NPIMap

Organization Active NPI

Monte Nussbaum MD PC

  • Family Medicine Physician
  • Lynbrook, NY
National Provider Identifier
1295818482
Registry record updated Jan 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
16189811 Issued in NY
Legal business name
MONTE NUSSBAUM MD PC
Practice address
185 Merrick Rd
Suite1A
Lynbrook, NY 11563-2700
Phone
(516) 593-3535
Fax
(516) 792-1536
NPI assigned
Oct 23, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2011

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

Authorized official

Name
Dr. Monte Nussbaum, M.D.NPI 1194710319
Title
Owner
Phone
(516) 593-3535

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
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 16189811 NY Primary

Addresses

Primary practice location

185 Merrick Rd
Suite1A
Lynbrook, NY 11563-2700

Mailing address

185 Merrick Road
Suite1A
Lynbrook, NY 11563
Phone (516) 593-3535

National Provider Directory

National Provider Directory

Locations

185 Merrick Rd
Ste 1A
Lynbrook, NY 11563
Phone (516) 593-3535

Practitioners & affiliated clinicians

Practitioners 5

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

NPI Registry JSON

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1295308800000",
    "number": "1295818482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "185 MERRICK ROAD",
            "address_2": "SUITE1A",
            "city": "LYNBROOK",
            "state": "NY",
            "postal_code": "11563",
            "telephone_number": "516-593-3535",
            "fax_number": "516-593-4259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "185 MERRICK RD",
            "address_2": "SUITE1A",
            "city": "LYNBROOK",
            "state": "NY",
            "postal_code": "115632700",
            "telephone_number": "516-593-3535",
            "fax_number": "516-792-1536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONTE NUSSBAUM MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-23",
        "last_updated": "2011-01-18",
        "status": "A",
        "authorized_official_last_name": "NUSSBAUM",
        "authorized_official_first_name": "MONTE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "516-593-3535",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "16189811",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lynbrook, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2011; 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.