NPI |
1023515426 |
The 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. The NPI number includes an ISO standard check-digit in the 10th position. There is no intelligence about the health care provider in the number. |
Entity Type Code |
1 |
The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available. |
Provider Last Name Legal Name |
HAYEK |
The country code in the location address of the provider being identified. |
Provider First Name |
JUDY |
The telephone number associated with the location address of the provider being identified. |
Provider Credential Text |
MD |
The fax number associated with the location
address of the provider being identified. |
Provider First Line Business Practice Location Address |
475 SEAVIEW AVE |
The date the provider was assigned a unique identifier (assigned an NPI). |
Provider Business Practice Location Address City Name |
STATEN ISLAND |
The city name in the location address of the provider being identified. |
Provider Business Practice Location Address State Name |
NY |
The last name of the person authorized to submit the NPI application or to change NPS data for a health care provider. |
Provider Business Practice Location Address Postal Code |
103053436 |
The first name of the authorized official. |
Provider Business Practice Location Address Country Code If outside U S |
US |
The middle name of the authorized official. |
Provider Business Practice Location Address Telephone Number |
7182269000 |
The telephone number associated with the location address of the provider being identified. |
Provider Enumeration Date |
4/11/2018 |
The date the provider was assigned a unique identifier (assigned an NPI). |
Last Update Date |
4/16/2018 |
The date that a record was last updated or changed. |
Provider Gender Code |
F |
The code designating the provider’s gender if the provider is a person. |
Healthcare Provider Taxonomy Code 1 |
390200000X |
The code designating the provider’s gender if the provider is a person. |
Healthcare Provider Primary Taxonomy Switch 1 |
Y |
|
Is Sole Proprietor |
N |
Code indicating whether the provider is operating as a sole proprietor. Codes are: Y = Yes; N = No |