MASSAPEQUA MEDICAL PC
NPI 1609144096
Clinic/Center - Multi-Specialty in Massapequa, NY

Active since December 13, 2011
727 N BROADWAY, SUITE A1, MASSAPEQUA, NY 11758(516) 798-8090(516) 795-3606 Get Directions Write a Review

NPPES record last updated: December 13, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Massapequa Medical Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MASSAPEQUA MEDICAL PC (NPI 1609144096) is a healthcare organization registered as a multi-specialty in Massapequa, New York and active in the NPI registry since December 2011. The organization lists Marwan Hammoud, President, as its authorized official.

NPPES Registry Identity

NPI1609144096
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NameMASSAPEQUA MEDICAL PC
Location Address727 N BROADWAY, SUITE A1Massapequa, NY 11758-2348
Mailing Address727 N Broadway, Suite A1Massapequa, NY 11758-2348 · (516) 798-8090 · Fax (516) 795-3606
Fax(516) 795-3606
Organization SubpartNo
Authorized OfficialMarwan HammoudPresident · (516) 798-8090
Enumeration DateDecember 13, 2011
NPI 1609144096 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
License Licensed in NY · 233296
727 N BROADWAY, Massapequa, NY 11758

Other Providers at the Same Location NPPES 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dermatology
727 N BROADWAY
MASSAPEQUA, NY 11758
Social Worker (Clinical)
727 N BROADWAY
MASSAPEQUA, NY 11758
Marriage & Family Therapist
727 N BROADWAY
MASSAPEQUA, NY 11758
Community/Behavioral Health
727 N BROADWAY
MASSAPEQUA, NY 11758
Social Worker (Clinical)
727 N BROADWAY
MASSAPEQUA, NY 11758
Dermatology
727 N BROADWAY
MASSAPEQUA, NY 11758
Physical Medicine & Rehabilitation
727 N BROADWAY, SUITE 1A
MASSAPEQUA, NY 11758
Psychologist
727 N BROADWAY
MASSAPEQUA, NY 11758

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Massapequa Medical PC's NPI number?

The NPI number for Massapequa Medical PC is 1609144096. It was assigned to this organization in the NPPES registry on December 13, 2011.

Where is Massapequa Medical PC located?

Massapequa Medical PC is located at 727 N Broadway Suite A1, Massapequa, NY 11758. The listed phone number is (516) 798-8090.

What is Massapequa Medical PC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

When was this NPI record last updated?

The NPPES record for Massapequa Medical PC was last updated on December 13, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.