Massapequa Medical PC

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

License

233296 Issued in NY

Legal business name

MASSAPEQUA MEDICAL PC

Practice address

727 N Broadway
Suite A1
Massapequa, NY 11758-2348

Phone

(516) 798-8090

Fax

(516) 795-3606

NPI assigned

Dec 13, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Marwan Hammoud, M.D.

Title

President

Phone

(516) 798-8090

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1323734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323734400000",
    "number": "1609144096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "727 N BROADWAY",
            "address_2": "SUITE A1",
            "city": "MASSAPEQUA",
            "state": "NY",
            "postal_code": "117582348",
            "telephone_number": "516-798-8090",
            "fax_number": "516-795-3606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "727 N BROADWAY",
            "address_2": "SUITE A1",
            "city": "MASSAPEQUA",
            "state": "NY",
            "postal_code": "117582348",
            "telephone_number": "516-798-8090",
            "fax_number": "516-795-3606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MASSAPEQUA MEDICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-13",
        "last_updated": "2011-12-13",
        "status": "A",
        "authorized_official_last_name": "HAMMOUD",
        "authorized_official_first_name": "MARWAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "516-798-8090",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "NY",
            "license": "233296",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Massapequa Acupuncture P.C.
• Massapequa Dermatology PLLC
• Massapequa Family Pharmacy Corp
• Massapequa Fire District
• Massapequa Massage Therapy, PC
• Massapequa Neurologic,PC
• Massapequa Optometric Care, P.C.
• Massapequa Podiatry Associates, P.C.
• Massapequa Ufsd
• Catherine Mastricovo

• Multi-Specialty Clinic/Center in Massapequa, NY
• Providers in Massapequa, NY by specialty
• Multi-Specialty Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2011; 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.