NPIMap

Organization Active NPI

Epic Medical Services PC

  • Specialist
  • East Meadow, NY
National Provider Identifier
1134589609
Registry record updated Sep 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
142031 Issued in NY
Legal business name
EPIC MEDICAL SERVICES PC
Practice address
1500 Hempstead Tpke
East Meadow, NY 11554-1551
Phone
(516) 739-7733
NPI assigned
Feb 26, 2016
Last updated
Sep 19, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2016

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

Authorized official

Name
Mr. Lawrence Boord
Title
Chief Financial Officer
Phone
(516) 739-7733

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X 142031 NY Primary

Addresses

Primary practice location

1500 Hempstead Tpke
East Meadow, NY 11554-1551

Mailing address

1500 Hempstead Tpke
East Meadow, NY 11554-1551
Phone (516) 739-7733

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160921001908 NY Part B Supplier - Clinic/Group Practice 8628365582 Receives reassigned benefits from 76 practitioners
Practice locations: East Meadow, NY

National Provider Directory

National Provider Directory

Locations

1500 Hempstead Tpke
East Meadow, NY 11554
Phone 51673977331420

Practitioners & affiliated clinicians

Practitioners 83

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 83

NPI Registry JSON

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

{
    "created_epoch": "1456444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1474243200000",
    "number": "1134589609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 HEMPSTEAD TPKE",
            "city": "EAST MEADOW",
            "state": "NY",
            "postal_code": "115541551",
            "telephone_number": "516-739-7733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 HEMPSTEAD TPKE",
            "city": "EAST MEADOW",
            "state": "NY",
            "postal_code": "115541551",
            "telephone_number": "516-739-7733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EPIC MEDICAL SERVICES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-26",
        "last_updated": "2016-09-19",
        "status": "A",
        "authorized_official_last_name": "BOORD",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "516-739-7733",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "NY",
            "license": "142031",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Meadow, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2016; 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.