Merrick Family Practice Management Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

MERRICK FAMILY PRACTICE MANAGEMENT INC

Practice address

2094 Merrick Ave
Merrick, NY 11566-3147

Phone

(516) 375-5904

NPI assigned

May 7, 2018

Organization subpart

No

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

Authorized official

Name

Eric Yousha, MD

Title

MD; Owner

Phone

(516) 375-5904

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1525651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1525651200000",
    "number": "1245729110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2094 MERRICK AVE",
            "city": "MERRICK",
            "state": "NY",
            "postal_code": "115663147",
            "telephone_number": "516-375-5904",
            "fax_number": "516-804-2784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2094 MERRICK AVE",
            "city": "MERRICK",
            "state": "NY",
            "postal_code": "115663147",
            "telephone_number": "516-375-5904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERRICK FAMILY PRACTICE MANAGEMENT INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-07",
        "last_updated": "2018-05-07",
        "status": "A",
        "authorized_official_last_name": "YOUSHA",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "MD; OWNER",
        "authorized_official_telephone_number": "516-375-5904",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Odaie Noofan Menwer, PHARMD
• Merrick Apothecary Corp.
• Merrick Dental Care
• Merrick Dermatology PC
• Merrick Drugs Inc.
• Merrick Medical Care PLLC
• Merrick Medical Wellness PLLC
• Merrick Nuclear Cardiolog PLLC
• Merrick Oral Surgery PLLC
• Merrick Physical Therapy PLLC

• Family Medicine Physician in Merrick, NY
• Providers in Merrick, NY by specialty
• Family Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2018; 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.