Fulton Medical, P.c. - Medicare Primary Care in Massapequa, NY

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Fulton Medical, P.c. is a medicare enrolled primary clinic (Internal Medicine) in Massapequa, New York. The current practice location for Fulton Medical, P.c. is 200 Boundary Ave, Ste. 200, Massapequa, New York. For appointments, you can reach them via phone at (631) 271-9151. The mailing address for Fulton Medical, P.c. is 200 Boundary Ave, Ste. 200, Massapequa, New York and phone number is (631) 271-9151.

Fulton Medical, P.c. is licensed to practice in New York (license number 234331). The clinic also participates in the medicare program and its NPI number is 1841635133. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (631) 271-9151.

Contact Information

Fulton Medical, P.c.
200 Boundary Ave
Ste. 200
Massapequa
NY 11758-1152
(631) 271-9151
Not Available

Map and Direction


Primary Care Clinic Profile

Full NameFulton Medical, P.c.
SpecialityInternal Medicine
Location200 Boundary Ave, Massapequa, New York
Authorized Official Name and PositionGrigoriy Krichmar (OWNER)
Authorized Official Contact6312719151
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Fulton Medical, P.c.
200 Boundary Ave
Ste. 200
Massapequa
NY 11758-1152

Ph: (631) 271-9151		Fulton Medical, P.c.
200 Boundary Ave
Ste. 200
Massapequa
NY 11758-1152

Ph: (631) 271-9151

NPI Details:

NPI Number1841635133
Provider Enumeration Date05/01/2013
Last Update Date05/01/2013

Medicare PECOS Information:

Medicare PECOS PAC ID8527201540
Medicare Enrollment IDO20130823000424

Medical Identifiers

Medical identifiers for Fulton Medical, P.c. such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1841635133NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 234331 (New York)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Fulton Medical, P.c. acts as a billing entity for following providers:
Provider NameDiala A Jaber
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1982749479
PECOS PAC ID: 3870488844
Enrollment ID: I20040218000663
Provider NameLaura D Ploetzke
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1356402473
PECOS PAC ID: 3971554544
Enrollment ID: I20050201000928
Provider NameGrigoriy Krichmar
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1043371164
PECOS PAC ID: 5597708206
Enrollment ID: I20050603000530
Provider NameYuri S Fink
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1275798720
PECOS PAC ID: 8426125188
Enrollment ID: I20080922000374
Provider NameEbenezer P Thangavelu
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1780673228
PECOS PAC ID: 8921133596
Enrollment ID: I20100322000254
Provider NameTheodore Elias Allen
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1659379147
PECOS PAC ID: 9032394952
Enrollment ID: I20110419000689
Provider NamePatricia Regina Macdonald
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1427289586
PECOS PAC ID: 0244416204
Enrollment ID: I20110510000157
Provider NameDanielle R Mcloughlin
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1962756015
PECOS PAC ID: 9335379833
Enrollment ID: I20140303000123
Provider NameStephanie R Faton
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1801217229
PECOS PAC ID: 4284857178
Enrollment ID: I20140521002495
Provider NameKeisha A Mahoney
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1255731501
PECOS PAC ID: 4385955350
Enrollment ID: I20150617000918
Provider NameRoshin Mathews
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1740657311
PECOS PAC ID: 5395055453
Enrollment ID: I20160527001249
Provider NameLeonora N Holley
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1053710319
PECOS PAC ID: 4284935297
Enrollment ID: I20160729000690
Provider NameIngreet Jean-lubin
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1265771778
PECOS PAC ID: 6305134156
Enrollment ID: I20161011000259
Provider NamePatrice A Ferguson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1043684848
PECOS PAC ID: 2062796873
Enrollment ID: I20170222002353
Provider NameSaritha Surendran-mohanan
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1760907471
PECOS PAC ID: 4587920855
Enrollment ID: I20171102002716
Provider NameSophia C Palmer
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1003225152
PECOS PAC ID: 7911227384
Enrollment ID: I20171115001073
Provider NameBrandy A Hoeck
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1225526965
PECOS PAC ID: 8426305293
Enrollment ID: I20180725001054
Provider NameEoin O'neill
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1649795287
PECOS PAC ID: 9436400801
Enrollment ID: I20180924002944
Provider NamePamela Braglia
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1013347822
PECOS PAC ID: 5395080832
Enrollment ID: I20190102002267
Provider NameGina Nicolas
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1790259810
PECOS PAC ID: 4789922642
Enrollment ID: I20190219001969
Provider NameSusmita Mondal
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1124599642
PECOS PAC ID: 4183963929
Enrollment ID: I20190222000617
Provider NameChristina A Persaud
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1881150043
PECOS PAC ID: 7719229822
Enrollment ID: I20190419000380
Provider NameJagdev Kaur
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1639735681
PECOS PAC ID: 4880928860
Enrollment ID: I20190625002122
Provider NameMaria V Pezzolla
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1881129633
PECOS PAC ID: 2668707886
Enrollment ID: I20190710003077
Provider NameRamrattie Rambarran
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1518582972
PECOS PAC ID: 5890114029
Enrollment ID: I20201007001618
Provider NamePrecious Bamawo
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1447549894
PECOS PAC ID: 5294155636
Enrollment ID: I20201023000453
Provider NameAna Np Sandoval
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1437701588
PECOS PAC ID: 8022438480
Enrollment ID: I20201023001263
Provider NameElizabeth Yeno
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1447791306
PECOS PAC ID: 6002220498
Enrollment ID: I20210126001828
Provider NameMacha Jean-pierre
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1831782275
PECOS PAC ID: 8022425867
Enrollment ID: I20210324000053
Provider NameTaylor Biondi
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1811578594
PECOS PAC ID: 5092114314
Enrollment ID: I20210518002880
Provider NameTiana Sunshine Morano
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1619542453
PECOS PAC ID: 5496150690
Enrollment ID: I20210826001562
Provider NameJenniferta Arroyo
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1093398836
PECOS PAC ID: 8527465145
Enrollment ID: I20210924001522
Provider NameTijuana Temple
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1881369486
PECOS PAC ID: 2466843990
Enrollment ID: I20211216002940
Provider NameYu Seon Kim
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1750027603
PECOS PAC ID: 4789063991
Enrollment ID: I20220617002417
Provider NameShelisha Roach
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1629627708
PECOS PAC ID: 7719362581
Enrollment ID: I20220914001865
Provider NameNisha Joseph
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1609417179
PECOS PAC ID: 7214301738
Enrollment ID: I20230324001168
Provider NameJulia D Dorleus
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1346341161
PECOS PAC ID: 7012369739
Enrollment ID: I20240118002168

Reviews and Comments


Internal Medicine in Massapequa, NY

Vincent Anzalone Physician Pc
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 847 N Broadway, Suite 103, Massapequa, NY 11758
Phone: 516-798-0441    Fax: 516-798-0445
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Mauro Gasparini, M.d., P.c.
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Evolve Physicians, Pc
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Practice Location: 5550 Merrick Rd, Massapequa, NY 11758
Phone: 631-673-2333    Fax: 631-673-1314
Ny Acupuncture And Medicine Pc
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Phone: 718-520-8480    
Island Family Medicine Pc
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Medicare: Not Enrolled in Medicare
Practice Location: 20 Unqua Rd, Massapequa, NY 11758
Phone: 516-799-9700    Fax: 516-799-0134
Gastrointestinal Care Of Long Island Pllc
Primary Care Clinic
Medicare: Medicare Enrolled
Practice Location: 187 Veterans Blvd, Massapequa, NY 11758
Phone: 516-795-5523    Fax: 516-795-5521

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.