Munmun Aziz, MD
Individual provider Active NPI Student in an Organized Health Care Education/Training Program · West Islip, NY
NPI 1003558115 · NPPES record last updated Apr 9, 2022
Key facts
- NPI
- 1003558115
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program 390200000X
- Practice address
- 1000 Montauk Hwy
West Islip, NY 11795-4927 - Phone
- (929) 340-5665
- Fax
- (631) 376-3420
- NPI assigned
- Apr 9, 2022
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240314003230 | NY | Order and Referring Only - Pediatric Medicine |
7113363979 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Yes |
Addresses
Primary practice location
1000 Montauk Hwy
West Islip, NY 11795-4927
Mailing address
1000 Montauk Hwy
West Islip, NY 11795-4927
Other providers in West Islip, NY
- Rosheen Awais
- Taner A Aydin
- Yonael Ayinalem
- Tuba Azam
- Atif Aziz
- Margret Badalamenti
- Parul Bahl
- Jacob Allen Bair
- Gina Christine Baker
- Luisa Baldi
All providers in West Islip, NY · Student in an Organized Health Care Education/Training Program in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 9, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.