OrganizationActive
Action Medical PC
NPI 1790191427 · Sports Medicine (Family Medicine) Physician · East Setauket, NY
Provider details
- NPI number
- 1790191427
- Entity type
- Organization
- Primary specialty
- Sports Medicine (Family Medicine) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Dimos Kanakoudas, President(631) 689-8662
- License
- 257261 (NY)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(75/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 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
8 Technology Dr
Suite 104
East Setauket, NY 11733-3327
Phone: (631) 689-8662
Fax: (631) 689-5916
Street-level locationGet directions
Mailing address
8 Technology Dr
East Setauket, NY 11733-3327
Registry dates
- Enumerated
- 2014-07-02
- Last updated
- 2014-07-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.