Mid Nassau Medical Care for Kidz, LLC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

MID NASSAU MEDICAL CARE FOR KIDZ, LLC

Practice address

530 Old Country Rd
Suite 1B
Westbury, NY 11590-4500

Phone

(516) 333-7272

Fax

(516) 333-2519

NPI assigned

Sep 16, 2015

Last updated

Sep 16, 2015By the provider in NPPES

Organization subpart

Yes

Parent organization

MID NASSAU MEDICAL CARE FOR KIDAs reported in NPPES

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

Authorized official

Name

Steven Perrick, M.D.NPI 1083622088

Title

M.D./Partner

Phone

(516) 333-7272

Specialties & licenses 1

Addresses

Other identifiers 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Part of

Mid Nassau Medical Care for Kidz LLC

Locations

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.

• Steven L Perrick, MD

  • Pediatrics Physician
  • Westbury, NY
  • NPI 1083622088
  NPD (past) Authorized official
• Inacia Perez Besada, M.D.

  • Pediatrics Physician
  • Brooklyn, NY
  • NPI 1891732772
  NPD (past)
• Elizabeth Issa Basch, MD

  • Pediatrics Physician
  • Westbury, NY
  • NPI 1508874553
  NPD (past)

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

{
    "created_epoch": "1442361600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442361600000",
    "number": "1710356043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "530 OLD COUNTRY RD",
            "address_2": "SUITE 1B",
            "city": "WESTBURY",
            "state": "NY",
            "postal_code": "115904500",
            "telephone_number": "516-333-7272",
            "fax_number": "516-333-2519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 OLD COUNTRY RD",
            "address_2": "SUITE 1B",
            "city": "WESTBURY",
            "state": "NY",
            "postal_code": "115904500",
            "telephone_number": "516-333-7272",
            "fax_number": "516-333-2519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MID NASSAU MEDICAL CARE FOR KIDZ, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MID NASSAU MEDICAL CARE FOR KID",
        "enumeration_date": "2015-09-16",
        "last_updated": "2015-09-16",
        "status": "A",
        "authorized_official_last_name": "PERRICK",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "M.D./PARTNER",
        "authorized_official_telephone_number": "516-333-7272",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0218647",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8307806",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amanda Michel
• Jeff Wensly Michel
• Richard M Michelin
• Bonnie Sue Michelman
• Mid Island Dermatology
• Midway Drugs
• Keneisha Mighty
• Nicole Ann Marie Mikolajczak
• Stephanie Miles
• Stephanie Miller

• General Practice Physician in Westbury, NY
• Providers in Westbury, NY by specialty
• General Practice Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.

Verify at the official NPI Registry.