Medi Life Inc

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

MEDI LIFE INC

Practice address

25 Searingtown Rd
Albertson, NY 11507-1508

Phone

(718) 806-1434

NPI assigned

May 11, 2023

Organization subpart

No

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

Authorized official

Name

Mahidul Chowduary, MD

Title

President

Phone

(718) 806-1434

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

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

• Nouridine Ada, STUDENT

  • Family Nurse Practitioner
  • Mount Vernon, NY
  • NPI 1801576913
  NPD (past)

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

{
    "created_epoch": "1683763200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683763200000",
    "number": "1396435459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 SEARINGTOWN RD",
            "city": "ALBERTSON",
            "state": "NY",
            "postal_code": "115071508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 SEARINGTOWN RD",
            "city": "ALBERTSON",
            "state": "NY",
            "postal_code": "115071508",
            "telephone_number": "718-806-1434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDI LIFE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-11",
        "last_updated": "2023-05-11",
        "certification_date": "2023-05-11",
        "status": "A",
        "authorized_official_last_name": "CHOWDUARY",
        "authorized_official_first_name": "MAHIDUL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-806-1434",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "318667",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• April Mavrovitis, MS COUNSELING
• Elizabeth Ruth May
• Maureen Patricia McCabe, PT, DPT
• Marissa McCook, PT, DPT
• Catherine McGrath
• Medical 360 House Call, PLLC
• Sara Menashehoff, D.D.S
• Theodore Wayne Meshover, O.D.
• Kerri Lynne Miller, OTR
• Kathryn A. Mirino, R.N.

• Internal Medicine Physician in Albertson, NY
• Providers in Albertson, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2023; 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.