NPIMap

Organization Active NPI

N.a.D Medical Services, PLLC

  • Internal Medicine Physician
  • Coram, NY
National Provider Identifier
1811159874
Registry record updated Jun 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
216602 Issued in NY
Legal business name
N.A.D MEDICAL SERVICES, PLLC
Practice address
32 Howard Dr
Coram, NY 11727-3516
Phone
(631) 721-0080
Fax
(631) 736-1607
NPI assigned
Jun 30, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2008

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

Authorized official

Name
Dr. Nathanael Desire, D.O
Title
Owner
Phone
(631) 721-0080

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207R00000X 216602 NY Primary
Geriatric Medicine (Internal Medicine) PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207RG0300X 243370 NY

Addresses

Primary practice location

32 Howard Dr
Coram, NY 11727-3516

Mailing address

32 Howard Dr
Coram, NY 11727-3516
Phone (631) 721-0080

National Provider Directory

National Provider Directory

Locations

1 Station Ct
Bellport, NY 11713
Phone (631) 803-8247

NPI Registry JSON

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

{
    "created_epoch": "1214784000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214784000000",
    "number": "1811159874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32 HOWARD DR",
            "city": "CORAM",
            "state": "NY",
            "postal_code": "117273516",
            "telephone_number": "631-721-0080",
            "fax_number": "631-736-1607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32 HOWARD DR",
            "city": "CORAM",
            "state": "NY",
            "postal_code": "117273516",
            "telephone_number": "631-721-0080",
            "fax_number": "631-736-1607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "N.A.D MEDICAL SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-30",
        "last_updated": "2008-06-30",
        "status": "A",
        "authorized_official_last_name": "DESIRE",
        "authorized_official_first_name": "NATHANAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "631-721-0080",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "216602",
            "primary": true
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "NY",
            "license": "243370",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coram, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2008; 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.