Organization Active NPI

Physician Health Care PC

  • Internal Medicine Physician
  • Westbury, NY
National Provider Identifier
1790861276
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
156543 Issued in NY
Legal business name
PHYSICIAN HEALTH CARE PC
Practice address
265 Post Avenue
Suite 108
Westbury, NY 11590-2233
Phone
(516) 338-9790
Fax
(516) 338-9791
NPI assigned
Oct 27, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Joseph A Marzouk, MDNPI 1699851170
Title
Owner
Phone
(516) 338-9790

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X 156543 NY Primary

Addresses

Primary practice location

265 Post Avenue
Suite 108
Westbury, NY 11590-2233

Mailing address

265 Post Avenue
Suite 108
Westbury, NY 11590-2233
Phone (516) 338-9790

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110509000068 NY Part B Supplier - Clinic/Group Practice 7315122306 Receives reassigned benefits from 1 practitioner
Practice locations: Westbury, NY

National Provider Directory

National Provider Directory

Locations

265 Post Ave
Ste 108
Westbury, NY 11590
Phone (516) 338-9790

Practitioners & affiliated clinicians

Practitioners 1

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": "1161907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1790861276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "265 POST AVENUE",
            "address_2": "SUITE 108",
            "city": "WESTBURY",
            "state": "NY",
            "postal_code": "115902233",
            "telephone_number": "516-338-9790",
            "fax_number": "516-338-9791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "265 POST AVENUE",
            "address_2": "SUITE 108",
            "city": "WESTBURY",
            "state": "NY",
            "postal_code": "115902233",
            "telephone_number": "516-338-9790",
            "fax_number": "516-338-9791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICIAN HEALTH CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MARZOUK",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "516-338-9790",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "156543",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westbury, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.