Internal Medicine Specialist of New York P.C

Primary specialty

SpecialistTaxonomy code 174400000X

License

236531 Issued in NY

Legal business name

INTERNAL MEDICINE SPECIALIST OF NEW YORK P.C

Practice address

300 Community Dr
Manhasset, NY 11030-3816

Phone

(516) 562-0100

Fax

(631) 719-2220

NPI assigned

Apr 15, 2016

Organization subpart

No

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

Authorized official

Name

Mairaj Ud Din, MD

Title

MD

Phone

(516) 633-6772

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mairaj Ud Din, MD

  • Internal Medicine Physician
  • Garden City, NY
  • NPI 1609804319
  Medicare reassignment

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

{
    "created_epoch": "1460678400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1460678400000",
    "number": "1871947895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 TALLEY RD",
            "city": "ROSLYN",
            "state": "NY",
            "postal_code": "115762530",
            "telephone_number": "516-633-6772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 COMMUNITY DR",
            "city": "MANHASSET",
            "state": "NY",
            "postal_code": "110303816",
            "telephone_number": "516-562-0100",
            "fax_number": "631-719-2220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERNAL MEDICINE SPECIALIST OF NEW YORK P.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-15",
        "last_updated": "2016-04-15",
        "status": "A",
        "authorized_official_last_name": "DIN",
        "authorized_official_first_name": "MAIRAJ UD",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "516-633-6772",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NY",
            "license": "236531",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "236531",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Peter Inglis
• Colleen Ingrassia, PA
• Inpatient Medicine Specialists PC
• Integrated Medical Professionals PLLC
• Integrative Health Solutions
• Interventional Physical Medicine and Rehab of New York, PLLC
• Stavroula Ioannides, M.A. CCC-SLP
• Marina Ionescu, MD
• Sarah Iqbal, PHARMACY TECHNICAN
• Salman Irfanullah

• Specialist in Manhasset, NY
• Providers in Manhasset, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2016; 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.