| Cherese M. Laporta D.O., PLLC | |
|
107 N Ocean Ave Suite G Patchogue NY 11772-2012 | |
| (631) 654-5004 | |
| (631) 654-5048 |
| Full Name | Cherese M. Laporta D.O., PLLC |
|---|---|
| Speciality | Family Medicine |
| Location | 107 N Ocean Ave, Patchogue, New York |
| Authorized Official Name and Position | Vera Kruta (BILLER) |
| Authorized Official Contact | 6316545004 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cherese M. Laporta D.O., PLLC 107 N Ocean Ave Suite G Patchogue NY 11772-2012 Ph: (631) 654-5004 | Cherese M. Laporta D.O., PLLC 107 N Ocean Ave Suite G Patchogue NY 11772-2012 Ph: (631) 654-5004 |
| NPI Number | 1700050051 |
|---|---|
| Provider Enumeration Date | 04/17/2008 |
| Last Update Date | 04/17/2008 |
| Medicare PECOS PAC ID | 3173412657 |
|---|---|
| Medicare Enrollment ID | O20110328000814 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700050051 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 184780 (New York) | Primary |
| Provider Name | Cherese M Laporta |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437206943 PECOS PAC ID: 7517990492 Enrollment ID: I20050912000868 |
| Provider Name | Vanessa L Petoello |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992251631 PECOS PAC ID: 4981985496 Enrollment ID: I20161221000635 |
| Provider Name | Allison P Boyle |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1285988642 PECOS PAC ID: 0345562252 Enrollment ID: I20170104001412 |
| Provider Name | Jennifer L Chouinard |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1144795824 PECOS PAC ID: 9830443910 Enrollment ID: I20181107002963 |
Brookhaven Memorial Hospital Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 101 Hospital Rd, Patchogue, NY 11772 Phone: 631-687-4001 Fax: 631-687-4004 |
Hospitalist Medicine Physicians of New York-tcg, PC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 101 Hospital Rd, Patchogue, NY 11772 Phone: 631-654-7100 |
Nooman Silat, MD, PC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 444 W Main St, Patchogue, NY 11772 Phone: 631-758-7866 |
Brookhaven Family Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 100 Hospital Road, Patchogue, NY 11772 Phone: 631-687-6900 Fax: 631-447-5954 |
Sound Physicians of New York, PLLC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 101 Hospital Rd, Patchogue, NY 11772 Phone: 631-654-7100 |
Brasil and Shinin Physicians PC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 33 Medford Avenue, Suite E, Patchogue, NY 11772 Phone: 631-207-4200 Fax: 631-205-2750 |