Active NPI
Physician Medical Services, PC
- Internal Medicine Physician
- Jamaica, NY
National Provider Identifier
1043599863
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 2327241
- Legal business name
- PHYSICIAN MEDICAL SERVICES, PC
- Practice address
- 8216 164TH PL
1St Floor
Jamaica, NY 11432-1238 - Phone
- (646) 644-8067
- NPI assigned
- Aug 10, 2011
- 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
- Dr. Salman A Haq, M.D.
- Title
- Ceo
- Phone
- (646) 644-8067
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 2327241 | NY | Primary |
| General Practice Physician | 208D00000X | 2327241 | NY |
Addresses
Primary practice location
8216 164TH PL
1St Floor
Jamaica, NY 11432-1238
Mailing address
8409 19TH Ave
Apt 1
Brooklyn, NY 11214-3011
Phone (646) 644-8067
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02587451 | Medicaid | NY |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1312934400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1332892800000",
"number": "1043599863",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8409 19TH AVE",
"address_2": "APT 1",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112143011",
"telephone_number": "646-644-8067"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8216 164TH PL",
"address_2": "1ST FLOOR",
"city": "JAMAICA",
"state": "NY",
"postal_code": "114321238",
"telephone_number": "646-644-8067"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PHYSICIAN MEDICAL SERVICES, PC",
"organizational_subpart": "NO",
"enumeration_date": "2011-08-10",
"last_updated": "2012-03-28",
"status": "A",
"authorized_official_last_name": "HAQ",
"authorized_official_first_name": "SALMAN",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "646-644-8067",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "NY",
"license": "2327241",
"primary": true
},
{
"code": "208D00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "General Practice",
"state": "NY",
"license": "2327241",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02587451",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Jamaica, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.