GOOD MEDICAL CARE PLLC NPI 1114477817

NPI Information

NPI: 1114477817
Provider Name: GOOD MEDICAL CARE, PLLC
Classification: Family Medicine - 207QA0505X
Entity Type: Organization

Specialization: Adult Medicine

Address:
351 ONDERDONK AVE
RIDGEWOOD, NY
ZIP 11385
Phone: (718) 418-3335
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GOOD MEDICAL CARE, PLLC is an adult medicine family medicine in Ridgewood, NY. The provider is the National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code. GOOD MEDICAL CARE, PLLC NPI is 1114477817. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

351 ONDERDONK AVE
RIDGEWOOD, NY
ZIP 11385-334
Phone: (718) 418-3335
Fax: (718) 418-6584

The provider's authorized official is Augusto A Zevallos .
The authorized official title is Medical Doctor and has the following contact phone number (718) 418-3335.

The enumeration date for this NPI number is 10/6/2016 and was last updated on 10/6/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207QA0505X	Family Medicine	Adult Medicine	214540	NEW YORK	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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