MEDICAL OFFICE PC NPI 1225002785

NPI Information

NPI: 1225002785
Provider Name: MEDICAL OFFICE PC
Classification: Clinic/Center - 261QP2300X
Specialization: Primary Care
Entity Type: Organization
Address: 120 OLD FARMERS LN
STATEN ISLAND, NY
ZIP 10304
Phone: (718) 306-5025

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NPI Details

MEDICAL OFFICE PC is a primary care clinic center in Staten Island, NY. MEDICAL OFFICE PC NPI is 1225002785. The provider is registered as an organization entity type.

The provider's business location address is:

120 OLD FARMERS LN
STATEN ISLAND, NY
ZIP 10304-404
Phone: (718) 306-5025
Fax: (718) 462-8000

The provider's authorized official is Imaduddin Hashmi .
The authorized official title is Medical Director and has the following contact phone number (718) 306-5025.

The enumeration date for this NPI number is 2/13/2006 and was last updated on 2/14/2022.

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	261QP2300X	Clinic/Center	Primary Care	184579	NEW YORK	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	01359457	MEDICAID	NEW YORK

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: 11/21/2025

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