St Anthony Medical Services PC

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

179509 Issued in NY

Legal business name

ST ANTHONY MEDICAL SERVICES PC

Practice address

5910 Junction Blvd
Elmhurst, NY 11373-5156

Phone

(718) 833-9148

Fax

(718) 833-9164

NPI assigned

May 30, 2015

Organization subpart

No

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

Authorized official

Name

Nicolas El-Khoury, MD

Title

Owner

Phone

(718) 833-9148

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1432944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1432944000000",
    "number": "1043690597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "470 77TH ST",
            "address_2": "LOWER LEVEL",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112093206",
            "telephone_number": "718-833-9148",
            "fax_number": "718-833-9164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5910 JUNCTION BLVD",
            "city": "ELMHURST",
            "state": "NY",
            "postal_code": "113735156",
            "telephone_number": "718-833-9148",
            "fax_number": "718-833-9164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST ANTHONY MEDICAL SERVICES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-30",
        "last_updated": "2015-05-30",
        "status": "A",
        "authorized_official_last_name": "EL-KHOURY",
        "authorized_official_first_name": "NICOLAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-833-9148",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NY",
            "license": "179509",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Medicine & Rehabilitation Physician in Elmhurst, NY
• Providers in Elmhurst, NY by specialty
• Physical Medicine & Rehabilitation Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 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.