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.
✓ Active NPI ✓ Valid NPI checksum
| 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?
Where is Main St. Med Care PC located?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2008-03-13.