Modern Medical Diagnostic Tests PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

MODERN MEDICAL DIAGNOSTIC TESTS PLLC

Practice address

400 W Main St Ste 350
Babylon, NY 11702-3025

Phone

(631) 517-9170

NPI assigned

May 2, 2019

Organization subpart

No

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

Authorized official

Name

Amy Marchany-Brown

Title

Billing Manager

Phone

(631) 988-8026

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Alexandre Gennadievich Andrianov, MD

  • Internal Medicine Physician
  • Babylon, NY
  • NPI 1467441774
  NPD

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

{
    "created_epoch": "1556755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1556755200000",
    "number": "1255996484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 W MAIN ST STE 350",
            "city": "BABYLON",
            "state": "NY",
            "postal_code": "117023025",
            "telephone_number": "631-517-9170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 W MAIN ST STE 350",
            "city": "BABYLON",
            "state": "NY",
            "postal_code": "117023025",
            "telephone_number": "631-517-9170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MODERN MEDICAL DIAGNOSTIC TESTS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-02",
        "last_updated": "2019-05-02",
        "status": "A",
        "authorized_official_last_name": "MARCHANY-BROWN",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "631-988-8026"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angela Marie Milio, OTR/L
• John Joseph Milone II, DC
• Julia Minicozzi, M.S., CF-SLP
• Celestina Mitchell, RN
• Modern Family Medicine PC
• Mumtaz Mohidin
• Julia T Monaco, MS, LMHC
• Lisa Michele Mone
• Maya Nicole Montalto
• Arielle Nicole Monteiro, CFY-SLP

• Family Medicine Physician in Babylon, NY
• Providers in Babylon, 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 2, 2019; 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.