Msan Medical Care PC

Primary specialty

SpecialistTaxonomy code 174400000X

License

231830 Issued in NY

Legal business name

MSAN MEDICAL CARE PC

Practice address

6861 Fresh Pond Rd
Ridgewood, NY 11385-5263

Phone

(718) 576-3354

Fax

(715) 576-3505

NPI assigned

Mar 8, 2018

Organization subpart

No

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

Authorized official

Name

Myat San, M.D.

Title

President

Phone

(718) 576-3354

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1520467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529107200000",
    "number": "1578065249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6861 FRESH POND RD",
            "city": "RIDGEWOOD",
            "state": "NY",
            "postal_code": "113855263",
            "telephone_number": "718-576-3354",
            "fax_number": "715-576-3505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6861 FRESH POND RD",
            "city": "RIDGEWOOD",
            "state": "NY",
            "postal_code": "113855263",
            "telephone_number": "718-576-3354",
            "fax_number": "715-576-3505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MSAN MEDICAL CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-08",
        "last_updated": "2018-06-16",
        "status": "A",
        "authorized_official_last_name": "SAN",
        "authorized_official_first_name": "MYAT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-576-3354",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NY",
            "license": "231830",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NATIONAL PROVIDER IDENTIFICATION",
            "identifier": "1134284581",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jillian Beth Morgan, MS SP ED
• Brittany Morman, CD
• Carol Ann Morrissey
• Motion Unlimited
• Mount Sinai Hospital
• Breyanna Mucius
• Rita Maria Muffoletto, RPH
• Yunhee Mun
• No Name Given Munaza Afaq
• Stephanie Munoz, CASAC-ADV, BA

• Specialist in Ridgewood, NY
• Providers in Ridgewood, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; 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.