Active NPI
Medical Services of America, PC
- General Practice Physician
- Ronkonkoma, NY
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
- Last updated
- 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
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
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 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.
-
- Preventive Medicine/Occupational Environmental Medicine Physician
- Ronkonkoma, NY
- NPI 1548288590
-
- 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.