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COUNTRY DOCTORS FAMILY MEDICINE HAUPPAUGE PC
NPI 1790815942
Family Medicine in Huntington, NY

Active since March 06, 2007
7 LAWRENCE HILL RD, HUNTINGTON, NY 11743(631) 351-8700(631) 351-6995 Get Directions Write a Review

NPPES record last updated: May 6, 2009. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Country Doctors Family Medicine Hauppauge Pc NPPES

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

COUNTRY DOCTORS FAMILY MEDICINE HAUPPAUGE PC (NPI 1790815942) is a healthcare organization registered as a family medicine in Huntington, New York and active in the NPI registry since March 2007. The organization lists Charles R. Timson, President, as its authorized official.

NPPES Registry Identity

NPI1790815942
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameCOUNTRY DOCTORS FAMILY MEDICINE HAUPPAUGE PC
Location Address7 LAWRENCE HILL RDHuntington, NY 11743-3143
Mailing Address7 Lawrence Hill RdHuntington, NY 11743-3143 · (631) 351-8700 · Fax (631) 351-6995
Phone(631) 351-8700
Fax(631) 351-6995
Organization SubpartNo
Authorized OfficialCharles R. TimsonPresident · (631) 351-8700
Enumeration DateMarch 6, 2007
Last NPPES UpdateMay 6, 2009
✔ NPI 1790815942 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 · 165264
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.
7 LAWRENCE HILL RD, Huntington, NY 11743
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Other Identifiers 2

Medicare PINW33481NY
Medicaid02024151NY

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

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Country Doctors Family Medicine Hauppauge Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by March 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateNew YorkEnrollment IDO20090504000202Non-DME Part B · Clinic/Group PracticeDue dateMarch 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Country Doctors Family Medicine Hauppauge PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Charles Timson, MD
Family Practice
NPI 1750332821
6090 26TH ST W
Bradenton, FL 34207
(941) 218-2353
✔ PECOS✔ Accepts Medicare1,062 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Country Doctors Family Medicine Hauppauge PC's NPI number?

The NPI number for Country Doctors Family Medicine Hauppauge PC is 1790815942. It was assigned to this organization in the NPPES registry on March 6, 2007.

Where is Country Doctors Family Medicine Hauppauge PC located?

Country Doctors Family Medicine Hauppauge PC is located at 7 Lawrence Hill Rd, Huntington, NY 11743. The listed phone number is (631) 351-8700.

What is Country Doctors Family Medicine Hauppauge PC's specialty?

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

Is Country Doctors Family Medicine Hauppauge PC enrolled in Medicare?

Yes. Country Doctors Family Medicine Hauppauge PC is registered in the Medicare PECOS enrollment system.

When is Country Doctors Family Medicine Hauppauge PC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (New York, Clinic/Group Practice) is due for revalidation by March 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Country Doctors Family Medicine Hauppauge PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Country Doctors Family Medicine Hauppauge PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Country Doctors Family Medicine Hauppauge PC was last updated on May 6, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.