| John V Celentano Phys, Pc | |
|
516 Montauk Hwy East Moriches NY 11940-1225 | |
| (631) 874-2900 | |
| (631) 874-2948 |
| Full Name | John V Celentano Phys, Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 516 Montauk Hwy, East Moriches, New York |
| Authorized Official Name and Position | John V Celentano (PRESIDENT) |
| Authorized Official Contact | 6318742900 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| John V Celentano Phys, Pc 516 Montauk Hwy East Moriches NY 11940-1225 Ph: (631) 874-2900 | John V Celentano Phys, Pc 516 Montauk Hwy East Moriches NY 11940-1225 Ph: (631) 874-2900 |
| NPI Number | 1033300751 |
|---|---|
| Provider Enumeration Date | 08/07/2007 |
| Last Update Date | 04/22/2008 |
| Medicare PECOS PAC ID | 9436234879 |
|---|---|
| Medicare Enrollment ID | O20080311000002 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033300751 | NPI | - | NPPES |
| 02526378 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | John V Celentano |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558445478 PECOS PAC ID: 7012808975 Enrollment ID: I20040322001133 |
| Provider Name | Joann Capuano |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720165269 PECOS PAC ID: 9830130343 Enrollment ID: I20050516000170 |
| Provider Name | Irene Logan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750468294 PECOS PAC ID: 5890736300 Enrollment ID: I20050516000203 |
| Provider Name | Jason Meyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891108080 PECOS PAC ID: 7315166352 Enrollment ID: I20140924000585 |
Devendra K Singh Mdpc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 41 Bay Ave, East Moriches, NY 11940 Phone: 631-878-4377 Fax: 631-878-5587 | |
Sound Medical Care Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 516 Montauk Hwy, Suite 1, East Moriches, NY 11940 Phone: 631-874-2900 Fax: 631-874-2948 | |
East End Internal Medicine Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9 Atlantic Ave, East Moriches, NY 11940 Phone: 631-897-9297 |