Medical Health Associates of Bellerose PC

Primary specialty

Legal MedicineTaxonomy code 173000000X

License

F304231 Issued in NY

Legal business name

MEDICAL HEALTH ASSOCIATES OF BELLEROSE PC

Doing business as

Family Medical MD PC

Practice address

24818 Union Turnpike
Ground Floor
Bellerose, NY 11426

Phone

(718) 347-7621

Fax

(718) 347-4564

NPI assigned

Nov 29, 2006

Last updated

Feb 11, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Santo Basileo, M.D.

Title

Director

Phone

(718) 347-7621

Specialties & licenses 3

Addresses

Other names 1

• Family Medical MD PC Doing business as

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

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297382400000",
    "number": "1780751776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24818 UNION TURNPIKE",
            "address_2": "GROUND FLOOR",
            "city": "BELLEROSE",
            "state": "NY",
            "postal_code": "11426",
            "telephone_number": "718-347-7621",
            "fax_number": "718-347-4564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24818 UNION TURNPIKE",
            "address_2": "GROUND FLOOR",
            "city": "BELLEROSE",
            "state": "NY",
            "postal_code": "11426",
            "telephone_number": "718-347-7621",
            "fax_number": "718-347-4564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL HEALTH ASSOCIATES OF BELLEROSE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-29",
        "last_updated": "2011-02-11",
        "status": "A",
        "authorized_official_last_name": "BASILEO",
        "authorized_official_first_name": "SANTO",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "718-347-7621",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "173000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Legal Medicine",
            "state": "NY",
            "license": "184113-1",
            "primary": false
        },
        {
            "code": "173000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Legal Medicine",
            "state": "NY",
            "license": "176820-2",
            "primary": false
        },
        {
            "code": "173000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Legal Medicine",
            "state": "NY",
            "license": "F304231",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Medical MD PC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sajan Mathew, LCSW
• Sam Mathew
• Michelle E Mazzella, CCC-SLP, TSSLD
• Patricia Maria McCaul, SLP
• Thomas F McOlvin Jr., LCSW-R
• Anshu Mehrishi, M.D.
• Sandeep Mehrishi, M.D.
• Khushbu Dharna Anushil Mehta, PT. CAS
• Audrey Mejia
• Danley Meley

• Legal Medicine in Bellerose, NY
• Providers in Bellerose, NY by specialty
• Legal Medicine in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 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.