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ENDWELL FAMILY PHYSICIANS LLP
NPI 1871512947
Family Medicine in Endwell, NY

Active since July 19, 2006CLIA 33D0680657 · Accreditation
415 HOOPER RD, ENDWELL, NY 13760(607) 754-3863(607) 754-5697 Get Directions Write a Review

NPPES record last updated: April 1, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Endwell Family Physicians Llp NPPES

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

ENDWELL FAMILY PHYSICIANS LLP (NPI 1871512947) is a healthcare organization registered as a family medicine in Endwell, New York and active in the NPI registry since July 2006. The organization holds an CLIA Accreditation certificate valid through December 22, 2027 and lists Jonathan A Harris, Partner, as its authorized official.

NPPES Registry Identity

NPI1871512947
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameENDWELL FAMILY PHYSICIANS LLP
Location Address415 HOOPER RDEndwell, NY 13760-3698
Mailing Address415 Hooper RdEndwell, NY 13760-3698 · (607) 754-3863 · Fax (607) 754-5697
Phone(607) 754-3863
Fax(607) 754-5697
Organization SubpartNo
Authorized OfficialJonathan A HarrisPartner · (607) 754-3863
Enumeration DateJuly 19, 2006
Last NPPES UpdateApril 1, 2008
✔ NPI 1871512947 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
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.
415 HOOPER RD, Endwell, NY 13760
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Other Identifiers 3

Medicare NSC1073880001
Medicaid00557575NY
Medicare ID-Type Unspecified38661A

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Accreditation 33D0680657

Endwell Family Physicians LLP · Endwell, NY
Active · expires Dec 22, 2027
CLIA Number33D0680657
Laboratory TypePhysician Office
Certificate Effective DateDecember 23, 2025
Certificate Expiration DateDecember 22, 2027
Laboratory DirectorDr. Suchet Patel
Laboratory Phone(607) 754-3863
Laboratory LocationEndwell Family Physicians LLP415 Hooper Rd, Endwell, NY 13760
CLIA data matches this NPI record on: Address Name Phone
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Other Providers at the Same Location NPPES 20

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

DR. MICHAEL TUNICK DO
Family Medicine (Sports Medicine)
415 HOOPER RD
ENDWELL, NY 13760
Broome County (607) 754-3863
MARIA THERESE MALLERY FNP
Nurse Practitioner (Family)
415 HOOPER RD
ENDWELL, NY 13760
Broome County (607) 754-3863
LAUREN CASTELLUCCI RD
Dietitian, Registered
415 HOOPER RD
ENDWELL, NY 13760
Broome County (607) 754-3863
DR. SALLY HARTWICK MD
Family Medicine
415 HOOPER RD
ENDWELL, NY 13760
Broome County (607) 754-3863
MICAELA ELIZABETH MICELI FNP
Nurse Practitioner (Family)
415 HOOPER RD
ENDWELL, NY 13760
Broome County (607) 754-3863
JONATHAN A HARRIS MD
Family Medicine
415 HOOPER RD, ENDWELL FAMILY PHYSICIANS LLP
ENDWELL, NY 13760
Broome County (607) 754-3863
KIMBERLY M DESANTIS MD
Family Medicine
415 HOOPER RD, ENDWELL FAMILY PHYSICIANS LLP
ENDWELL, NY 13760
Broome County (607) 754-3863
MATTHEW DEMTRAK NP
Nurse Practitioner
415 HOOPER RD
ENDWELL, NY 13760
Broome County (607) 754-3863

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 Endwell Family Physicians LLP's NPI number?

The NPI number for Endwell Family Physicians LLP is 1871512947. It was assigned to this organization in the NPPES registry on July 19, 2006.

Where is Endwell Family Physicians LLP located?

Endwell Family Physicians LLP is located at 415 Hooper Rd, Endwell, NY 13760. The listed phone number is (607) 754-3863.

What is Endwell Family Physicians LLP's specialty?

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

Does Endwell Family Physicians LLP hold a CLIA laboratory certificate?

Yes. A Certificate of Accreditation (number 33D0680657) is associated with this NPI, valid through December 22, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Endwell Family Physicians LLP was last updated on April 1, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.