Organization Active NPI

Express Medical Care, P.C

  • Internal Medicine Physician
  • Amityville, NY
National Provider Identifier
1982976999
Registry record updated Dec 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
204874 Issued in NY
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

Updated by the provider on Dec 16, 2014

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)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X 204874 NY Primary
Addiction Medicine (Internal Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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

Enrollment IDStateProvider typePAC IDDetails
O20260317000019 NY Part B Supplier - Clinic/Group Practice 0446733547 Receives reassigned benefits from 1 practitioner
Practice locations: Amityville, NY; Brentwood, NY; Elmhurst, NY; Lynbrook, NY

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.