Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mid Nassau Ob-Gyn PLLC

Organization Obstetrics & Gynecology Physician · NPI 1720707169

Mid Nassau Ob-Gyn PLLC is an Obstetrics & Gynecology Physician in Massapequa, New York. Registered with an NPI since 2022.

In the registry since
2022
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1130 N Broadway Ste 120
Massapequa, NY 11758-1339
Phone: (516) 566-0805
Fax: (516) 566-0875
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Obstetrics & Gynecology Physician (primary) Taxonomy 207V00000X

Record details

NPI number1720707169
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mark Neuman — Owner · (516) 566-0805
NPI enumeratedAugust 26, 2022
Last updated in NPPESAugust 26, 2022
Certification dateAugust 26, 2022
Mailing address1130 N Broadway Ste 120, Massapequa, NY 11758-1339

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