MASSAPEQUA MEDICAL PC (NPI# 1609144096) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609144096 |
| Entity Type | Organization |
| Organization Name | MASSAPEQUA MEDICAL PC |
| Practice Address |
727 N Broadway Suite A1 Massapequa NY 11758-2348 |
| Practice Telephone | 5167988090 |
| Practice Fax Number | 5167953606 |
| Mailing Telephone | 5167988090 |
| Mailing Fax Number | 5167953606 |
| Enumeration Date | 2011-12-13 |
| Last Update Date | 2011-12-13 |
| Authorized Official Name | DR. MARWAN HAMMOUD (PRESIDENT) |
| Authorized Official Telephone | 5167988090 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
233296 | NY | Ambulatory Health Care Facilities |
| Street Address |
727 N BROADWAY SUITE A1 |
| City | MASSAPEQUA |
| State | NY |
| Zip Code | 11758-2348 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184700593 | Noam Glaser | Dermatology | 727 N Broadway, Massapequa, NY 11758-2348 | 2006-10-27 |
| 1619516283 | Cindy Woldar | Counselor | 727 N Broadway, Massapequa, NY 11758-2348 | 2019-12-31 |
| 1134576697 | Chatandchange Counseling Services | Community/Behavioral Health | 727 N Broadway, Massapequa, NY 11758-2348 | 2016-05-14 |
| 1316294416 | Clarice Joy Thompson | Social Worker | 727 N Broadway, Suite A2, Massapequa, NY 11758-2348 | 2012-08-07 |
| 1255566485 | Morris Medical PC | Physical Medicine & Rehabilitation | 727 N Broadway, Suite 1a, Massapequa, NY 11758-2348 | 2009-05-18 |
| 1457524886 | Corrina Ede Brown | Psychologist | 727 N Broadway, Suite A2, Massapequa, NY 11758-2348 | 2008-04-07 |
| 1013121656 | Noam Glaser, M.d. PC | Specialist | 727 N Broadway, Massapequa, NY 11758-2348 | 2007-05-10 |
| 1588797500 | Lawrence Ira Senzer | Dentist | 727 N Broadway, Suite B-3, Massapequa, NY 11758-2348 | 2007-03-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811535339 | Jamie Leigh Disilvio | Licensed Practical Nurse | 24 Amity Pl., Massapequa, NY 11758 | 2019-12-16 |
| 1548787955 | June H Friedman | Social Worker | 78 North Pine Street, North Massapequa, NY 11758 | 2017-08-25 |
| 1376078568 | Caitlin Bree Kennedy | Acupuncturist | 507 Hicksville Road, Massapequa, NY 11758 | 2017-04-25 |
| 1932645561 | Maria Amato | Specialist | 277 Division Ave, Massapequa, NY 11758 | 2017-01-06 |
| 1164877270 | Marylou Lawson | Early Intervention Provider Agency | 87 N Pine Street, N Massapequa, NY 11758 | 2016-04-26 |
| 1417314196 | Tender Heart Senior Care Corp | In Home Supportive Care | 24 Peconic Dr, Massapequa, NY 11758 | 2016-01-26 |
| 1316328420 | Theresa Mackey | Behavioral Analyst | 19 Oxford Avenue, N. Massapequa, NY 11758 | 2015-06-15 |
| 1932596590 | Bianca Ferrantelli | Specialist | 13 Alhabra Rd, Apt 5, Massapequa, NY 11758 | 2015-04-22 |
| 1245625797 | Medwell Medical PC | Pain Medicine | 1065a North Broadway, Massapequa, NY 11758 | 2015-04-01 |
| 1053703926 | Joseph Sgaglione | Physical Therapist | 503 Wright Drive, Massapequa, NY 11758 | 2015-03-02 |
| Find all providers in zip 11758 | ||||
| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
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| 1790347243 | Jacob Jacoby Md | Clinic/Center | 100 Route 59 Ste 103, Suffern, NY 10901-4927 | 2019-07-05 |
| 1174089056 | City Medical of Upper East Side, Pllc | Clinic/Center | 216 E 14th St Ste B, New York, NY 10003-4105 | 2019-02-15 |
| 1770051690 | Seagull Medical Services | Clinic/Center | 105 Norwalk Ave, Staten Island, NY 10314-5658 | 2018-11-08 |
| 1093282329 | The Medical Offices of Occupational Health Resources P C | Clinic/Center | 500 W 33rd St, New York, NY 10001-1301 | 2018-10-24 |
| Find all providers with the same taxonomy | ||||
| City | MASSAPEQUA |
| Zip Code | 11758 |
Please comment or provide details below to improve the information on MASSAPEQUA MEDICAL PC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.