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FOURTH STREET FAMILY MEDICINE
NPI 1679745764
Family Medicine in Oswego, NY

Active since March 28, 2008
144 W 4TH ST, OSWEGO, NY 13126(315) 342-2521(315) 342-4277 Get Directions Write a Review

NPPES record last updated: February 22, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Fourth Street Family Medicine NPPES

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

FOURTH STREET FAMILY MEDICINE (NPI 1679745764) is a healthcare organization registered as a family medicine in Oswego, New York and active in the NPI registry since March 2008. The organization lists Dhanraj Jattan Soogree, Owner, as its authorized official.

NPPES Registry Identity

NPI1679745764
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameDHANRAJ J. SOOGREE M.D. P.C.
Location Address144 W 4TH STOswego, NY 13126-2504
Mailing Address144 W 4th StOswego, NY 13126-2504 · (315) 342-2521 · Fax (315) 342-4277
Phone(315) 342-2521
Fax(315) 342-4277
Organization SubpartNo
Authorized OfficialDhanraj Jattan SoogreeOwner · (315) 342-2521
Enumeration DateMarch 28, 2008
Last NPPES UpdateFebruary 22, 2010
✔ NPI 1679745764 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 · 210443
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.
144 W 4TH ST, Oswego, NY 13126
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Other Names 1

Doing Business AsFourth Street Family Medicine

Other Identifiers 5

Other000115478NY · Blue Shield
Medicare PINJ400000636NY
Other1194755322NY · Bcbs Ny Excellus
Medicaid01857538NY
Medicare PINBA0277NY

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 Dhanraj J. Soogree M.D. P.C.'s NPI number?

The NPI number for Dhanraj J. Soogree M.D. P.C. is 1679745764. It was assigned to this organization in the NPPES registry on March 28, 2008. The provider is doing business as Fourth Street Family Medicine.

Where is Dhanraj J. Soogree M.D. P.C. located?

Dhanraj J. Soogree M.D. P.C. is located at 144 W 4th St, Oswego, NY 13126. The listed phone number is (315) 342-2521.

What is Dhanraj J. Soogree M.D. P.C.'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 Dhanraj J. Soogree M.D. P.C. was last updated on February 22, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.