Organization Active NPI

Express Medical Care Management Corp

  • Multi-Specialty Clinic/Center
  • Lynbrook, NY
National Provider Identifier
1851784318
Registry record updated Mar 31, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
License
271644-1 Issued in NY
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

Updated by the provider on Mar 31, 2021

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)CodeLicenseStatePrimary
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

Enrollment IDStateProvider typePAC IDDetails
O20150806010731 NY Part B Supplier - Clinic/Group Practice 6406160225 Receives reassigned benefits from 3 practitioners
Practice locations: Amityville, NY; Lynbrook, NY; Elmhurst, NY; Brentwood, NY

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.