NPIMap

Organization Active NPI

Long Island Medical Care Services PC

  • Internal Medicine Physician
  • West Babylon, NY
National Provider Identifier
1245420249
Registry record updated May 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
149900 Issued in NY
Legal business name
LONG ISLAND MEDICAL CARE SERVICES PC
Practice address
986 Sunrise Hwy
West Babylon, NY 11704-6111
Phone
(631) 587-6060
Fax
(631) 587-1364
NPI assigned
Jul 26, 2007
Last updated
May 11, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 11, 2011

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

Authorized official

Name
Dr. Arnold D Panzer, MDNPI 1366486995
Title
Owner
Phone
(631) 587-6060

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 149900 NY Primary

Addresses

Primary practice location

986 Sunrise Hwy
West Babylon, NY 11704-6111

Mailing address

986 Sunrise Highway
North Babylon, NY 11703-0000
Phone (631) 587-6060

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110613000272 NY Part B Supplier - Clinic/Group Practice 8921999541 Receives reassigned benefits from 4 practitioners
Practice locations: Lindenhurst, NY

National Provider Directory

National Provider Directory

Locations

910 Route 109
Ste A
Lindenhurst, NY 11757
Phone (631) 300-0797

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1185408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1305072000000",
    "number": "1245420249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "986 SUNRISE HIGHWAY",
            "city": "NORTH BABYLON",
            "state": "NY",
            "postal_code": "117030000",
            "telephone_number": "631-587-6060",
            "fax_number": "631-587-1364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "986 SUNRISE HWY",
            "city": "WEST BABYLON",
            "state": "NY",
            "postal_code": "117046111",
            "telephone_number": "631-587-6060",
            "fax_number": "631-587-1364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONG ISLAND MEDICAL CARE SERVICES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-26",
        "last_updated": "2011-05-11",
        "status": "A",
        "authorized_official_last_name": "PANZER",
        "authorized_official_first_name": "ARNOLD",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "631-587-6060",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "149900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Babylon, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2011; 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.