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HEALTHSOURCE MEDICAL SERVICES MEDFORD, PLLC
NPI 1821319575
Internal Medicine in Medford, NY

Active since June 17, 2010
1743 N OCEAN AVE, MEDFORD, NY 11763(631) 758-3100(631) 758-3168 Get Directions Write a Review

NPPES record last updated: June 17, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Healthsource Medical Services Medford, Pllc NPPES

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

HEALTHSOURCE MEDICAL SERVICES MEDFORD, PLLC (NPI 1821319575) is a healthcare organization registered as an internal medicine in Medford, New York and active in the NPI registry since June 2010. The organization lists John Folan, President/owner, as its authorized official.

NPPES Registry Identity

NPI1821319575
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameHEALTHSOURCE MEDICAL SERVICES MEDFORD, PLLC
Location Address1743 N OCEAN AVEMedford, NY 11763-2649
Mailing Address3001 Express Dr N, Suite 200cIslandia, NY 11749-5301 · (631) 435-0110 · Fax (631) 435-4583
Phone(631) 758-3100
Fax(631) 758-3168
Organization SubpartNo
Authorized OfficialJohn FolanPresident/owner · (631) 435-0110
Enumeration DateJune 17, 2010
✔ NPI 1821319575 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in NY · 167755
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
1743 N OCEAN AVE, Medford, NY 11763
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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

Other Providers at the Same Location NPPES 3

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

MR. MICHAEL RYDER D.O.
Family Medicine
1743 N OCEAN AVE
MEDFORD, NY 11763
Suffolk County (631) 758-3100
JILL FARRELL NP
Nurse Practitioner (Family)
1743 N OCEAN AVE
MEDFORD, NY 11763
Suffolk County (631) 758-3100
MS. ANNMARIE BADAGLIACCA PHYSICIAN ASSISTANT
Physician Assistant
1743 N OCEAN AVE
MEDFORD, NY 11763
Suffolk County (631) 758-3100

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 Healthsource Medical Services Medford, PLLC's NPI number?

The NPI number for Healthsource Medical Services Medford, PLLC is 1821319575. It was assigned to this organization in the NPPES registry on June 17, 2010.

Where is Healthsource Medical Services Medford, PLLC located?

Healthsource Medical Services Medford, PLLC is located at 1743 N Ocean Ave, Medford, NY 11763. The listed phone number is (631) 758-3100.

What is Healthsource Medical Services Medford, PLLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

When was this NPI record last updated?

The NPPES record for Healthsource Medical Services Medford, PLLC was last updated on June 17, 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.