D2342961 · Waiver
699A GLEN COVE AVE, GLEN HEAD, NY 11545(516) 858-1828 Get Directions Write a Review

NPPES record last updated: March 5, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Medford Medical NPPES

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

MEDFORD MEDICAL (NPI 1669328423) is a healthcare organization registered as a family medicine in Glen Head, New York and active in the NPI registry since March 2026. The organization holds a CLIA Waiver certificate valid through April 28, 2028 and lists Ricky Vohora, Ceo, as its authorized official.

NPPES Registry Identity

NPI1669328423
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameMEDFORD MEDICAL
Location Address699A GLEN COVE AVEGlen Head, NY 11545
Mailing Address2608 Route 112Medford, NY 11763-2551 · (631) 475-4476
Phone(516) 858-1828
Organization SubpartNo
Authorized OfficialRicky VohoraCeo · (516) 858-1828
Enumeration DateMarch 5, 2026
NPPES CertifiedMarch 2, 2026
✔ NPI 1669328423 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.
699A GLEN COVE AVE, Glen Head, NY 11545
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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 33D2342961

Medford Medical Inc · Glen Head, NY
Active · expires Apr 28, 2028
CLIA Number33D2342961
Laboratory TypeUrgent Care
Certificate Effective DateApril 29, 2026
Certificate Expiration DateApril 28, 2028
Laboratory DirectorRicky Vohora
Laboratory Phone(516) 858-1828
Laboratory LocationMedford Medical Inc699 Glen Cove Ave, Glen Head, NY 11545
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Medford Medical's NPI number?

The NPI number for Medford Medical is 1669328423. It was assigned to this organization in the NPPES registry on March 5, 2026.

Where is Medford Medical located?

Medford Medical is located at 699A Glen Cove Ave, Glen Head, NY 11545. The listed phone number is (516) 858-1828.

What is Medford Medical's specialty?

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

Does Medford Medical hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D2342961) is associated with this NPI, valid through April 28, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Medford Medical was last updated on March 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.