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URANTIA MEDICAL PC
NPI 1679847008
Specialist in Manhasset, NY

Active since March 02, 2012
1295 NORTHERN BLVD, SUITE 20, MANHASSET, NY 11030(516) 365-4040 Get Directions Write a Review

NPPES record last updated: March 23, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Urantia Medical Pc NPPES

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

URANTIA MEDICAL PC (NPI 1679847008) is a healthcare organization registered as a specialist in Manhasset, New York and active in the NPI registry since March 2012. The organization lists Modesto Fontanez, Principal, as its authorized official.

NPPES Registry Identity

NPI1679847008
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameURANTIA MEDICAL PC
Location Address1295 NORTHERN BLVD, SUITE 20Manhasset, NY 11030-3035
Mailing Address1295 Northern BlvdManhasset, NY 11030-3035 · (516) 365-4040
Phone(516) 365-4040
Organization SubpartNo
Authorized OfficialModesto FontanezPrincipal · (516) 365-4040
Enumeration DateMarch 2, 2012
Last NPPES UpdateMarch 23, 2012
✔ NPI 1679847008 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in NY · 1818101
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
1295 NORTHERN BLVD, Manhasset, NY 11030
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Other Identifiers 2

Medicare UPING39665NY
Medicaid01583586NY

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

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ALEJANDRO MATUS
Durable Medical Equipment & Medical Supplies
1295 NORTHERN BLVD
MANHASSET, NY 11030
Nassau County (888) 905-0625

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 Urantia Medical PC's NPI number?

The NPI number for Urantia Medical PC is 1679847008. It was assigned to this organization in the NPPES registry on March 2, 2012.

Where is Urantia Medical PC located?

Urantia Medical PC is located at 1295 Northern Blvd Suite 20, Manhasset, NY 11030. The listed phone number is (516) 365-4040.

What is Urantia Medical PC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Urantia Medical PC was last updated on March 23, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.