Mohammad Mostafa Amin Physician, PLLC

Primary specialty

Pulmonary Disease PhysicianTaxonomy code 207RP1001X

License

217753 Issued in NY

Legal business name

MOHAMMAD MOSTAFA AMIN PHYSICIAN, PLLC

Practice address

200 Belle Terre Road
Sleep Lab
Port Jefferson, NY 11777

Phone

(631) 974-6439

NPI assigned

Sep 30, 2010

Last updated

Sep 30, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Mohammad Mostafa Amin INPI 1568439503

Title

President

Phone

(631) 974-6439

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mohammad Mostafa Amin, M.D.

  • Pulmonary Disease Physician
  • Northport, NY
  • NPI 1568439503
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1285804800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285804800000",
    "number": "1457660094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 655",
            "city": "CENTEREACH",
            "state": "NY",
            "postal_code": "117200655",
            "telephone_number": "631-974-6439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 BELLE TERRE ROAD",
            "address_2": "SLEEP LAB",
            "city": "PORT JEFFERSON",
            "state": "NY",
            "postal_code": "11777",
            "telephone_number": "631-974-6439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOHAMMAD MOSTAFA AMIN PHYSICIAN, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-30",
        "last_updated": "2010-09-30",
        "status": "A",
        "authorized_official_last_name": "AMIN",
        "authorized_official_first_name": "MOHAMMAD",
        "authorized_official_middle_name": "MOSTAFA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "631-974-6439",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "I"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NY",
            "license": "217753",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karin Mirando, MA CCC-SLP, TSSLD
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• Kara Mockler, PA-C
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• Melissa Monaghan
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• Alyssa Dawn Morando, MS, RD
• Tracy M Morea, PA
• Eileen Margaret Moretti, LPN

• Pulmonary Disease Physician in Port Jefferson, NY
• Providers in Port Jefferson, NY by specialty
• Pulmonary Disease Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.