Organization Active NPI

Multiviz Medical Services PC

  • Internal Medicine Physician
  • Far Rockaway, NY
National Provider Identifier
1720373293
Registry record updated Jun 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
MULTIVIZ MEDICAL SERVICES PC
Practice address
529 Beach 20TH St
Far Rockaway, NY 11691-3645
Phone
(718) 327-7307
Fax
(718) 327-3294
NPI assigned
Jun 13, 2011
Last updated
Jun 13, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2011

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

Authorized official

Name
Dr. Abiola Familusi, M.D.NPI 1649351214
Title
President/Ceo
Phone
(718) 327-7307

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 NY Primary
Physical Medicine & Rehabilitation PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208100000X NY

Addresses

Primary practice location

529 Beach 20TH St
Far Rockaway, NY 11691-3645

Mailing address

529 Beach 20TH St
Far Rockaway, NY 11691-3645
Phone (718) 327-7307

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, TN, FL, NJ, WI, MN, OH, KY, PA, NC, AL, MD, NH13 enrollments

Enrollment records 13

Enrollment IDStateProvider typePAC IDDetails
O20031112000674 NY Part B Supplier - Clinic/Group Practice 1557274735 Receives reassigned benefits from 47 practitioners
Practice locations: Far Rockaway, NY; Hempstead, NY; Garden City, NY; Brooklyn, NY
O20230306001316 TN Part B Supplier - Clinic/Group Practice 1557274735 Receives reassigned benefits from 13 practitioners
Practice locations: Nashville, TN
O20230320003025 FL Part B Supplier - Clinic/Group Practice 1557274735 Receives reassigned benefits from 19 practitioners
Practice locations: Boca Raton, FL
O20230911003208 NJ Part B Supplier - Clinic/Group Practice 1557274735 Receives reassigned benefits from 2 practitioners
Practice locations: Chatham, NJ
O20240305002319 WI Part B Supplier - Clinic/Group Practice 1557274735 Receives reassigned benefits from 3 practitioners
Practice locations: Rice Lake, WI
O20240402003000 MN Part B Supplier - Clinic/Group Practice 1557274735 Receives reassigned benefits from 1 practitioner
Practice locations: Moorhead, MN
O20240521003699 OH Part B Supplier - Clinic/Group Practice 1557274735 Receives reassigned benefits from 2 practitioners
Practice locations: Blanchester, OH
O20240522000523 KY Part B Supplier - Clinic/Group Practice 1557274735 Receives reassigned benefits from 1 practitioner
Practice locations: Butler, KY
O20241105001671 PA Part B Supplier - Clinic/Group Practice 1557274735 Receives reassigned benefits from 2 practitioners
Practice locations: Pittsburgh, PA
O20241108001041 NC Part B Supplier - Clinic/Group Practice 1557274735 Receives reassigned benefits from 1 practitioner
Practice locations: Concord, NC
O20241108003603 AL Part B Supplier - Clinic/Group Practice 1557274735 Receives reassigned benefits from 1 practitioner
Practice locations: Scottsboro, AL
O20241231003223 MD Part B Supplier - Clinic/Group Practice 1557274735 Receives reassigned benefits from 1 practitioner
Practice locations: Baltimore, MD
O20251219001697 NH Part B Supplier - Clinic/Group Practice 1557274735 Receives reassigned benefits from 2 practitioners
Practice locations: Dover, NH

National Provider Directory

National Provider Directory

Locations

300 Garden City Plz
Ste 418
Garden City, NY 11530
Phone (516) 481-7050

80 N Franklin St
Hempstead, NY 11550
Phone (516) 481-6433

Practitioners & affiliated clinicians

Practitioners 58

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.

View all 58

NPI Registry JSON

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

{
    "created_epoch": "1307923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1307923200000",
    "number": "1720373293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "529 BEACH 20TH ST",
            "city": "FAR ROCKAWAY",
            "state": "NY",
            "postal_code": "116913645",
            "telephone_number": "718-327-7307",
            "fax_number": "718-327-3294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "529 BEACH 20TH ST",
            "city": "FAR ROCKAWAY",
            "state": "NY",
            "postal_code": "116913645",
            "telephone_number": "718-327-7307",
            "fax_number": "718-327-3294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MULTIVIZ MEDICAL SERVICES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-13",
        "last_updated": "2011-06-13",
        "status": "A",
        "authorized_official_last_name": "FAMILUSI",
        "authorized_official_first_name": "ABIOLA",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "718-327-7307",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": null,
            "primary": true
        },
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NY",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Far Rockaway, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.