James W Atkinson, DO

Individual provider Active NPI Family Medicine Physician · Massapequa, NY

NPI 1154493294 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1154493294
Entity type
Individual (NPI type 1)
Primary specialty
Family Medicine Physician 207Q00000X
License
144508 (NY)
Practice address
9A Broadway
Massapequa, NY 11758
Phone
(516) 797-1800
Fax
(516) 541-2765
NPI assigned
Nov 14, 2006
Sex
Male
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Michael Salamatbad D.O. PC Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 144508 NY Yes

Addresses

Primary practice location

9A Broadway
Massapequa, NY 11758

Mailing address

9A Broadway
Massapequa, NY 11758
Phone (516) 797-1800

Other identifiers

IdentifierTypeStateIssuer
00577211MedicaidNY

Other providers in Massapequa, NY

All providers in Massapequa, NY · Family Medicine Physician in New York

Sources for this page

Verify at the official NPI Registry.