Millennium Urology PLLC

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

239013 Issued in NY

Legal business name

MILLENNIUM UROLOGY PLLC

Practice address

7554 Metropolitan Ave
Middle Village, NY 11379-2639

Phone

(718) 894-4200

Fax

(718) 416-4471

NPI assigned

Aug 1, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Omid Hakimian, MDNPI 1164418166

Title

Urologist

Phone

(718) 894-4200

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 2

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

• Omid Hakimian, MD

  • Urology Physician
  • Middle Village, NY
  • NPI 1164418166
  Medicare reassignment NPD Authorized official
• Payam Hakimian, MD

  • Urology Physician
  • Brooklyn, NY
  • NPI 1689799413
  NPD

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

{
    "created_epoch": "1343779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1541721600000",
    "number": "1124374756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7554 METROPOLITAN AVE",
            "city": "MIDDLE VILLAGE",
            "state": "NY",
            "postal_code": "113792639",
            "telephone_number": "718-894-4200",
            "fax_number": "718-416-4471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7554 METROPOLITAN AVE",
            "city": "MIDDLE VILLAGE",
            "state": "NY",
            "postal_code": "113792639",
            "telephone_number": "718-894-4200",
            "fax_number": "718-416-4471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILLENNIUM UROLOGY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-01",
        "last_updated": "2018-11-09",
        "status": "A",
        "authorized_official_last_name": "HAKIMIAN",
        "authorized_official_first_name": "OMID",
        "authorized_official_title_or_position": "UROLOGIST",
        "authorized_official_telephone_number": "718-894-4200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": "NY",
            "license": "239013",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Urology Physician in Middle Village, NY
• Providers in Middle Village, NY by specialty
• Urology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.