NPI Code Details Logo

NPI 1073424511

NPI 1073424511 : COMPASSIONATE MEDICAL SERVICES : HUNTINGTON, NY

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1073424511
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    COMPASSIONATE MEDICAL SERVICES 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    09/14/2026
-----------------------------------------------------
    Last Update Date     |    09/14/2026
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    775 PARK AVE STE 345 
-----------------------------------------------------
    City                 |    HUNTINGTON
-----------------------------------------------------
    State                |    NY
-----------------------------------------------------
    Zip                  |    11743-7565
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    609-742-0814
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    10 CITY PL PH 2D 
-----------------------------------------------------
    City                 |    WHITE PLAINS
-----------------------------------------------------
    State                |    NY
-----------------------------------------------------
    Zip                  |    10601-3353
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    609-742-0814
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    MEDICAL DIRECTOR
-----------------------------------------------------
    Name                 |    DR. KHAMEINEI  ALI 
-----------------------------------------------------
    Credential           |    MD
-----------------------------------------------------
    Telephone            |    609-742-0814
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    2083B0002X
-----------------------------------------------------
    Taxonomy Name        |    Obesity Medicine (Preventive Medicine) Physician
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.