Organization Active NPI

Michael a Conway MD

  • Customized Equipment (DME)
  • Massapequa, NY
National Provider Identifier
1760649768
Registry record updated Dec 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Customized Equipment (DME)Taxonomy code 332BC3200X
License
N004717 Issued in NY
Legal business name
MICHAEL A CONWAY MD
Practice address
892 N Broadway
Massapequa, NY 11758-2352
Phone
(516) 798-8000
Fax
(516) 798-8837
NPI assigned
May 19, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2011

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

Authorized official

Name
Dr. Michael Anthony Conway, DPM
Title
Owner
Phone
(516) 798-8000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Customized Equipment (DME) 332BC3200X N004717 NY Primary

Addresses

Primary practice location

892 N Broadway
Massapequa, NY 11758-2352

Mailing address

892 N Broadway
Massapequa, NY 11758-2352
Phone (516) 798-8000

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1211155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1322697600000",
    "number": "1760649768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "892 N BROADWAY",
            "city": "MASSAPEQUA",
            "state": "NY",
            "postal_code": "117582352",
            "telephone_number": "516-798-8000",
            "fax_number": "516-798-8837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "892 N BROADWAY",
            "city": "MASSAPEQUA",
            "state": "NY",
            "postal_code": "117582352",
            "telephone_number": "516-798-8000",
            "fax_number": "516-798-8837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL A CONWAY MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-19",
        "last_updated": "2011-12-01",
        "status": "A",
        "authorized_official_last_name": "CONWAY",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "516-798-8000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "NY",
            "license": "N004717",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Massapequa, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2011; 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.