Lake Family Medical Practice PC
NPI 1639923675 · Family Medicine Physician · Lake Ronkonkoma, NY
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Lake Family Medical Practice PC is a Family Medicine Physician organization in Lake Ronkonkoma, NY (NPI 1639923675).
Provider details
- NPI number
- 1639923675
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Robert Tufano, Ceo(631) 981-1333
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 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
Mailing address
Registry dates
- Enumerated
- 2024-04-16
- Last updated
- 2024-11-13
- Certified
- 2024-11-13
Frequently asked questions
- What is Lake Family Medical Practice PC's NPI number?
- Lake Family Medical Practice PC's National Provider Identifier (NPI) is 1639923675, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Lake Family Medical Practice PC?
- Lake Family Medical Practice PC is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Lake Family Medical Practice PC located?
- Lake Family Medical Practice PC's practice location on file with NPPES is 201 Portion Rd Ste a, Lake Ronkonkoma, NY 11779-4172.
- What is Lake Family Medical Practice PC's phone number?
- The practice phone number listed in the NPPES registry for Lake Family Medical Practice PC is (631) 981-1333.
- Does Lake Family Medical Practice PC accept Medicare?
- Lake Family Medical Practice PC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Lake Family Medical Practice PC?
- The authorized official listed on Lake Family Medical Practice PC's NPPES record is Robert Tufano, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Lake Family Medical Practice PC's NPI active?
- Yes — Lake Family Medical Practice PC's NPI (1639923675) is active in the NPPES registry as of the last update on 2024-11-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.