Active NPI
Statmd Physicians, PLLC
- Emergency Care Clinic/Center
- New Hyde Park, NY
National Provider Identifier
1710020417
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Care Clinic/Center
- Legal business name
- STATMD PHYSICIANS, PLLC
- Practice address
- 2090 Jericho Tpke
New Hyde Park, NY 11040-4719 - Phone
- (516) 352-7828
- Fax
- (516) 352-7827
- NPI assigned
- Feb 14, 2007
- 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
- Ms. Safia Huda
- Title
- Office Manager
- Phone
- (516) 352-7828
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Care Clinic/Center | 261QE0002X | Primary |
Addresses
Primary practice location
2090 Jericho Tpke
New Hyde Park, NY 11040-4719
Mailing address
2090 Jericho Tpke
New Hyde Park, NY 11040-4719
Phone (516) 352-7828
Other names 1
- StatMD
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20050414001182 | NY | Part B Supplier - Clinic/Group Practice | 8820035439 |
Receives reassigned benefits from 11 practitioners Practice locations: New Hyde Park, NY |
| O20101111000052 | NY | Part B Supplier - Clinic/Group Practice | 0648465039 |
Receives reassigned benefits from 871 practitioners This NPI is an additional NPI on the enrollment |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 33D1034831 | Statmd Physicians, PLLC | Certificate of waiver | Jun 24, 2027 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 14
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.
-
- Internal Medicine Physician
- Briarwood, NY
- NPI 1750318721
-
- Adult Medicine Physician
- Far Rockaway, NY
- NPI 1346450897
-
- Emergency Medicine Physician
- New Hyde Park, NY
- NPI 1356471643
-
- Emergency Medicine Physician
- Goshen, NY
- NPI 1811972870
-
- Surgery Physician
- Huntington, NY
- NPI 1316912041
-
- Family Medicine Physician
- Saint Albans, NY
- NPI 1124066766
-
- Adult Health Nurse Practitioner
- Jamaica, NY
- NPI 1700955481
-
- Emergency Medicine Physician
- Saratoga Springs, NY
- NPI 1790710069
-
- Emergency Medicine Physician
- Brooklyn, NY
- NPI 1780874461
-
- Preventive Medicine/Occupational Environmental Medicine Physician
- Rahway, NJ
- NPI 1679505002
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171411200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1646697600000",
"number": "1710020417",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2090 JERICHO TPKE",
"city": "NEW HYDE PARK",
"state": "NY",
"postal_code": "110404719",
"telephone_number": "516-352-7828",
"fax_number": "516-352-7827"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2090 JERICHO TPKE",
"city": "NEW HYDE PARK",
"state": "NY",
"postal_code": "110404719",
"telephone_number": "516-352-7828",
"fax_number": "516-352-7827"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "STATMD PHYSICIANS, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-14",
"last_updated": "2022-03-08",
"certification_date": "2022-03-08",
"status": "A",
"authorized_official_last_name": "HUDA",
"authorized_official_first_name": "SAFIA",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "516-352-7828",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "261QE0002X",
"taxonomy_group": "",
"desc": "Clinic/Center, Emergency Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "StatMD",
"code": "5",
"type": "Other Name"
},
{
"organization_name": "StatMD",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in New Hyde Park, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.