Active NPI
Mae Medical P.C.
- Primary Care Clinic/Center
- Babylon, NY
National Provider Identifier
1669626529
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- License
- 085638-1
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryNPI 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.