Main Street Medical, PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

MAIN STREET MEDICAL, PC

Practice address

38-40 East Main Street
Bay Shore, NY 11706

Phone

(631) 647-9555

Fax

(631) 647-9548

NPI assigned

Mar 4, 2014

Last updated

Mar 4, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kalman Ausubel, MD

Title

Owner

Phone

(631) 647-9555

Specialties & licenses 2

Addresses

Locations

Practitioners 8

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.

• Robert Bernard, M.D.

  • Internal Medicine Physician
  • Wading River, NY
  • NPI 1023098464
  NPD (past)
• Gayle Couleas, ANP-C

  • Nurse Practitioner
  • Hauppauge, NY
  • NPI 1093722951
  NPD (past)
• Stacy Lynn Felicetta, PA-C

  • Physician Assistant
  • Bay Shore, NY
  • NPI 1720350671
  NPD (past)
• William Dolph Johnson, P.A.

  • Physician Assistant
  • Wading River, NY
  • NPI 1376757708
  NPD (past)
• Mark Alan Koenig, D.O.

  • Family Medicine Physician
  • Miller Place, NY
  • NPI 1831252964
  NPD (past)
• Howard Roy Schwartz, MD

  • Cardiovascular Disease Physician
  • New York, NY
  • NPI 1487827283
  NPD (past)
• Cydney Taylor, RPA-C

  • Physician Assistant
  • Brooklyn, NY
  • NPI 1033162417
  NPD (past)
• Patricia A Wetsell, RPA-C

  • Medical Physician Assistant
  • Middle Island, NY
  • NPI 1265570899
  NPD (past)

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

{
    "created_epoch": "1393891200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1393891200000",
    "number": "1184049835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38-40 EAST MAIN STREET",
            "city": "BAY SHORE",
            "state": "NY",
            "postal_code": "11706",
            "telephone_number": "631-647-9555",
            "fax_number": "631-647-9548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38-40 EAST MAIN STREET",
            "city": "BAY SHORE",
            "state": "NY",
            "postal_code": "11706",
            "telephone_number": "631-647-9555",
            "fax_number": "631-647-9548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAIN STREET MEDICAL, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-04",
        "last_updated": "2014-03-04",
        "status": "A",
        "authorized_official_last_name": "AUSUBEL",
        "authorized_official_first_name": "KALMAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "631-647-9555",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sheena Mahabeer, PHYSICIAN ASSISTANT
• Rose Marie Mahan
• Faria Mahjabin, MD
• Eileen Mahon, LMSW
• Scott Maiman
• Joshua Maisonave
• Sumreen Majeed, M.D.
• Kathleen M. Makarius, PA
• Audrey Lorraine Malcolm, LMSW
• Prashant Malhotra, MD

• Internal Medicine Physician in Bay Shore, NY
• Providers in Bay Shore, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2014; 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.