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EAST NORTHPORT MEDICAL CARE PLLC
NPI 1932431103
Internal Medicine in East Northport, NY

Active since February 12, 2010CLIA 33D0697090 · Waiver
554 LARKFIELD RD, SUITE 101, EAST NORTHPORT, NY 11731(631) 368-9166(631) 368-5682 Get Directions Write a Review

NPPES record last updated: May 19, 2010. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About East Northport Medical Care Pllc NPPES

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

EAST NORTHPORT MEDICAL CARE PLLC (NPI 1932431103) is a healthcare organization registered as an internal medicine in East Northport, New York and active in the NPI registry since February 2010. The organization holds a CLIA Waiver certificate valid through December 5, 2026 and lists Anthony J Antonucci, Partner, as its authorized official.

NPPES Registry Identity

NPI1932431103
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameEAST NORTHPORT MEDICAL CARE PLLC
Location Address554 LARKFIELD RD, SUITE 101East Northport, NY 11731-4205
Mailing Address554 Larkfield Rd, Suite 101East Northport, NY 11731-4205 · (631) 368-9166 · Fax (631) 368-5682
Phone(631) 368-9166
Fax(631) 368-5682
Organization SubpartNo
Authorized OfficialAnthony J AntonucciPartner · (631) 368-9166
Enumeration DateFebruary 12, 2010
Last NPPES UpdateMay 19, 2010
✔ NPI 1932431103 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in NY · 170689
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.
Also ListedFamily MedicineTaxonomy 207Q00000X · License 226879 (NY)
554 LARKFIELD RD, East Northport, NY 11731
Open in Google Maps ↗

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 MULTIPLE 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 Waiver 33D0697090

East Northport Medical Care, PLLC · East Northport, NY
Active · expires Dec 5, 2026
CLIA Number33D0697090
Laboratory TypePhysician Office
Certificate Effective DateDecember 6, 2024
Certificate Expiration DateDecember 5, 2026
Laboratory DirectorDr. Amir Herman
Laboratory Phone(631) 368-9166
Laboratory LocationEast Northport Medical Care, PLLC554 Larkfield Road, Suite 101, East Northport, NY 11731
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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. SCOTT PAUL BAUMAN D.C.
Chiropractor
554 LARKFIELD RD
EAST NORTHPORT, NY 11731
Suffolk County (631) 368-3220
MS. BETH TIPPERMAN L.C.S.W.
Social Worker (Clinical)
554 LARKFIELD RD
EAST NORTHPORT, NY 11731
Suffolk County (516) 594-0247
DR. PETER MICHAEL KOBLAN III DDS
Dentist (Orthodontics and Dentofacial Orthopedics)
554 LARKFIELD RD, SUITE 107
EAST NORTHPORT, NY 11731
Suffolk County (631) 368-2660
DR. GERALD SCHWARTZ DDS
Dentist (Orthodontics and Dentofacial Orthopedics)
554 LARKFIELD RD
EAST NORTHPORT, NY 11731
Suffolk County (631) 368-1675
DR. PETER WARWICK GREEN MD
Orthopaedic Surgery
554 LARKFIELD RD, STE 10G
E NORTHPORT, NY 11731
Suffolk County (631) 368-1222
DIANE K HENRY LCSW-R
Social Worker (Clinical)
554 LARKFIELD RD, STE 10C
EAST NORTHPORT, NY 11731
Suffolk County (631) 923-8392
DR. NASIMA AHMED M.D.
Psychiatry & Neurology (Psychiatry)
554 LARKFIELD RD, SUITE 10I
EAST NORTHPORT, NY 11731
Suffolk County (631) 742-4645
MR. HERBERT NELSON TANDY PTA
Physical Therapy Assistant
554 LARKFIELD RD, SUITE 207
EAST NORTHPORT, NY 11731
Suffolk County (631) 266-4501

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 East Northport Medical Care PLLC's NPI number?

The NPI number for East Northport Medical Care PLLC is 1932431103. It was assigned to this organization in the NPPES registry on February 12, 2010.

Where is East Northport Medical Care PLLC located?

East Northport Medical Care PLLC is located at 554 Larkfield Rd Suite 101, East Northport, NY 11731. The listed phone number is (631) 368-9166.

What is East Northport Medical Care PLLC's specialty?

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

Does East Northport Medical Care PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D0697090) is associated with this NPI, valid through December 5, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for East Northport Medical Care PLLC was last updated on May 19, 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.