MODERN FAMILY MEDICINE PC
NPI 1861890493
Clinic/Center - Primary Care in Babylon, NY

Active since December 13, 2014
258 W MAIN ST, BABYLON, NY 11702(631) 517-9170(631) 517-9113 Get Directions Write a Review

NPPES record last updated: February 11, 2015. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Modern Family Medicine Pc NPPES

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

MODERN FAMILY MEDICINE PC (NPI 1861890493) is a healthcare organization registered as a primary care in Babylon, New York and active in the NPI registry since December 2014. The organization lists Marina Andrianova, Physician, as its authorized official.

NPPES Registry Identity

NPI1861890493
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameMODERN FAMILY MEDICINE PC
Location Address258 W MAIN STBabylon, NY 11702-3443
Mailing Address258 W Main StBabylon, NY 11702-3443 · (631) 517-9170 · Fax (631) 517-9113
Fax(631) 517-9113
Organization SubpartNo
Authorized OfficialMarina AndrianovaPhysician · (516) 512-9435
Enumeration DateDecember 13, 2014
Last NPPES UpdateFebruary 11, 2015
NPI 1861890493 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
License Licensed in NY · 272088
258 W MAIN ST, Babylon, NY 11702

Other Providers at the Same Location NPPES 5

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

Internal Medicine
258 W MAIN ST
BABYLON, NY 11702
Podiatrist (Foot Surgery)
258 W MAIN ST
BABYLON, NY 11702
Internal Medicine
258 W MAIN ST
BABYLON, NY 11702
Family Medicine
258 W MAIN ST
BABYLON, NY 11702
Nurse Practitioner (Adult Health)
258 W MAIN ST
BABYLON, NY 11702

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 Modern Family Medicine PC's NPI number?

The NPI number for Modern Family Medicine PC is 1861890493. It was assigned to this organization in the NPPES registry on December 13, 2014.

Where is Modern Family Medicine PC located?

Modern Family Medicine PC is located at 258 W Main St, Babylon, NY 11702. The listed phone number is (631) 517-9170.

What is Modern Family Medicine PC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

When was this NPI record last updated?

The NPPES record for Modern Family Medicine PC was last updated on February 11, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.