Active NPI
MD Masud Billah Medical Care PC
- Clinic/Center
- Massapequa, NY
National Provider Identifier
1609644681
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- Legal business name
- MD MASUD BILLAH MEDICAL CARE PC
- Practice address
- 275 Bayview Ave
Massapequa, NY 11758-8012 - Phone
- (646) 642-7029
- NPI assigned
- Dec 19, 2023
- Last updated
- Dec 19, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Masud Billah, MD
- Title
- Owner
- Phone
- (646) 642-7029
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | Primary | ||
| Internal Medicine Physician | 207R00000X |
Addresses
Primary practice location
275 Bayview Ave
Massapequa, NY 11758-8012
Mailing address
275 Bayview Ave
Massapequa, NY 11758-8012
Phone (646) 642-7029
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 3
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.
-
- Family Nurse Practitioner
- Riverhead, NY
- NPI 1265148167
-
- Adult Health Nurse Practitioner
- Patchogue, NY
- NPI 1194100537
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1702944000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1702944000000",
"number": "1609644681",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "275 BAYVIEW AVE",
"city": "MASSAPEQUA",
"state": "NY",
"postal_code": "117588012",
"telephone_number": "646-642-7029"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "275 BAYVIEW AVE",
"city": "MASSAPEQUA",
"state": "NY",
"postal_code": "117588012",
"telephone_number": "646-642-7029"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MD MASUD BILLAH MEDICAL CARE PC",
"organizational_subpart": "NO",
"enumeration_date": "2023-12-19",
"last_updated": "2023-12-19",
"certification_date": "2023-12-19",
"status": "A",
"authorized_official_last_name": "BILLAH",
"authorized_official_first_name": "MASUD",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "646-642-7029",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": null,
"license": null,
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Massapequa, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2023; 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.