Active NPI
Express Medical Care Management Corp
- Multi-Specialty Clinic/Center
- Lynbrook, NY
National Provider Identifier
1851784318
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Multi-Specialty Clinic/Center
- License
- 271644-1
- Legal business name
- EXPRESS MEDICAL CARE MANAGEMENT CORP
- Practice address
- 232 Merrick Rd
Lynbrook, NY 11563-2623 - Phone
- (516) 256-7706
- Fax
- (516) 256-5556
- NPI assigned
- Mar 9, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Lamiaa Elkoulily
- Title
- Owner
- Phone
- (516) 594-5961
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Multi-Specialty Clinic/Center | 261QM1300X | 271644-1 | NY | Primary |
Addresses
Primary practice location
232 Merrick Rd
Lynbrook, NY 11563-2623
Mailing address
232 Merrick Rd
Lynbrook, NY 11563
Phone (516) 256-7706
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
327 Broadway
Amityville, NY 11701
357 Broadway
Amityville, NY 11701
Phone (631) 789-4447
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Amityville, NY
- NPI 1235418930
-
- Family Medicine Physician
- Amityville, NY
- NPI 1104920255
-
- Internal Medicine Physician
- Woodside, NY
- NPI 1972847440
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1425859200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1617148800000",
"number": "1851784318",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "232 MERRICK RD",
"city": "LYNBROOK",
"state": "NY",
"postal_code": "11563",
"telephone_number": "516-256-7706",
"fax_number": "516-256-5556"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "232 MERRICK RD",
"city": "LYNBROOK",
"state": "NY",
"postal_code": "115632623",
"telephone_number": "516-256-7706",
"fax_number": "516-256-5556"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EXPRESS MEDICAL CARE MANAGEMENT CORP",
"organizational_subpart": "NO",
"enumeration_date": "2015-03-09",
"last_updated": "2021-03-31",
"certification_date": "2021-03-24",
"status": "A",
"authorized_official_last_name": "ELKOULILY",
"authorized_official_first_name": "LAMIAA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "516-594-5961"
},
"taxonomies": [
{
"code": "261QM1300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Multi-Specialty",
"state": "NY",
"license": "271644-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lynbrook, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2021; 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.