Organization Active NPI

Fasttrack Urgent Care PLLC

  • Otolaryngology Physician
  • Rego Park, NY
National Provider Identifier
1033554688
Registry record updated Feb 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
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

Updated by the provider on Feb 19, 2015

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)CodeLicenseStatePrimary
Otolaryngology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Y00000X Primary
Otolaryngic Allergy PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207YX0602X
Otolaryngology/Facial Plastic Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.