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MID NASSAU OB-GYN PLLC
NPI 1720707169
Obstetrics & Gynecology in Massapequa, NY

Active since August 26, 2022CLIA 33D2282718 · Waiver
1130 N BROADWAY STE 120, MASSAPEQUA, NY 11758(516) 566-0805(516) 566-0875 Get Directions Write a Review

NPPES record last updated: August 26, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mid Nassau Ob-gyn Pllc NPPES

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

MID NASSAU OB-GYN PLLC (NPI 1720707169) is a healthcare organization registered as an obstetrics & gynecology in Massapequa, New York and active in the NPI registry since August 2022. The organization holds a CLIA Waiver certificate valid through May 24, 2027 and lists Mark Neuman, Owner, as its authorized official.

NPPES Registry Identity

NPI1720707169
Entity TypeOrganization
Primary Taxonomy207V00000X
Legal Business NameMID NASSAU OB-GYN PLLC
Location Address1130 N BROADWAY STE 120Massapequa, NY 11758-1339
Mailing Address1130 N Broadway Ste 120Massapequa, NY 11758-1339 · (516) 566-0805 · Fax (516) 566-0875
Phone(516) 566-0805
Fax(516) 566-0875
Organization SubpartNo
Authorized OfficialMark NeumanOwner · (516) 566-0805
Enumeration DateAugust 26, 2022
NPPES CertifiedAugust 26, 2022
✔ NPI 1720707169 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
1130 N BROADWAY STE 120, Massapequa, NY 11758
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 33D2282718

Mid Nassau Ob-Gyn PLLC · Massapequa, NY
Active · expires May 24, 2027
CLIA Number33D2282718
Laboratory TypePhysician Office
Certificate Effective DateMay 25, 2025
Certificate Expiration DateMay 24, 2027
Laboratory DirectorDr. Mark Neuman
Laboratory Phone(516) 566-0805
Laboratory LocationMid Nassau Ob-Gyn PLLC1130 North Broadway, Suite 120, Massapequa, NY 11758
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

DR. MARK JOEL NEUMAN DO
Obstetrics & Gynecology
1130 N BROADWAY STE 120
MASSAPEQUA, NY 11758
Nassau County (516) 566-0805

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 Mid Nassau Ob-Gyn PLLC's NPI number?

The NPI number for Mid Nassau Ob-Gyn PLLC is 1720707169. It was assigned to this organization in the NPPES registry on August 26, 2022.

Where is Mid Nassau Ob-Gyn PLLC located?

Mid Nassau Ob-Gyn PLLC is located at 1130 N Broadway Ste 120, Massapequa, NY 11758. The listed phone number is (516) 566-0805.

What is Mid Nassau Ob-Gyn PLLC's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Does Mid Nassau Ob-Gyn PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D2282718) is associated with this NPI, valid through May 24, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Mid Nassau Ob-Gyn PLLC was last updated on August 26, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.