Active NPI
Fasttrack Urgent Care PLLC
- Otolaryngology Physician
- Rego Park, NY
National Provider Identifier
1033554688
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- Legal business name
- FASTTRACK URGENT CARE PLLC
- Practice address
- 6273 Woodhaven Blvd
Rego Park, NY 11374-2832 - Phone
- (718) 595-1100
- Fax
- (718) 595-1200
- NPI assigned
- May 8, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Rajendra D Bhayani, MD
- Title
- President
- Phone
- (718) 249-9383
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | Primary | ||
| Otolaryngic Allergy Physician | 207YX0602X | |||
| Otolaryngology/Facial Plastic Surgery Physician | 207YX0905X |
Addresses
Primary practice location
6273 Woodhaven Blvd
Rego Park, NY 11374-2832
Mailing address
PO Box 230207
Brooklyn, NY 11223-0207
Phone (718) 645-2555
National Provider Directory
National Provider DirectoryLocations
1783 W 6th St
Brooklyn, NY 11223
Phone (718) 249-9383
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1367971200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1424304000000",
"number": "1033554688",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 230207",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112230207",
"telephone_number": "718-645-2555",
"fax_number": "718-645-1333"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6273 WOODHAVEN BLVD",
"city": "REGO PARK",
"state": "NY",
"postal_code": "113742832",
"telephone_number": "718-595-1100",
"fax_number": "718-595-1200"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FASTTRACK URGENT CARE PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2013-05-08",
"last_updated": "2015-02-19",
"status": "A",
"authorized_official_last_name": "BHAYANI",
"authorized_official_first_name": "RAJENDRA",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "718-249-9383",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Otolaryngology",
"state": null,
"license": null,
"primary": true
},
{
"code": "207YX0602X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Otolaryngology, Otolaryngic Allergy",
"state": null,
"license": null,
"primary": false
},
{
"code": "207YX0905X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Otolaryngology, Otolaryngology/Facial Plastic Surgery",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rego Park, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.