Mill Basin Medical Health PC
Organization Active NPI Internal Medicine Physician · Brooklyn, NY
NPI 1346006202 · NPPES record last updated Feb 27, 2024
Key facts
- NPI
- 1346006202
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Internal Medicine Physician 207R00000X
- Legal business name
- MILL BASIN MEDICAL HEALTH PC
- Practice address
- 1583 E 66TH St FL 1
Brooklyn, NY 11234-6005 - Phone
- (917) 318-4724
- NPI assigned
- Feb 27, 2024
- Organization subpart
- No
Authorized official
- Name
- Mayer Spilman
- Title
- Ceo
- Phone
- (646) 269-1508
Practitioners 175
-
MD Sanjidul Alam, MD
-
Maykol G. Alarcon, FNP
-
Sudershan Kumar Dang, M.D.
-
Promita Das, MD
-
Wayne Farnsworth, M.D.
-
Sharmin Ferdous, MD
-
Ashley Huening, FNP
-
Tiffany Huening, FNP-C
-
Daisy Jaganathan, MD
-
Farzana Jahangir, MD
-
Shanze Khalid, MBBS
-
Asma Khizar, MD
-
Cheyenne Lorquet, FNP-BC
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20240326003311 | NY | Part B Supplier - Clinic/Group Practice | 9133566128 |
Receives reassigned benefits from 163 practitioners Practice locations: New York, NY; Hornell, NY; Oneonta, NY; Pawling, NY; Plattsburgh, NY; Poughkeepsie, NY; Rochester, NY; Rockaway Park, NY… |
National Provider Directory
Locations
1583 E 66th St
#1
Brooklyn, NY 11234
Phone (917) 318-4724
15715 19th Ave
Whitestone, NY 11357
Phone (718) 559-0580
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician |
207R00000X | Yes | ||
| Hospice and Palliative Medicine (Internal Medicine) Physician |
207RH0002X |
Addresses
Primary practice location
1583 E 66TH St FL 1
Brooklyn, NY 11234-6005
Mailing address
1583 E 66TH St FL 1
Brooklyn, NY 11234-6005
Phone (917) 318-4724
Other providers in Brooklyn, NY
- Sophia Milito
- Jonathan Miljus
- Yelena Milke
- Mill Basin Daycare Center, LLC
- Mill Basin Imaging
- Mill Basin Optical Inc
- Mill Basin Pharmacy Inc
- Tanya Nicole Millar
- Melissa Anne Millen
- Millenium Dentistry PC
All providers in Brooklyn, NY · Internal Medicine Physician in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 27, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.