Active NPI
Express Medical Care, P.C
- Internal Medicine Physician
- Amityville, NY
National Provider Identifier
1982976999
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 204874
- Legal business name
- EXPRESS MEDICAL CARE, P.C
- Practice address
- .357 Broadway
Suite 2C
Amityville, NY 11701 - Phone
- (631) 789-7900
- Fax
- (631) 608-8492
- NPI assigned
- Feb 7, 2012
- 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
- Lamya Rizk
- Title
- Adminstrator
- Phone
- (516) 351-3331
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 204874 | NY | Primary |
| Addiction Medicine (Internal Medicine) Physician | 207RA0401X | 204874 | NY |
Addresses
Primary practice location
.357 Broadway
Suite 2C
Amityville, NY 11701
Mailing address
357 Broadway
Suite 2C
Amityville, NY 11701-2748
Phone (631) 789-7900
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
357 Broadway
Ste 2C
Amityville, NY 11701
Phone (631) 789-7900
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Amityville, NY
- NPI 1235418930
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1328572800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1418688000000",
"number": "1982976999",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "357 BROADWAY",
"address_2": "SUITE 2C",
"city": "AMITYVILLE",
"state": "NY",
"postal_code": "117012748",
"telephone_number": "631-789-7900",
"fax_number": "631-608-8492"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": ".357 BROADWAY",
"address_2": "SUITE 2C",
"city": "AMITYVILLE",
"state": "NY",
"postal_code": "11701",
"telephone_number": "631-789-7900",
"fax_number": "631-608-8492"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EXPRESS MEDICAL CARE, P.C",
"organizational_subpart": "NO",
"enumeration_date": "2012-02-07",
"last_updated": "2014-12-16",
"status": "A",
"authorized_official_last_name": "RIZK",
"authorized_official_first_name": "LAMYA",
"authorized_official_title_or_position": "ADMINSTRATOR",
"authorized_official_telephone_number": "516-351-3331"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "NY",
"license": "204874",
"primary": true
},
{
"code": "207RA0401X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Addiction Medicine",
"state": "NY",
"license": "204874",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Amityville, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2014; 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.