Provider Demographics
NPI:1770623423
Name:CARING MEDICAL, LLC
Entity type:Organization
Organization Name:CARING MEDICAL, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MOHAN
Authorized Official - Middle Name:
Authorized Official - Last Name:SHARMA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:516-301-6130
Mailing Address - Street 1:144 DOGWOOD RD
Mailing Address - Street 2:
Mailing Address - City:ROSLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11576-3015
Mailing Address - Country:US
Mailing Address - Phone:516-301-6130
Mailing Address - Fax:631-981-6710
Practice Address - Street 1:276 SMITHTOWN BLVD
Practice Address - Street 2:STE 1
Practice Address - City:NESCONSET
Practice Address - State:NY
Practice Address - Zip Code:11767-2043
Practice Address - Country:US
Practice Address - Phone:631-981-9143
Practice Address - Fax:631-981-6710
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-08
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY209585207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01867927Medicaid
NYG29388Medicare UPIN
NY01867927Medicaid