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AGELESS 360 MEDICAL GROUP
NPI 1962830851
Family Medicine in Hauppauge, NY

Active since October 31, 2013
694 MOTOR PKWY, SUITE 101, HAUPPAUGE, NY 11788(631) 265-9355(631) 864-8504 Get Directions Write a Review

NPPES record last updated: April 14, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Ageless 360 Medical Group NPPES

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

AGELESS 360 MEDICAL GROUP (NPI 1962830851) is a healthcare organization registered as a family medicine in Hauppauge, New York and active in the NPI registry since October 2013. The organization lists Roxanne G Carfora, Physician/medical Director, as its authorized official.

NPPES Registry Identity

NPI1962830851
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameROXANNE G CARFORA, DO, PC
Location Address694 MOTOR PKWY, SUITE 101Hauppauge, NY 11788-5175
Mailing Address694 Motor Pkwy, Suite 101Hauppauge, NY 11788-5175 · (631) 265-9355 · Fax (631) 864-8504
Phone(631) 265-9355
Fax(631) 864-8504
Organization SubpartNo
Authorized OfficialRoxanne G CarforaPhysician/medical Director · (631) 265-9355
Enumeration DateOctober 31, 2013
Last NPPES UpdateApril 14, 2014
✔ NPI 1962830851 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in NY · 186098
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.

694 MOTOR PKWY, Hauppauge, NY 11788
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Other Names 1

Doing Business AsAgeless 360 Medical Group

Other Identifiers 1

Medicare PIN69H951NY

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

MS. GAYLE COULEAS ANP-C
Nurse Practitioner
694 MOTOR PKWY, SUITE 101
HAUPPAUGE, NY 11788
Suffolk County (631) 265-9355

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 Roxanne G Carfora, Do, PC's NPI number?

The NPI number for Roxanne G Carfora, Do, PC is 1962830851. It was assigned to this organization in the NPPES registry on October 31, 2013. The provider is doing business as Ageless 360 Medical Group.

Where is Roxanne G Carfora, Do, PC located?

Roxanne G Carfora, Do, PC is located at 694 Motor Pkwy Suite 101, Hauppauge, NY 11788. The listed phone number is (631) 265-9355.

What is Roxanne G Carfora, Do, PC'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 Roxanne G Carfora, Do, PC was last updated on April 14, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.