Health 1 Medical PC
NPI 1639124571ActiveOrganization· Family Medicine· Lake Grove, NY
Family Medicine in Lake Grove, New York, registered in NPPES in May 2006. The authorized official on file is Gary Dicanio, DO, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1639124571 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 22, 2006 |
| Last updated in NPPES | Jun 18, 2008 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | — | — |
| Chiropractor | 111N00000X | — | — |
| Physical Medicine & Rehabilitation | 208100000X | — | — |
| Physical Therapist | 225100000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (NY) |
|---|
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