Haven Medical P.C.

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

085638-1 Issued in NY

Legal business name

HAVEN MEDICAL P.C.

Practice address

9311 91St Ave
Woodhaven, NY 11421-2745

Phone

(516) 385-1525

Fax

(516) 385-1519

NPI assigned

Oct 31, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Morton Aizic, D.O.

Title

President

Phone

(516) 385-1525

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1225411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225411200000",
    "number": "1245483429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9311 91ST AVE",
            "city": "WOODHAVEN",
            "state": "NY",
            "postal_code": "114212745",
            "telephone_number": "516-385-1525",
            "fax_number": "516-385-1519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9311 91ST AVE",
            "city": "WOODHAVEN",
            "state": "NY",
            "postal_code": "114212745",
            "telephone_number": "516-385-1525",
            "fax_number": "516-385-1519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAVEN MEDICAL P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-31",
        "last_updated": "2008-10-31",
        "status": "A",
        "authorized_official_last_name": "AIZIC",
        "authorized_official_first_name": "MORTON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "516-385-1525",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NY",
            "license": "085638-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Claudia Gutierrez
• Elizabeth Guzman, M.S.
• Jasmin Guzman, RN
• Umair Haroon, DO
• Havana RX Inc
• Healthmax Corporation
• Healthmax Corporation
• Heritage Neurological, P.C.
• Alba Milena Hernandez
• Keri Lynn Heron, P.T.

• Primary Care Clinic/Center in Woodhaven, NY
• Providers in Woodhaven, NY by specialty
• Primary Care Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2008; 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.