NPIMap

Organization Active NPI

Infertility Associates

  • Specialist
  • North Massapequa, NY
National Provider Identifier
1104845346
Registry record updated May 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
168820 Issued in NY
Legal business name
INFERTILITY ASSOCIATES
Practice address
1130 North Broadway
Lower Level
North Massapequa, NY 11758
Phone
(516) 799-3462
Fax
(516) 799-5930
NPI assigned
Jul 19, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 6, 2011

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

Authorized official

Name
Dr. Laurence F Mack, MD FACOGNPI 1194747444
Title
President
Phone
(516) 799-3462

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 174400000X 168820 NY Primary

Addresses

Primary practice location

1130 North Broadway
Lower Level
North Massapequa, NY 11758

Mailing address

PO Box 1550
1130 North Broadway
North Massapequa, NY 11758
Phone (516) 799-3462

National Provider Directory

National Provider Directory

Locations

1130 N Broadway
Lowr
North Massapequa, NY 11758
Phone (516) 799-3462

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1304640000000",
    "number": "1104845346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1550",
            "address_2": "1130 NORTH BROADWAY",
            "city": "NORTH MASSAPEQUA",
            "state": "NY",
            "postal_code": "11758",
            "telephone_number": "516-799-3462",
            "fax_number": "516-799-5930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1130 NORTH BROADWAY",
            "address_2": "LOWER LEVEL",
            "city": "NORTH MASSAPEQUA",
            "state": "NY",
            "postal_code": "11758",
            "telephone_number": "516-799-3462",
            "fax_number": "516-799-5930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INFERTILITY ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-19",
        "last_updated": "2011-05-06",
        "status": "A",
        "authorized_official_last_name": "MACK",
        "authorized_official_first_name": "LAURENCE",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "516-799-3462",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD FACOG"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "NY",
            "license": "168820",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Massapequa, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2011; 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.