Organization Active NPI

Muneer Imam MD P C

  • Pulmonary Disease Physician
  • Center Moriches, NY
National Provider Identifier
1366624918
Registry record updated Feb 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
159557 Issued in NY
Legal business name
MUNEER IMAM MD P C
Practice address
2 Union Ave
Center Moriches, NY 11934-3324
Phone
(631) 878-0310
Fax
(631) 878-0754
NPI assigned
Dec 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2013

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

Authorized official

Name
Ms. Amy Marchany
Title
Office Manager
Phone
(631) 878-0310

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RP1001X 159557 NY Primary

Addresses

Primary practice location

2 Union Ave
Center Moriches, NY 11934-3324

Mailing address

2 Union Ave
Center Moriches, NY 11934-3324
Phone (631) 878-0310

Other identifiers 1

IdentifierTypeStateIssuer
00949899MedicaidNY

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1196812800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1361836800000",
    "number": "1366624918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 UNION AVE",
            "city": "CENTER MORICHES",
            "state": "NY",
            "postal_code": "119343324",
            "telephone_number": "631-878-0310",
            "fax_number": "631-878-0754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 UNION AVE",
            "city": "CENTER MORICHES",
            "state": "NY",
            "postal_code": "119343324",
            "telephone_number": "631-878-0310",
            "fax_number": "631-878-0754"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MUNEER IMAM MD P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-05",
        "last_updated": "2013-02-26",
        "status": "A",
        "authorized_official_last_name": "MARCHANY",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "631-878-0310",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NY",
            "license": "159557",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00949899",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Center Moriches, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2013; 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.