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MICHAEL CRETA, DO
NPI 1912024506
Family Medicine in Lake Ronkonkoma, NY

Active since March 26, 2007
290 HAWKINS AVE, LAKE RONKONKOMA, NY 11779(631) 981-0045(631) 981-1117 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Michael Creta, Do NPPES

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

MICHAEL CRETA, DO (NPI 1912024506) is a healthcare organization registered as a family medicine in Lake Ronkonkoma, New York and active in the NPI registry since March 2007. The organization lists Michael Creta, Do, as its authorized official.

NPPES Registry Identity

NPI1912024506
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameMICHAEL CRETA, DO
Location Address290 HAWKINS AVELake Ronkonkoma, NY 11779-9600
Mailing Address290 Hawkins AveLake Ronkonkoma, NY 11779-9600 · (631) 981-0045 · Fax (631) 981-1117
Phone(631) 981-0045
Fax(631) 981-1117
Organization SubpartNo
Authorized OfficialMichael CretaDo · (631) 981-0045
Enumeration DateMarch 26, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1912024506 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.
290 HAWKINS AVE, Lake Ronkonkoma, NY 11779
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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.

SHANE BUSH PH.D.
Clinical Neuropsychologist
290 HAWKINS AVE, SUITE B
LAKE RONKONKOMA, NY 11779
Suffolk County (631) 334-7884
DR. DANA G. BUSH PH.D.
Psychologist (Clinical)
290 HAWKINS AVE, STE. B
LAKE RONKONKOMA, NY 11779
Suffolk County (631) 431-1581
LONG ISLAND NEUROPSYCHOLOGY, P.C.
Psychologist (Forensic)
290 HAWKINS AVE, SUITE B
LAKE RONKONKOMA, NY 11779
Suffolk County (631) 334-7884

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 Michael Creta, Do's NPI number?

The NPI number for Michael Creta, Do is 1912024506. It was assigned to this organization in the NPPES registry on March 26, 2007.

Where is Michael Creta, Do located?

Michael Creta, Do is located at 290 Hawkins Ave, Lake Ronkonkoma, NY 11779. The listed phone number is (631) 981-0045.

What is Michael Creta, Do's specialty?

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

When was this NPI record last updated?

The NPPES record for Michael Creta, Do was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.