MATTITUCK FAMILY MEDICINE PLLC (NPI# 1538349949) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538349949 |
| Entity Type | Organization |
| Organization Name | MATTITUCK FAMILY MEDICINE PLLC |
| Practice Address |
7555 Main Rd Mattituck NY 11952-1516 |
| Mailing Address |
Po Box 111 Mattituck NY 11952-0111 |
| Practice Telephone | 6312981678 |
| Practice Fax Number | 6312981679 |
| Mailing Telephone | 6312981678 |
| Mailing Fax Number | 6312981679 |
| Enumeration Date | 2007-11-14 |
| Last Update Date | 2008-05-19 |
| Authorized Official Name | DR. CYNTHIA CARLSON (OWNER) |
| Authorized Official Telephone | 6312981678 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 199364 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 01693365 | 05 |
| Street Address |
7555 MAIN RD |
| City | MATTITUCK |
| State | NY |
| Zip Code | 11952-1516 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265423354 | North Fork Dental Associates PC | Dentist | 7555 Main Rd, Mattituck, NY 11952-1516 | 2005-10-29 |
| 1255989042 | Jeffrey Francis Creed | Counselor | 7555 Main Rd, Mattituck, NY 11952-1516 | 2019-08-27 |
| 1740845064 | Barbara Ruth Sheryll | Social Worker | 7555 Main Rd, Mattituck, NY 11952-1516 | 2019-05-02 |
| 1881166510 | Holly Marie Delbianco | Social Worker | 7555 Main Rd, Mattituck, NY 11952-1516 | 2018-12-19 |
| 1043788649 | Angel Riley Mccarrick | Social Worker | 7555 Main Rd, Mattituck, NY 11952-1516 | 2018-11-13 |
| 1437624822 | Laura Germaine | Social Worker | 7555 Main Rd, Mattituck, NY 11952-1516 | 2018-10-11 |
| 1396259594 | Stephanie Thode | Counselor | 7555 Main Rd, Mattituck, NY 11952-1516 | 2017-11-27 |
| 1982134029 | Frank Anthony Zaleski | Social Worker | 7555 Main Rd, Mattituck, NY 11952-1516 | 2017-06-12 |
| 1013463231 | Marc Etts | Social Worker | 7555 Main Rd, Mattituck, NY 11952-1516 | 2016-08-28 |
| 1003288622 | Karen Gillette | Social Worker | 7555 Main Rd, Mattituck, NY 11952-1516 | 2015-10-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235540352 | Antoinette Plocek Notaro Md PC | Clinic/Center | 13405 Main Road, Mattituck, NY 11952 | 2014-05-12 |
| 1124391123 | Richard A Relyea | Registered Nurse | 575 Westview Drive, Mattituck, NY 11952 | 2012-02-22 |
| 1336311877 | Kristin Donato | Pharmacist | 195 Main Road, Mattituck, NY 11952 | 2008-03-25 |
| 1598941429 | Louis Melissari | Pharmacist | 195 Main Rd., Mattituck, NY 11952 | 2008-01-10 |
| 1679757827 | Elizabeth Vaccaro | Pharmacist | 195 Main Rd, Mattituck, NY 11952 | 2007-12-24 |
| 1396946844 | North Fork Orthopaedic and Sports Medicine Pllc | Orthopaedic Surgery | 55 Sound Avenue, Mattituck, NY 11952 | 2007-05-31 |
| 1437369196 | Viola Quintero | Social Worker | 11700 Main Rd, Mattituck, NY 11952 | 2007-05-23 |
| 1881804433 | Gary Klemons | Dentist | 7905 Main Road, Mattituck, NY 11952 | 2007-05-23 |
| 1336264092 | Jeanine Marie Warns | Social Worker | 13235 Main Rd, Mattituck, NY 11952 | 2007-03-20 |
| 1548306103 | Caroline Valenta Gatewood | Psychiatry & Neurology | 7555 Main Rd., Mattituck, NY 11952 | 2007-01-30 |
| Find all providers in zip 11952 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| 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. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609816909 | Luigi Buono | Family Medicine | 7905 Main Rd, Mattituck, NY 11952-1518 | 2006-06-07 |
| 1760449615 | Cynthia Carlson | Family Medicine | 7905 Main Rd, Mattituck, NY 11952 | 2006-04-26 |
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|---|---|---|---|---|
| 1881295558 | Mamoon Malik | Family Medicine | 90 Menands Rd, Albany, NY 12204-1400 | 2020-11-08 |
| 1336749571 | Chowdhury Medical PC | Family Medicine | 155 Alkier St, Brentwood, NY 11717-5129 | 2020-10-27 |
| 1356940084 | Rebecca Jean Smouse | Family Medicine | 1107 Prendergast Ave, Jamestown, NY 14701-3315 | 2020-10-23 |
| 1336748136 | Rapha House Calls | Family Medicine | 2 Fernglade Ct, Chester, NY 10918-2637 | 2020-10-22 |
| 1174122980 | Richmond Health Partners Ipa LLC | Family Medicine | 1161 Victory Blvd, Staten Island, NY 10301-3621 | 2020-10-22 |
| 1730787128 | Michael C Secallus | Family Medicine | 66 Kirkwood Gdns, Kirkwood, NY 13795-1623 | 2020-10-16 |
| 1861099053 | Julia Gross Family Health Nurse Practitioner, Pllc | Family Medicine | 950 Route 146 Ste 100, Clifton Park, NY 12065-3667 | 2020-10-01 |
| 1013523190 | Steinway Hope Medical LLC | Family Medicine | 8829 54th Ave Fl 2, Elmhurst, NY 11373-4543 | 2020-09-23 |
| 1538774500 | Jenny Brandt | Family Medicine | 3048 Sunset Ln # 2, Schenectady, NY 12303-5528 | 2020-09-15 |
| 1992319016 | Sarah Glaser | Family Medicine | 30 W 24th St, New York, NY 10010-3207 | 2020-09-04 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.