Organization Active NPI

Micropath, LLC

  • Clinical Medical Laboratory
  • Astoria, NY
National Provider Identifier
1033654892
Registry record updated Jan 3, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
MICROPATH, LLC
Practice address
2325 31St St
Suite 701
Astoria, NY 11105-2808
Phone
(929) 269-1566
Fax
(718) 932-3194
NPI assigned
Jan 3, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2017

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

Authorized official

Name
Barry Obadiah, M.D.NPI 1447256508
Title
President
Phone
(929) 269-1566

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
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

2325 31St St
Suite 701
Astoria, NY 11105-2808

Mailing address

2325 31St St
Suite 701
Astoria, NY 11105-2808
Phone (929) 269-1566

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170201000170 NY Part B Supplier - Independent Clinical Laboratory 8628350402 Practice locations: Astoria, NY

National Provider Directory

National Provider Directory

Locations

2325 31st St
Ste 701
Astoria, NY 11105
Phone (929) 269-1566

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1483401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1483401600000",
    "number": "1033654892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2325 31ST ST",
            "address_2": "SUITE 701",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111052808",
            "telephone_number": "929-269-1566",
            "fax_number": "718-932-3194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2325 31ST ST",
            "address_2": "SUITE 701",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111052808",
            "telephone_number": "929-269-1566",
            "fax_number": "718-932-3194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICROPATH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-03",
        "last_updated": "2017-01-03",
        "status": "A",
        "authorized_official_last_name": "OBADIAH",
        "authorized_official_first_name": "BARRY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "929-269-1566",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Astoria, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.