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STATION MEDICAL PC
NPI 1821828047
Nurse Practitioner - Primary Care in Huntington Station, NY

Active since August 02, 2024CLIA 33D2313564 · Waiver
1757 NEW YORK AVE, HUNTINGTON STATION, NY 11746(631) 983-3237 Get Directions Write a Review

NPPES record last updated: September 24, 2024. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Sep 24, 2024, Aug 2, 2024 (2 updates tracked since 2024).

About Station Medical Pc NPPES

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

STATION MEDICAL PC (NPI 1821828047) is a healthcare organization registered as a primary care in Huntington Station, New York and active in the NPI registry since August 2024. The organization holds a CLIA Waiver certificate valid through November 3, 2026 and lists Mubushar Raza, Provider (np), as its authorized official.

NPPES Registry Identity

NPI1821828047
Entity TypeOrganization
Primary Taxonomy363LP2300X
Legal Business NameSTATION MEDICAL PC
Location Address1757 NEW YORK AVEHuntington Station, NY 11746-2407
Mailing Address1757 New York AveHuntington Station, NY 11746-2407 · (631) 983-3237
Phone(631) 983-3237
Organization SubpartNo
Authorized OfficialMubushar RazaProvider (np) · (631) 983-3237
Enumeration DateAugust 2, 2024
Last NPPES UpdateSeptember 24, 20242 updates tracked since enumeration
NPPES CertifiedSeptember 18, 2024
✔ NPI 1821828047 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
1757 NEW YORK AVE, Huntington Station, NY 11746
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE 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 33D2313564

Station Medical PC · Huntington Station, NY
Active · expires Nov 3, 2026
CLIA Number33D2313564
Laboratory TypePractitioner Other
Certificate Effective DateNovember 4, 2024
Certificate Expiration DateNovember 3, 2026
Laboratory DirectorMubushar Raza
Laboratory Phone(631) 983-3237
Laboratory LocationStation Medical PC1757 New York Ave, Huntington Station, NY 11746
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 7

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

STATION PHARMACY NY LLC
Pharmacy (Long Term Care Pharmacy)
1757 NEW YORK AVE
HUNTINGTON STATION, NY 11746
Suffolk County (631) 418-8953
ABDULLAH AL AMIN
Dentist
1757 NEW YORK AVE, 1757 NEW YORK AVE
HUNTINGTON STATION, NY 11746
Suffolk County (631) 423-6491
STATION PHARMACY NY LLC
Pharmacy (Community/Retail Pharmacy)
1757 NEW YORK AVE
HUNTINGTON STATION, NY 11746
Suffolk County (631) 418-8953
STATION PHARMACY NY LLC
Pharmacy (Specialty Pharmacy)
1757 NEW YORK AVE
HUNTINGTON STATION, NY 11746
Suffolk County (631) 418-8953
STATION PHARMACY NY LLC
Durable Medical Equipment & Medical Supplies
1757 NEW YORK AVE
HUNTINGTON STATION, NY 11746
Suffolk County (631) 418-8953
NUZHAT H SIDDIQUI DDS
Dentist (General Practice)
1757 NEW YORK AVE
HUNTINGTON STATION, NY 11746
Suffolk County (631) 385-5650
DR. AZIZ KHAN DDS
Dentist (General Practice)
1757 NEW YORK AVE
HUNTINGTON STATION, NY 11746
Suffolk County (631) 423-6491

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 Station Medical PC's NPI number?

The NPI number for Station Medical PC is 1821828047. It was assigned to this organization in the NPPES registry on August 2, 2024.

Where is Station Medical PC located?

Station Medical PC is located at 1757 New York Ave, Huntington Station, NY 11746. The listed phone number is (631) 983-3237.

What is Station Medical PC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Does Station Medical PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D2313564) is associated with this NPI, valid through November 3, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Station Medical PC was last updated on September 24, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.