MB-SC Inc

Primary specialty

Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X

License

247070 Issued in NY

Legal business name

MB-SC INC

Practice address

146 Autumn Chase Dr
Hopewell JCT, NY 12533-6574

Phone

(631) 627-9987

NPI assigned

Apr 1, 2017

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Muhammad Omer Bashir, M.D.

Title

President

Phone

(631) 627-9987

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1491004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491004800000",
    "number": "1023540606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "146 AUTUMN CHASE DR",
            "city": "HOPEWELL JCT",
            "state": "NY",
            "postal_code": "125336574",
            "telephone_number": "631-627-9987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "146 AUTUMN CHASE DR",
            "city": "HOPEWELL JCT",
            "state": "NY",
            "postal_code": "125336574",
            "telephone_number": "631-627-9987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MB-SC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-01",
        "last_updated": "2017-04-01",
        "status": "A",
        "authorized_official_last_name": "BASHIR",
        "authorized_official_first_name": "MUHAMMAD",
        "authorized_official_middle_name": "OMER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "631-627-9987",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "NY",
            "license": "247070",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lorraine Anne Lamothe, LCSW
• Elizabeth Frances Line, LPN
• Wallesca Lowe
• Cari Maleman Luciano, RN
• Jennifer Marino, LMSW
• Laura McCloskey
• Karen Minasi
• Laura Jean Moody, RPH
• Sangeetha Liju Mukkatt, FNP
• Carol P. Munger, PH.D

• Geriatric Medicine (Internal Medicine) Physician in Hopewell JCT, NY
• Providers in Hopewell JCT, NY by specialty
• Geriatric Medicine (Internal Medicine) Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.