Medman Primary Care Medicine PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

MEDMAN PRIMARY CARE MEDICINE PC

Practice address

2035 Lakeville Rd
New Hyde Park, NY 11040-1661

Phone

(516) 328-9797

NPI assigned

Apr 1, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Garry H Stark

Title

MD

Phone

(516) 328-9797

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1238544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288828800000",
    "number": "1740422112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2035 LAKEVILLE RD",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110401661",
            "telephone_number": "516-328-9797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2035 LAKEVILLE RD",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110401661",
            "telephone_number": "516-328-9797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDMAN PRIMARY CARE MEDICINE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-01",
        "last_updated": "2010-11-04",
        "status": "A",
        "authorized_official_last_name": "STARK",
        "authorized_official_first_name": "GARRY",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "516-328-9797",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID",
            "identifier": "05926I",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01722870",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Julia Marie Meehan, CRNA
• Kavini Bachubhai Mehta, MD
• Nilesh Mehta, MBBS, MD
• Preeti Mehta, MD
• Suchita Jagdish Mehta, M.B.B.S.

• Family Medicine Physician in New Hyde Park, NY
• Providers in New Hyde Park, NY by specialty
• Family Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2010; 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.