| North Ocean Medical Group P.c. | |
|
152 N Ocean Ave Patchogue NY 11772-2004 | |
| (631) 913-8239 | |
| Not Available |
| Full Name | North Ocean Medical Group P.c. |
|---|---|
| Speciality | Internal Medicine |
| Location | 152 N Ocean Ave, Patchogue, New York |
| Authorized Official Name and Position | Adeel Azmat Iqbal (DO) |
| Authorized Official Contact | 6319138239 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| North Ocean Medical Group P.c. 152 North Ocean Avenue Patchogue NY 11772 Ph: (631) 913-8239 | North Ocean Medical Group P.c. 152 N Ocean Ave Patchogue NY 11772-2004 Ph: (631) 913-8239 |
| NPI Number | 1477819001 |
|---|---|
| Provider Enumeration Date | 04/09/2012 |
| Last Update Date | 02/28/2013 |
| Medicare PECOS PAC ID | 0143460634 |
|---|---|
| Medicare Enrollment ID | O20130705000004 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477819001 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 260863 (New York) | Primary |
| Provider Name | Azmat Iqbal |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1669490314 PECOS PAC ID: 1355345356 Enrollment ID: I20060906000187 |
| Provider Name | Adeel Azmat Iqbal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780996983 PECOS PAC ID: 7810174539 Enrollment ID: I20110914000769 |
| Provider Name | Mili Biju |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558882522 PECOS PAC ID: 3971873811 Enrollment ID: I20170725003347 |
| Provider Name | Rizwan Malik |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1568402600 PECOS PAC ID: 9537262431 Enrollment ID: I20230315000569 |
| Provider Name | Desiree Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295415701 PECOS PAC ID: 5496105843 Enrollment ID: I20231227001174 |
| Provider Name | Robert Jake Stone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033830799 PECOS PAC ID: 9739527508 Enrollment ID: I20240329002499 |
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