Active NPI
Medical Services of America, PC
- General Practice Physician
- Ronkonkoma, NY
National Provider Identifier
1962675447
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- Legal business name
- MEDICAL SERVICES OF AMERICA, PC
- Practice address
- 210 Ronkonkoma Ave
Ronkonkoma, NY 11779-9998 - Phone
- (631) 780-6611
- Fax
- (631) 780-6624
- NPI assigned
- Apr 7, 2008
- 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
- Dr. Wajdy L Hailoo, MD
- Title
- President
- Phone
- (631) 780-6611
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | Primary |
Addresses
Primary practice location
210 Ronkonkoma Ave
Ronkonkoma, NY 11779-9998
Mailing address
210 Ronkonkoma Ave
Ronkonkoma, NY 11779-3346
Phone (631) 780-6611
National Provider Directory
National Provider DirectoryLocations
210 Ronkonkoma Ave
Ronkonkoma, NY 11779
Phone (631) 780-6611
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Public Health & General Preventive Medicine Physician
- Ronkonkoma, NY
- NPI 1114284700
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1207526400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1207526400000",
"number": "1962675447",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "210 RONKONKOMA AVE",
"city": "RONKONKOMA",
"state": "NY",
"postal_code": "117793346",
"telephone_number": "631-780-6611",
"fax_number": "631-780-6624"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "210 RONKONKOMA AVE",
"city": "RONKONKOMA",
"state": "NY",
"postal_code": "117799998",
"telephone_number": "631-780-6611",
"fax_number": "631-780-6624"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MEDICAL SERVICES OF AMERICA, PC",
"organizational_subpart": "NO",
"enumeration_date": "2008-04-07",
"last_updated": "2008-04-07",
"status": "A",
"authorized_official_last_name": "HAILOO",
"authorized_official_first_name": "WAJDY",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "631-780-6611",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "General Practice",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ronkonkoma, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.