Musaddiq Nazeeri, MD, PC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

MD071071-L Issued in PA

Legal business name

MUSADDIQ NAZEERI, MD, PC

Doing business as

M. Nazeeri, MD, PC
Nazeeri Family Medicine

Practice address

1023 Poplar St
Lebanon, PA 17042-6636

Phone

(717) 270-9446

Fax

(717) 270-5669

NPI assigned

Apr 4, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Sarah Margaret Nazeeri

Title

Practice Administrator

Phone

(717) 270-9446

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 2

• M. Nazeeri, MD, PC Doing business as
• Nazeeri Family Medicine Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1175644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667260800000",
    "number": "1104948082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1023 POPLAR ST",
            "city": "LEBANON",
            "state": "PA",
            "postal_code": "170426636",
            "telephone_number": "717-270-9446",
            "fax_number": "717-270-5669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1023 POPLAR ST",
            "city": "LEBANON",
            "state": "PA",
            "postal_code": "170426636",
            "telephone_number": "717-270-9446",
            "fax_number": "717-270-5669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MUSADDIQ NAZEERI, MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-04",
        "last_updated": "2022-11-01",
        "certification_date": "2022-11-01",
        "status": "A",
        "authorized_official_last_name": "NAZEERI",
        "authorized_official_first_name": "SARAH",
        "authorized_official_middle_name": "MARGARET",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "717-270-9446",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "PA",
            "license": "MD071071-L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1038504970001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "M. Nazeeri, MD, PC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Nazeeri Family Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Grace Munz
• Lydia Evelyn Murphy-Althouse, CRNP
• Bryan Patrick Murray, R.PH.
• Jessica Murray, PHARMD
• Leslie Rautzhan Murray, PSY.D.
• Saiqa Mushtaq, MD
• Amanda Musser, DSW, LCSW
• David Musser, LMFT
• Mary K Mutschler, MSW, LCSW,BCPCC
• Fotis G Mystakas, M.D.

• Primary Care Clinic/Center in Lebanon, PA
• Providers in Lebanon, PA by specialty
• Primary Care Clinic/Center in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.