MG Physician Services PC

Primary specialty

Addiction Medicine (Preventive Medicine) PhysicianTaxonomy code 2083A0300X

Legal business name

MG PHYSICIAN SERVICES PC

Practice address

61 Mary St
Tappan, NY 10983-1720

Phone

(917) 921-5765

NPI assigned

Jun 3, 2022

Last updated

Jan 2, 2025By 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

Mathew George, MDNPI 1407961758

Title

Owner

Phone

(917) 921-5765

Specialties & licenses 3

Addresses

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.

• Mathew George, M.D.

  • General Practice Physician
  • Tappan, NY
  • NPI 1407961758
  Authorized official Same address or phone

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

{
    "created_epoch": "1654214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1735776000000",
    "number": "1609515915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "61 MARY ST",
            "city": "TAPPAN",
            "state": "NY",
            "postal_code": "109831720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "61 MARY ST",
            "city": "TAPPAN",
            "state": "NY",
            "postal_code": "109831720",
            "telephone_number": "917-921-5765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MG PHYSICIAN SERVICES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-03",
        "last_updated": "2025-01-02",
        "certification_date": "2025-01-02",
        "status": "A",
        "authorized_official_last_name": "GEORGE",
        "authorized_official_first_name": "MATHEW",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "917-921-5765",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2080P0214X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics, Pediatric Pulmonology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2080S0012X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics, Sleep Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2083A0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Preventive Medicine, Addiction Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jaclyn Masi
• Emily McKay
• Emily Meehan, FNP, RN
• Raghunath Mehta, M.D
• Lenora S Mesibov, IBCLC
• Monowara Begum MD
• Moon and Stars ABA Consulting LLC
• Lee Andrew Morgentaler, D.O.
• Christine Moscato
• Mrs. Laxmi Solanki CDN PLLC

• Addiction Medicine (Preventive Medicine) Physician in Tappan, NY
• Providers in Tappan, NY by specialty
• Addiction Medicine (Preventive Medicine) Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2025; 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.