OrganizationActive
Eastern Long Island Family Medicine PC
NPI 1003089640 · Family Medicine Physician · East Setauket, NY
Provider details
- NPI number
- 1003089640
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Christopher Ng, President(631) 751-3883
- License
- 211195 (NY)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(87/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
100 S Jersey Ave
Suite 14
East Setauket, NY 11733-2034
Phone: (631) 751-3883
Fax: (631) 751-3909
Approximate (ZIP-level) locationGet directions
Mailing address
100 S Jersey Ave
East Setauket, NY 11733-2034
Registry dates
- Enumerated
- 2008-04-03
- Last updated
- 2013-10-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.