Long Island Medical Arts PLLC

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

259363 Issued in NY

Legal business name

LONG ISLAND MEDICAL ARTS PLLC

Practice address

393 Sunrise Hwy
Suite#7
West Babylon, NY 11704-5909

Phone

(347) 556-7769

NPI assigned

Oct 16, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Tarek M Mousa, MD, PHD

Title

President

Phone

(347) 556-7769

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Debra Lynn Dilello, O.T.

  • Occupational Therapist
  • West Islip, NY
  • NPI 1740439736
  NPD (past)

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

{
    "created_epoch": "1444953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444953600000",
    "number": "1124499157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "393 SUNRISE HWY",
            "address_2": "SUITE#7",
            "city": "WEST BABYLON",
            "state": "NY",
            "postal_code": "117045909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "393 SUNRISE HWY",
            "address_2": "SUITE#7",
            "city": "WEST BABYLON",
            "state": "NY",
            "postal_code": "117045909",
            "telephone_number": "347-556-7769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONG ISLAND MEDICAL ARTS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-16",
        "last_updated": "2015-10-16",
        "status": "A",
        "authorized_official_last_name": "MOUSA",
        "authorized_official_first_name": "TAREK",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "347-556-7769",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD, PHD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "NY",
            "license": "259363",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Linda Sancetta NP in Adult Health, PLLC
• Robert Lindros, RN
• Rowan Lindsay, PMHNP
• Joseph L Loftus
• Christina Nicole Lombardi, MPS
• Long Island Medical Associates Inc
• Long Island Medical Care Services PC
• Teresa Lyn Longo, LMHC
• Louis C Walthall, Lcswr, Casac
• Gracemarie Fong Louis, LCAT, ATR-BC

• Medical Specialty Clinic/Center in West Babylon, NY
• Providers in West Babylon, NY by specialty
• Medical Specialty Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2015; 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.