Organization Active NPI

Dr. Zaytoun Medical Care PC

  • Geriatric Medicine (Internal Medicine) Physician
  • Middle Island, NY
National Provider Identifier
1982313755
Registry record updated Nov 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
Legal business name
DR. ZAYTOUN MEDICAL CARE PC
Practice address
285 Middle Country Rd
Middle Island, NY 11953-2505
Phone
(631) 561-7226
NPI assigned
Nov 21, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2022

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

Authorized official

Name
Ghada Zaytoun, MDNPI 1881072932
Title
Physician/Owner
Phone
(631) 561-7226

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
Geriatric Medicine (Internal Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RG0300X Primary

Addresses

Primary practice location

285 Middle Country Rd
Middle Island, NY 11953-2505

Mailing address

61 Dare Rd
Selden, NY 11784-2003
Phone (631) 561-7226

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230317001598 NY Part B Supplier - Clinic/Group Practice 0941674741 Receives reassigned benefits from 1 practitioner
Practice locations: Middle Island, NY

National Provider Directory

National Provider Directory

Locations

281 Middle Country Rd
Middle Island, NY 11953
Phone (631) 345-6670

285 Middle Country Rd
Middle Island, NY 11953
Phone (631) 538-0115

Practitioners & affiliated clinicians

Practitioners 5

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

NPI Registry JSON

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

{
    "created_epoch": "1668988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668988800000",
    "number": "1982313755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "61 DARE RD",
            "city": "SELDEN",
            "state": "NY",
            "postal_code": "117842003",
            "telephone_number": "631-561-7226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "285 MIDDLE COUNTRY RD",
            "city": "MIDDLE ISLAND",
            "state": "NY",
            "postal_code": "119532505",
            "telephone_number": "631-561-7226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. ZAYTOUN MEDICAL CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-21",
        "last_updated": "2022-11-21",
        "certification_date": "2022-11-19",
        "status": "A",
        "authorized_official_last_name": "ZAYTOUN",
        "authorized_official_first_name": "GHADA",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "631-561-7226",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Middle Island, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2022; 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.