Organization Active NPI

Long Island Comprehensive Psychiatry PC

  • Psychiatry Physician
  • Massapequa, NY
National Provider Identifier
1912314808
Registry record updated Mar 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
142753 Issued in NY
Legal business name
LONG ISLAND COMPREHENSIVE PSYCHIATRY PC
Practice address
5512 Merrick Rd
Suite 2a
Massapequa, NY 11758-6233
Phone
(516) 797-0282
Fax
(516) 797-0284
NPI assigned
Jul 13, 2014
Last updated
Mar 27, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2015

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

Authorized official

Name
Dr. Karan Kumar, MDNPI 1063400042
Title
Owner
Phone
(516) 797-0282

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
Psychiatry Physician 2084P0800X 142753 NY Primary

Addresses

Primary practice location

5512 Merrick Rd
Suite 2a
Massapequa, NY 11758-6233

Mailing address

5512 Merrick Rd
Suite 2a
Massapequa, NY 11758-6233
Phone (516) 797-0282

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20141211001886 NY Part B Supplier - Clinic/Group Practice 6204158777 Receives reassigned benefits from 1 practitioner
Practice locations: Hicksville, NY

National Provider Directory

National Provider Directory

Locations

180 Broadway
Hicksville, NY 11801
Phone (516) 486-7200

560 S Broadway
Ste 103
Hicksville, NY 11801
Phone (516) 769-5436

5512 Merrick Rd
Massapequa, NY 11758
Phone (516) 769-5436

5512 Merrick Rd
Ste 2A
Massapequa, NY 11758
Phone (516) 797-0282

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1405209600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427414400000",
    "number": "1912314808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5512 MERRICK RD",
            "address_2": "SUITE 2A",
            "city": "MASSAPEQUA",
            "state": "NY",
            "postal_code": "117586233",
            "telephone_number": "516-797-0282",
            "fax_number": "516-797-0284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5512 MERRICK RD",
            "address_2": "SUITE 2A",
            "city": "MASSAPEQUA",
            "state": "NY",
            "postal_code": "117586233",
            "telephone_number": "516-797-0282",
            "fax_number": "516-797-0284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONG ISLAND COMPREHENSIVE PSYCHIATRY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-13",
        "last_updated": "2015-03-27",
        "status": "A",
        "authorized_official_last_name": "KUMAR",
        "authorized_official_first_name": "KARAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "516-797-0282",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "142753",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Massapequa, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2015; 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.