Organization Active NPI

Oasis Medical PC

  • Pediatrics Physician
  • New Hyde Park, NY
National Provider Identifier
1417673344
Registry record updated Oct 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
OASIS MEDICAL PC
Practice address
6 Tuxedo Ave
New Hyde Park, NY 11040-3519
Phone
(516) 248-1450
Fax
(516) 248-1405
NPI assigned
Oct 12, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2022

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

Authorized official

Name
Leelamma Samuel, OWNERNPI 1205122512
Title
MD
Phone
(917) 336-8422

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208000000X Primary

Addresses

Primary practice location

6 Tuxedo Ave
New Hyde Park, NY 11040-3519

Mailing address

6 Tuxedo Ave
New Hyde Park, NY 11040-3519
Phone (516) 248-1450

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1665532800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665532800000",
    "number": "1417673344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 TUXEDO AVE",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110403519",
            "telephone_number": "516-248-1450",
            "fax_number": "516-248-1405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 TUXEDO AVE",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110403519",
            "telephone_number": "516-248-1450",
            "fax_number": "516-248-1405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OASIS MEDICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-12",
        "last_updated": "2022-10-12",
        "certification_date": "2022-10-12",
        "status": "A",
        "authorized_official_last_name": "SAMUEL",
        "authorized_official_first_name": "LEELAMMA",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "917-336-8422",
        "authorized_official_credential": "OWNER"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Hyde Park, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2022; 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.