Merrick Medical Care PLLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

172842 Issued in NY

Legal business name

MERRICK MEDICAL CARE PLLC

Practice address

1703 Merrick Ave
Merrick, NY 11566-1628

Phone

(516) 378-3380

Fax

(516) 546-1517

NPI assigned

Nov 5, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Neelam Gupta, MDNPI 1942289731

Title

MD

Phone

(516) 378-3380

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Neelam Gupta, M.D.

  • Gastroenterology Physician
  • Merrick, NY
  • NPI 1942289731
  Medicare reassignment NPD Authorized official
• Roseline Jerome, M.D.

  • Anesthesiology Physician
  • Bay Shore, NY
  • NPI 1609802115
  Medicare reassignment Care Compare group NPD
• Lili Lee, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • New Hyde Park, NY
  • NPI 1154555902
  Medicare reassignment Care Compare group NPD
• Hengameh Ardalan, MD

  • Pain Medicine (Anesthesiology) Physician
  • Little Neck, NY
  • NPI 1861428526
  Medicare reassignment NPD
• Arun Kumar Gupta, M.D.

  • Cardiovascular Disease Physician
  • Merrick, NY
  • NPI 1962444802
  Medicare reassignment NPD
• Kenneth T Hennrick, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Brooklyn, NY
  • NPI 1427374057
  Medicare reassignment NPD
• Stacy Serebnitsky, M.D.

  • Interventional Pain Medicine Physician
  • Rego Park, NY
  • NPI 1336379817
  Medicare reassignment NPD
• Minyi Tan, MD

  • Pain Medicine (Anesthesiology) Physician
  • Stony Brook, NY
  • NPI 1801039789
  Medicare reassignment NPD

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

{
    "created_epoch": "1288915200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529452800000",
    "number": "1821399981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1703 MERRICK AVE",
            "city": "MERRICK",
            "state": "NY",
            "postal_code": "115661628",
            "telephone_number": "516-378-3380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1703 MERRICK AVE",
            "city": "MERRICK",
            "state": "NY",
            "postal_code": "115661628",
            "telephone_number": "516-378-3380",
            "fax_number": "516-546-1517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERRICK MEDICAL CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-05",
        "last_updated": "2018-06-20",
        "status": "A",
        "authorized_official_last_name": "GUPTA",
        "authorized_official_first_name": "NEELAM",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "516-378-3380",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NY",
            "license": "172842",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Merrick Apothecary Corp. (Long Island Apothecary)
• Merrick Dental Care
• Merrick Dermatology PC
• Merrick Drugs Inc. (the medicine shoppe)
• Merrick Family Practice Management Inc
• Merrick Medical Wellness PLLC
• Merrick Nuclear Cardiolog PLLC
• Merrick Oral Surgery PLLC
• Merrick Physical Therapy PLLC
• Merrick Surgical Supplies & Home Care, Inc.

• Ambulatory Surgical Clinic/Center in Merrick, NY
• Providers in Merrick, NY by specialty
• Ambulatory Surgical Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.