Organization Active NPI

Mae Medical P.C.

  • Primary Care Clinic/Center
  • Babylon, NY
National Provider Identifier
1669626529
Registry record updated Nov 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
085638-1 Issued in NY
Legal business name
MAE MEDICAL P.C.
Practice address
98 Park Ave
Babylon, NY 11702-1709
Phone
(631) 587-1967
Fax
(631) 587-1059
NPI assigned
Nov 5, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2008

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

Authorized official

Name
Dr. Morton Aizic, D.O.
Title
President
Phone
(631) 587-1967

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 085638-1 NY Primary

Addresses

Primary practice location

98 Park Ave
Babylon, NY 11702-1709

Mailing address

98 Park Ave
Babylon, NY 11702-1709
Phone (631) 587-1967

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1225843200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225843200000",
    "number": "1669626529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "98 PARK AVE",
            "city": "BABYLON",
            "state": "NY",
            "postal_code": "117021709",
            "telephone_number": "631-587-1967",
            "fax_number": "631-587-1059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "98 PARK AVE",
            "city": "BABYLON",
            "state": "NY",
            "postal_code": "117021709",
            "telephone_number": "631-587-1967",
            "fax_number": "631-587-1059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAE MEDICAL P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-05",
        "last_updated": "2008-11-05",
        "status": "A",
        "authorized_official_last_name": "AIZIC",
        "authorized_official_first_name": "MORTON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "631-587-1967",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NY",
            "license": "085638-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Babylon, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2008; 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.