Organization Active NPI

RVC Medical Consultation PC

  • Neurology Physician
  • Flushing, NY
National Provider Identifier
1003323049
Registry record updated Jan 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
126705 Issued in NY
Legal business name
RVC MEDICAL CONSULTATION PC
Practice address
14227 Franklin Ave
Flushing, NY 11355-2629
Phone
(718) 964-3007
Fax
(718) 395-3007
NPI assigned
Dec 29, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Tan Angelito
Title
MD
Phone
(212) 734-6621

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084N0400X 126705 NY Primary

Addresses

Primary practice location

14227 Franklin Ave
Flushing, NY 11355-2629

Mailing address

393 Broadway
Brooklyn, NY 11211-7303

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1514505600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674432000000",
    "number": "1003323049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "393 BROADWAY",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112117303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14227 FRANKLIN AVE",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113552629",
            "telephone_number": "718-964-3007",
            "fax_number": "718-395-3007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RVC MEDICAL CONSULTATION PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-29",
        "last_updated": "2023-01-23",
        "certification_date": "2023-01-23",
        "status": "A",
        "authorized_official_last_name": "ANGELITO",
        "authorized_official_first_name": "TAN",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "212-734-6621"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NY",
            "license": "126705",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flushing, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.