NPIMap

Individual provider Active NPI

Meciko A Muharemovic, M.D.

  • Internal Medicine Physician
  • Hampton Bays, NY
National Provider Identifier
1477640969
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
189801 Issued in NY
Practice address
145 W Montauk Hwy
Hampton Bays, NY 11946-2309
Phone
(631) 728-4700
Fax
(631) 723-4534
NPI assigned
Oct 6, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 189801 NY Primary

Addresses

Primary practice location

145 W Montauk Hwy
Hampton Bays, NY 11946-2309

Mailing address

145 W Montauk Hwy
Hampton Bays, NY 11946-2309
Phone (631) 728-4700

Other identifiers 2

IdentifierTypeStateIssuer
01357780MedicaidNY
P379294OtherNYOXFORD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110817000721 NY Practitioner - Internal Medicine 1254500788 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
CHS Physician Partners PCGroup PAC ID 7618955667, 739 clinicians

Practice addresses (Care Compare)

100 Port Washington Blvd
Roslyn, NY 11576-1347

1000 N Village Ave
Rockville Center, NY 11570-1000

Hospital & facility affiliations

  • Tender Loving Care, an Amedisys Company Home health agency, Medford, NY, CCN 337260
  • Extended Home Care Home health agency, Brooklyn, NY, CCN 337414
  • Centerwell Home Health Home health agency, Hauppauge, NY, CCN 337232
  • Peconic Bay Homehealth Services Home health agency, Riverhead, NY, CCN 337400
  • Catholic Home Care Home health agency, Farmingdale, NY, CCN 337147
  • Suny/Stony Brook University Hospital Hospital, Stony Brook, NY, CCN 330393
  • Good Samaritan Hospital Medical Center Hospital, West Islip, NY, CCN 330286

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles (7 of 11)

OrganizationSpecialtyStatusNew patients
Hampton Medical Care LLC CurrentSince May 17, 2001 Accepting new patients
CHS Physician Partners, P.C CurrentSince Nov 19, 2024 Accepting new patients
CHS Physician Partners, PC CurrentSince Nov 19, 2024 Accepting new patients
Vytaliz Medical Internal Medicine CurrentSince Feb 16, 2021 Accepting new patients
CHS Physician Partners, PC Current Accepting new patients
New York Diagnostic Centers, Inc. Internal Medicine Past Accepting new patients
New York Diagnostic Center Inc. Past Accepting new patients

Locations

200 Pantigo Pl
East Hampton, NY 11937
Phone (631) 267-6969

3 E Evergreen Rd
Ste 1017
New City, NY 10956
Phone (201) 565-2533

1000 N Village Ave
Rockville Ctr, NY 11570
Phone (516) 705-1012

100 Port Washington Blvd
Ste G3
Roslyn, NY 11576
Phone (516) 627-4800

Networks

  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: mmuharemovic92725@direct-chsli.net

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 12

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1477640969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 W MONTAUK HWY",
            "city": "HAMPTON BAYS",
            "state": "NY",
            "postal_code": "119462309",
            "telephone_number": "631-728-4700",
            "fax_number": "631-723-4534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 W MONTAUK HWY",
            "city": "HAMPTON BAYS",
            "state": "NY",
            "postal_code": "119462309",
            "telephone_number": "631-728-4700",
            "fax_number": "631-723-4534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUHAREMOVIC",
        "first_name": "MECIKO",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "189801",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01357780",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P379294",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hampton Bays, NY

Sources for this page

Verify at the official NPI Registry.