NPIMap

Organization Active NPI

Ozone Park Medical Diagnostic Assoc. PC

  • Neurology Physician
  • Ozone Park, NY
National Provider Identifier
1629195938
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
120794 Issued in NY
Legal business name
OZONE PARK MEDICAL DIAGNOSTIC ASSOC. PC
Practice address
9510 101St Ave
Ozone Park, NY 11416-2518
Phone
(718) 835-3800
Fax
(718) 641-3802
NPI assigned
Mar 23, 2007
Last updated
Sep 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Dr. Merrill C Kaufman, D.O.NPI 1023060878
Title
President
Phone
(718) 835-3800

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X 138339 NY
Neurology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084N0400X 120794 NY Primary

Addresses

Primary practice location

9510 101St Ave
Ozone Park, NY 11416-2518

Mailing address

9510 101St Ave
Ozone Park, NY 11416-2518
Phone (718) 835-3800

National Provider Directory

National Provider Directory

Locations

9510 101st Ave
Ozone Park, NY 11416
Phone (718) 835-3800

Practitioners & affiliated clinicians

Practitioners 4

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": "1174608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1629195938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9510 101ST AVE",
            "city": "OZONE PARK",
            "state": "NY",
            "postal_code": "114162518",
            "telephone_number": "718-835-3800",
            "fax_number": "718-641-3802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9510 101ST AVE",
            "city": "OZONE PARK",
            "state": "NY",
            "postal_code": "114162518",
            "telephone_number": "718-835-3800",
            "fax_number": "718-641-3802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OZONE PARK MEDICAL DIAGNOSTIC ASSOC. PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-23",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "KAUFMAN",
        "authorized_official_first_name": "MERRILL",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-835-3800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "138339",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NY",
            "license": "120794",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ozone Park, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.