MJL Medical Healthcare P.C.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

171063 Issued in NY

Legal business name

MJL MEDICAL HEALTHCARE P.C.

Practice address

200 Howells Rd
Bay Shore, NY 11706-5351

Phone

(631) 665-1439

Fax

(631) 665-1383

NPI assigned

Aug 28, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Mark Joseph Lodespoto, M.D.

Title

President

Phone

(631) 665-1439

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1440720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1440720000000",
    "number": "1982071619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 HOWELLS RD",
            "city": "BAY SHORE",
            "state": "NY",
            "postal_code": "117065351",
            "telephone_number": "631-665-1439",
            "fax_number": "631-665-1383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 HOWELLS RD",
            "city": "BAY SHORE",
            "state": "NY",
            "postal_code": "117065351",
            "telephone_number": "631-665-1439",
            "fax_number": "631-665-1383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MJL MEDICAL HEALTHCARE P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-28",
        "last_updated": "2015-08-28",
        "status": "A",
        "authorized_official_last_name": "LODESPOTO",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "631-665-1439",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "171063",
            "primary": true
        },
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": "NY",
            "license": "171063",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shreyas Sureshbhai Mistry, M.D.
• Denise Mitchell, NURSE
• Jenika Nicole Mitchell, MD
• Kerri Mitchell, LMHC
• John E. Mitchner, PA
• Farzad Modaress Moussavi, MD
• Joyce Beth Moerler I, RN
• Assem Mohamed, M.D.
• Jennifer Yonaitis Moldwin, MSN, WHNP-BC
• Katherine Johana Molina, M.A CF-SLP

• Internal Medicine Physician in Bay Shore, NY
• Providers in Bay Shore, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.