STATMD PHYSICIANS, PLLC


Address: 2090 Jericho Tpke, New Hyde Park, NY 11040-4719
Phone: 5163527828

STATMD PHYSICIANS, PLLC (NPI# 1710020417) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1710020417
Entity Type Organization
Organization Name STATMD PHYSICIANS, PLLC
Other Organization Name STATMD
Practice Address 2090 Jericho Tpke
New Hyde Park
NY 11040-4719
Practice Telephone 5163527828
Practice Fax Number 5163527827
Mailing Telephone 5163527828
Mailing Fax Number 5163527827
Enumeration Date 2007-02-14
Last Update Date 2020-04-07
Authorized Official Name MS. SAFIA HUDA (OFFICE MANAGER)
Authorized Official Telephone 5163527828
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207P00000X Emergency Medicine 197332 NY Allopathic & Osteopathic Physicians
Y 261QE0002X Clinic/Center
Specialization: Emergency Care
Ambulatory Health Care Facilities

Other Provider/Organization Names

Other Name Type Code
StatMD Other Name - Individual/Organization

Other Data Sources

Entity Type Entity Name Entity Address
New York State Corporations STATMD PHYSICIANS, PLLC 2090 Jericho Turnpike, New Hyde Park, New York 11040

Office Location

Street Address 2090 JERICHO TPKE
City NEW HYDE PARK
State NY
Zip Code 11040-4719

Providers in the same location

NPI Name Taxonomy Address Enumeration
1144878414 Li Medical Group Pllc Family Medicine 2090 Jericho Tpke, New Hyde Park, NY 11040-4719 2019-08-29

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1598366734 Naurin Shaki Case Management 108 Bryant Ave, New Hyde Park, NY 11040 2020-11-04
1326645920 Oksana Isakharov Marriage & Family Therapist Remote Telehealth Due To Pandemic, Remote Telehealth Due To Pandemic, NY 11040 2020-10-06
1639784036 Michelle Edith Narain Nurse Practitioner 270-05 76th Aveune, New Hyde Park, NY 11040 2020-09-11
1124636188 Shannon Maureen O'connell Physician Assistant 270-05 270th Ave, New Hyde Park, NY 11040 2020-07-16
1851929384 Hollie Brown Student in an Organized Health Care Education/Training Program 45 Lakeville Rd Ste M41, New Hyde Park, NY 11040 2020-03-30
1780211797 Miriam Tarrash Student in an Organized Health Care Education/Training Program Lijmc, 270-05 76th Avenue, New Hyde Park, NY 11040 2020-03-27
1902438971 Kristina Petrich Student in an Organized Health Care Education/Training Program Long Island Jewish Medical Center, 270-05 76th Avenue, New Hyde Park, NY 11040 2020-02-07
1528622735 David Olatunji Omole Dentist 270-05 76th Avenue Dept. of Dental Medicine / Oral And, Surgery New Hyde Park, Ny, Ny 11040, New Hyde Park, NY 11040 2019-04-24
1720642093 Thanzina Chowdhury Pharmacy 271-11 76th Ave, Queens, NY 11040 2019-04-23
1427519834 Connor William Crowley Student in an Organized Health Care Education/Training Program Office of Surgical Education Victoria M. Waithe, 270-05 76th Avenue. Research Bldg - C Level Room 039ab, New Hyde Park, NY 11040 2019-03-28
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Taxonomy Information

Taxonomy Code 261QE0002X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Emergency Care

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and state

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1609410802 Statmdny Clinic/Center 1911 E 29th St, Brooklyn, NY 11229-2534 2019-10-30
1932590601 Modern Physician Services PC Clinic/Center 68 Graham Ave, Brooklyn, NY 11206-4017 2015-02-16
1346680113 Hatem Jasim Mukhlis Clinic/Center 344 Twist Run Rd, Endwell, NY 13760-1028 2013-06-26
1598065500 Rapid Medicine, Pllc Clinic/Center 1381 White Plains Rd, Bronx, NY 10462-4101 2010-10-25
1114238771 Pinnacle Medical PC Clinic/Center 200 Chambers St, New York, NY 10007-1131 2010-06-29
1629570577 424 Madison Avenue Inc Clinic/Center 424 Madison Ave Fl 15, New York, NY 10017-1158 2018-03-07
1205101649 Cmi Medical Services Pa Clinic/Center 306 W 137th St, New York, NY 10030-2409 2012-03-19
1861702334 University of Rochester Emergency Associates Toxicology Group Clinic/Center 601 Elmwood Ave, Box 655, Rochester, NY 14642-0001 2010-10-18
1629236823 Kidz Xpress Clinic/Center 3571 Niagara Falls Blvd, Suite 14, North Tonawanda, NY 14120-1200 2008-05-26
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Competitor

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City NEW HYDE PARK
Zip Code 11040

Improve Information

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Dataset Information

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.

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