NY EMPIRE MEDICAL PC NPI 1902089568

NPI Information

NPI: 1902089568
Provider Name: NY EMPIRE MEDICAL PC
Classification: Clinic/Center - 261QM1300X
Entity Type: Organization

Specialization: Multi-Specialty

Address:
5629 METROPOLITAN AVE
RIDGEWOOD, NY
ZIP 11385
Phone: (718) 418-0300
Get Directions

NY EMPIRE MEDICAL PC is a multi-specialty clinic center in Ridgewood, NY. NY EMPIRE MEDICAL PC NPI is 1902089568. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

5629 METROPOLITAN AVE
RIDGEWOOD, NY
ZIP 11385-975
Phone: (718) 418-0300
Fax: (718) 418-0301

The provider's authorized official is Mitchell L Kaphan .
The authorized official title is Medical Director and has the following contact phone number (718) 418-0300.

The enumeration date for this NPI number is 12/6/2007 and was last updated on 5/4/2015.

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	174400000X	Specialist		139985	NEW YORK	No
2	207R00000X	Internal Medicine				No
3	261QP2000X	Clinic/Center	Physical Therapy			No
4	261QX0100X	Clinic/Center	Occupational Medicine			No
5	152W00000X	Optometrist		TUV006843	NEW YORK	No
6	261QM1300X	Clinic/Center	Multi-Specialty			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	139985	OTHER	NEW YORK	LICENSE
2	08278	MEDICARE PIN	NEW YORK
3	A64864	MEDICARE UPIN

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: 4/28/2024

NPI Synchronization or Removal

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