Organization Active NPI

MD Masud Billah Medical Care PC

  • Clinic/Center
  • Massapequa, NY
National Provider Identifier
1609644681
Registry record updated Dec 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
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, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2023

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)CodeLicenseStatePrimary
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

Enrollment IDStateProvider typePAC IDDetails
O20240124001334 NY Part B Supplier - Clinic/Group Practice 7810340023 Receives reassigned benefits from 3 practitioners
Practice locations: Massapequa, NY

National Provider Directory

National Provider Directory

Practitioners & 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.

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.

Verify at the official NPI Registry.