NPIMap

Organization Active NPI

Empire Medical of Rockaway Beach

  • Primary Care Clinic/Center
  • Rockaway Beach, NY
National Provider Identifier
1013284710
Registry record updated May 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
EMPIRE MEDICAL OF ROCKAWAY BEACH
Practice address
8820 Rockaway Beach Blvd
Rockaway Beach, NY 11693-1608
Phone
(718) 634-8080
Fax
(718) 634-8087
NPI assigned
Nov 23, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 3, 2013

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

Authorized official

Name
Dr. Jyoti Chakote, MDNPI 1700970654
Title
Doctor
Phone
(718) 634-8080

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

8820 Rockaway Beach Blvd
Rockaway Beach, NY 11693-1608

Mailing address

8820 Rockaway Beach Blvd
Rockaway Beach, NY 11693-1608
Phone (718) 634-8080

Other identifiers 1

IdentifierTypeStateIssuer
01780574MedicaidNY

National Provider Directory

National Provider Directory
Tax ID family
Empire Medical of Rockaway Beach2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

8820 Rockaway Beach Blvd
Rockaway Beach, NY 11693
Phone (718) 634-8018

Practitioners & affiliated clinicians

Practitioners 18

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1322006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1367539200000",
    "number": "1013284710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8820 ROCKAWAY BEACH BLVD",
            "city": "ROCKAWAY BEACH",
            "state": "NY",
            "postal_code": "116931608",
            "telephone_number": "718-634-8080",
            "fax_number": "718-634-8087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8820 ROCKAWAY BEACH BLVD",
            "city": "ROCKAWAY BEACH",
            "state": "NY",
            "postal_code": "116931608",
            "telephone_number": "718-634-8080",
            "fax_number": "718-634-8087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMPIRE MEDICAL OF ROCKAWAY BEACH",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-23",
        "last_updated": "2013-05-03",
        "status": "A",
        "authorized_official_last_name": "CHAKOTE",
        "authorized_official_first_name": "JYOTI",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "718-634-8080",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01780574",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockaway Beach, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2013; 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.