NPI Portal NPI Lookup & Verification

Main St. Med Care PC

Main St. Med Care PC is a healthcare organization registered as Family Medicine Physician in Patchogue, NY, holding Type 2 (organization) NPI 1407889389 since 2006. The authorized official on file is Kristen Laird, Administrator.

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NPI 1407889389
Entity type Organization (Type 2)
Legal business name Main St. Med Care PC
Practice address 475 E MAIN ST, SUITE 103-105, Patchogue, NY, 11772
Phone 6314476100
Fax 6314476126
Enumeration date 2006-07-07
Last updated in NPPES 2008-03-13

Authorized official

Name Kristen Laird
Title Administrator
Phone 6314476100

Taxonomy & classification

Taxonomy code Specialty Primary License State
207Q00000X Family Medicine Physician Primary
Copy-ready billing details
Provider: Main St. Med Care PC
NPI: 1407889389
Taxonomy: 207Q00000X (Family Medicine Physician)
Address: 475 E MAIN ST, SUITE 103-105, Patchogue, NY, 11772

Providers at this address

NPI Name Type Specialty Location
1134125909 Gina Cardone Individual Optometrist Patchogue, NY
1295737187 Soma Pulipati Individual Cardiovascular Disease Physician Patchogue, NY
1558348003 51 Sandalwood Enterprises, Inc Organization Specialist Patchogue, NY
1831125327 Ny Spine Physical Therapy Organization Physical Therapy Clinic/Center Patchogue, NY
1144253998 Wayne Hatami Individual Physical Therapy Clinic/Center Patchogue, NY
1760407340 Daniel Mondiello Individual Physical Therapist Patchogue, NY
1922023514 Blake Holland Individual Physical Therapist Patchogue, NY
1649295213 William Keltz Individual Physical Therapist Patchogue, NY

Verify this record

Cross-check NPI 1407889389 against the authoritative CMS record: view Main St. Med Care PC on the official NPPES registry .

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.

Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2008-03-13. Verify at npiregistry.cms.hhs.gov.
Where is Main St. Med Care PC located?
The practice location on file with NPPES is in Patchogue, NY.

Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2008-03-13.