Organization Active NPI

East Meadow Medical PC

  • Family Medicine Physician
  • East Meadow, NY
National Provider Identifier
1841668753
Registry record updated Aug 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
265114 Issued in NY
Legal business name
EAST MEADOW MEDICAL PC
Practice address
295 E Meadow Ave
East Meadow, NY 11554-2937
Phone
(516) 222-0311
Fax
(516) 357-3683
NPI assigned
Sep 9, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2025

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

Authorized official

Name
Sebeen Razzaq-Ahmed, D.O.NPI 1750649240
Title
President
Phone
(516) 729-9786

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
Family Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207Q00000X 265114 NY Primary

Addresses

Primary practice location

295 E Meadow Ave
East Meadow, NY 11554-2937

Mailing address

35 Aberdeen Rd
New Hyde Park, NY 11040-2139
Phone (516) 222-0311

Other identifiers 1

IdentifierTypeStateIssuer
03552898MedicaidNY

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20151118002313 NY Part B Supplier - Clinic/Group Practice 1355641606 Receives reassigned benefits from 1 practitioner
Practice locations: East Meadow, NY

National Provider Directory

National Provider Directory

Locations

295 E Meadow Ave
East Meadow, NY 11554
Phone (516) 222-0311

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": "1441756800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755561600000",
    "number": "1841668753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 ABERDEEN RD",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110402139",
            "telephone_number": "516-222-0311",
            "fax_number": "516-357-3683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "295 E MEADOW AVE",
            "city": "EAST MEADOW",
            "state": "NY",
            "postal_code": "115542937",
            "telephone_number": "516-222-0311",
            "fax_number": "516-357-3683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST MEADOW MEDICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-09",
        "last_updated": "2025-08-19",
        "certification_date": "2025-08-19",
        "status": "A",
        "authorized_official_last_name": "RAZZAQ-AHMED",
        "authorized_official_first_name": "SEBEEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "516-729-9786",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "265114",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03552898",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in East Meadow, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2025; 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.