Ebs Medical Care PLLC

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

Legal business name

EBS MEDICAL CARE PLLC

Doing business as

Merrick Medical

Practice address

1613 Merrick Rd
Merrick, NY 11566-4540

Phone

(516) 548-7061

NPI assigned

Jan 3, 2020

Organization subpart

No

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

Authorized official

Name

Kelly Gardiner

Title

Office Manager

Phone

(516) 548-7061

Specialties & licenses 1

Addresses

Other names 1

• Merrick Medical Doing business as

Locations

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

{
    "created_epoch": "1578009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1579478400000",
    "number": "1386283687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 GOSLING HILL DR",
            "city": "MANHASSET",
            "state": "NY",
            "postal_code": "110304015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1613 MERRICK RD",
            "city": "MERRICK",
            "state": "NY",
            "postal_code": "115664540",
            "telephone_number": "516-548-7061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EBS MEDICAL CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-03",
        "last_updated": "2020-01-20",
        "certification_date": "2020-01-20",
        "status": "A",
        "authorized_official_last_name": "GARDINER",
        "authorized_official_first_name": "KELLY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "516-548-7061"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Merrick Medical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Douglas L Drobbin, DC
• Kyria Dubique
• Aya Dzen, LMSW
• Eagle'S Pride Comprehensive Healthcare Medical PC
• East Coast Gynecology PC
• Alexander P Edayadi, M.D.
• Brittany Edwards-Fowler, LPN
• Camille Edwards
• Efthalia Piacquadio Licensed Behavior Analyst PC
• Christine Egan, BCBA, LBA

• Health Service Clinic/Center in Merrick, NY
• Providers in Merrick, NY by specialty
• Health Service Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2020; 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.