51 JOHN STREET MEDICAL PC – NPI #1306142245
Clinic/Center

51 JOHN STREET MEDICAL PC is an AHC clinic located in BABYLON, NY. NPPES has assigned the NPI number 1306142245 to 51 JOHN STREET MEDICAL PC on February 09, 2011. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QA1903X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Ambulatory Surgical

The NPI profile was previously updated about 6 years ago on Jul 22, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for 51 JOHN STREET MEDICAL PC below.

NPI Profile for
51 JOHN STREET MEDICAL PC

NPI Number
1306142245
Enumeration Date

(more than 15 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
51 JOHN STREET MEDICAL PC
Primary location
51 JOHN ST STE 4
BABYLON, NY 11702-2928
Phone: (631) 661-0400 Fax: (631) 661-0463
Mailing address
51 JOHN ST
SUITE 4
BABYLON, NY 11702-2928
Phone: (631) 669-0500 Fax: (631) 661-0463
Organization Subpart
No
Authorized Official
TERESA FULLER
OFFICE MANAGER
Phone: (631) 661-0400
Updated
Certification Date
Jul 22, 2020

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QA1903X
- Clinic/Center / Ambulatory Surgical (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Endpoint

Health Information Exchange (HEI)

HEI is the mobilization of health care information electronically across organizations within a region, community or hospital system. Endpoints provide a simple and secure way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the internet such as primary care physicians, specialists, hospitals, labs, etc.

Endpoint
BABYLON
Endpoint type
CONNECT URL
Endpoint Description
Content Type
OTHER
Affiliation
N
Endpoint Location
51 JOHN ST STE 4,
BABYLON, NY 77025-1669