Active NPI
Millpond Medical, P.C.
- Family Medicine Physician
- Garden City, NY
National Provider Identifier
1417347485
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- MILLPOND MEDICAL, P.C.
- Practice address
- 520 Franklin Ave
L18
Garden City, NY 11530-5806 - Phone
- (516) 243-6424
- Fax
- (516) 280-3882
- NPI assigned
- Jan 29, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Muzaffar Zai, D.O.
- Title
- President
- Phone
- (516) 243-6424
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Electrodiagnostic Medicine Physician | 204R00000X | |||
| Allergy Physician | 207KA0200X | |||
| Family Medicine Physician | 207Q00000X | Primary | ||
| Pain Medicine (Physical Medicine & Rehabilitation) Physician | 2081P2900X |
Addresses
Primary practice location
520 Franklin Ave
L18
Garden City, NY 11530-5806
Mailing address
520 Franklin Ave
L18
Garden City, NY 11530-5806
Phone (516) 243-6424
National Provider Directory
National Provider DirectoryLocations
520 Franklin Ave
Ste L18
Garden City, NY 11530
Phone (516) 243-6424
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1422489600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1422489600000",
"number": "1417347485",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "520 FRANKLIN AVE",
"address_2": "L18",
"city": "GARDEN CITY",
"state": "NY",
"postal_code": "115305806",
"telephone_number": "516-243-6424",
"fax_number": "516-280-3882"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "520 FRANKLIN AVE",
"address_2": "L18",
"city": "GARDEN CITY",
"state": "NY",
"postal_code": "115305806",
"telephone_number": "516-243-6424",
"fax_number": "516-280-3882"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MILLPOND MEDICAL, P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2015-01-29",
"last_updated": "2015-01-29",
"status": "A",
"authorized_official_last_name": "ZAI",
"authorized_official_first_name": "MUZAFFAR",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "516-243-6424",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.O."
},
"taxonomies": [
{
"code": "204R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Electrodiagnostic Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207KA0200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Allergy & Immunology, Allergy",
"state": null,
"license": null,
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "2081P2900X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Medicine & Rehabilitation, Pain Medicine",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Garden City, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.