EAST NORTHPORT MEDICAL CARE PLLC
NPI 1932431103
Internal Medicine in East Northport, NY
- Organization
- Internal Medicine
- CLIA Number: 33D0697090
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 12-05-2026
About EAST NORTHPORT MEDICAL CARE PLLC
This page provides the complete NPI Profile along with additional information for East Northport Medical Care Pllc, an internist established in East Northport, New York operating as a Internal Medicine. The healthcare provider is registered in the NPI registry with number 1932431103 assigned on February 2010. The practitioner's primary taxonomy code is 207R00000X with license number 170689 (NY). The provider is registered as an organization and their NPI record was last updated 16 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Dr. Anthony J Antonucci Md (Partner)
- NPI
- 1932431103 Verify this NPI
- Provider Name
- EAST NORTHPORT MEDICAL CARE PLLC
- Entity Type
- Organization
- Location Address
- 554 LARKFIELD RD SUITE 101 EAST NORTHPORT, NY 11731
- Location Phone
- (631) 368-9166
- Location Fax
- (631) 368-5682
- Mailing Address
- 554 LARKFIELD RD SUITE 101 EAST NORTHPORT, NY 11731
- Mailing Phone
- (631) 368-9166
- Mailing Fax
- (631) 368-5682
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 02-12-2010
- Last Update Date
- 05-19-2010
- Code Navigator
An internist like East Northport Medical Care Pllc is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Internal Medicine
- Taxonomy Code
- 207R00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 170689
- License State
- NY
- Taxonomy Description
- 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.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 207Q00000X | Allopathic & Osteopathic Physicians | Family Medicine | 226879 (NY) |
Group Taxonomy 193400000X MULTIPLE SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 33D0697090
- Facility Type
- Physician Office
- Certificate Effective Date
- December 06, 2024
- Certificate Expiration Date
- December 05, 2026
- Laboratory Director
- DR. AMIR HERMAN
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to East Northport Medical Care Pllc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
EAST NORTHPORT, NY 11731
EAST NORTHPORT, NY 11731
EAST NORTHPORT, NY 11731
EAST NORTHPORT, NY 11731
EAST NORTHPORT, NY 11731
EAST NORTHPORT, NY 11731
EAST NORTHPORT, NY 11731
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1932431103, enumerated as an "organization" on February 12, 2010.
The provider is located at 554 LARKFIELD RD SUITE 101 EAST NORTHPORT, NY 11731 and the phone number is (631) 368-9166.
Internal Medicine with taxonomy code 207R00000X.
