East End Pulmonary Care, P.C.

Primary specialty

Pulmonary Disease PhysicianTaxonomy code 207RP1001X

License

235602 Issued in NY

Legal business name

EAST END PULMONARY CARE, P.C.

Practice address

1025 Roanoke Ave
Riverhead, NY 11901-2735

Phone

(631) 727-6717

Fax

(631) 953-0204

NPI assigned

Jul 22, 2006

Last updated

Oct 5, 2012By 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

Dr. Daniel Colin Massiah, M.D.

Title

Physician

Phone

(631) 727-6717

Specialties & licenses 2

Addresses

Other identifiers 9

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

{
    "created_epoch": "1153526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349395200000",
    "number": "1225059215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1025 ROANOKE AVE",
            "city": "RIVERHEAD",
            "state": "NY",
            "postal_code": "119012735",
            "telephone_number": "631-727-6717",
            "fax_number": "631-953-0204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1025 ROANOKE AVE",
            "city": "RIVERHEAD",
            "state": "NY",
            "postal_code": "119012735",
            "telephone_number": "631-727-6717",
            "fax_number": "631-953-0204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST END PULMONARY CARE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-22",
        "last_updated": "2012-10-05",
        "status": "A",
        "authorized_official_last_name": "MASSIAH",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "COLIN",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "631-727-6717",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "NY",
            "license": "235602",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NY",
            "license": "235602",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA ID #",
            "identifier": "1861894",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VYTRA ID #",
            "identifier": "2144859",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIP ID #",
            "identifier": "223227P",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WORKER'S COMP ID #",
            "identifier": "235602OW",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2744154",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROUP #",
            "identifier": "8VO44",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MDNY ID #",
            "identifier": "AA73450",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00260961",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI ID #",
            "identifier": "299268",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• East Saffolk Dental PC
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• Pulmonary Disease Physician in Riverhead, NY
• Providers in Riverhead, NY by specialty
• Pulmonary Disease Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2012; 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.