Millennium Medical P.C.

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

211960 Issued in NY

Legal business name

MILLENNIUM MEDICAL P.C.

Practice address

2165 71St St
Brooklyn, NY 11204-5526

Phone

(718) 259-5900

NPI assigned

May 12, 2006

Last updated

Sep 27, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Michael Amoashiy

Title

President

Phone

(718) 259-5900

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1147392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190851200000",
    "number": "1073564324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2165 71ST ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112045526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2165 71ST ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112045526",
            "telephone_number": "718-259-5900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILLENNIUM MEDICAL P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-12",
        "last_updated": "2007-09-27",
        "status": "A",
        "authorized_official_last_name": "AMOASHIY",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-259-5900"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "228298",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NY",
            "license": "211960",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01877632",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tanya Nicole Millar, FNP
• Melissa Anne Millen, PA
• Millenium Dentistry PC
• Millennium Ambulatory Surgery Center, LLC
• Millennium Chemist Inc (Red Hook Pharmacy)
• Millennium Medical Services, PC
• Millennium Pediatrics PC (Millennium Pediatrics)
• Millennium Pharmacy Inc
• Millennium Rehab Services
• Ruby Miller-Gootnick

• Neurology Physician in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Neurology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2007; 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.