Park Health Center

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

PARK HEALTH CENTER

Practice address

131 24 Rockaway Blvd
S Ozone Park, NY 11420

Phone

(718) 659-7166

Fax

(718) 529-5930

NPI assigned

Nov 7, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jamil Abraham, MD

Title

Medical Director

Phone

(718) 659-7166

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1053480863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 24 ROCKAWAY BLVD",
            "city": "S OZONE PARK",
            "state": "NY",
            "postal_code": "11420",
            "telephone_number": "718-659-7166",
            "fax_number": "718-529-5930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 24 ROCKAWAY BLVD",
            "city": "S OZONE PARK",
            "state": "NY",
            "postal_code": "11420",
            "telephone_number": "718-659-7166",
            "fax_number": "718-529-5930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARK HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ABRAHAM",
        "authorized_official_first_name": "JAMIL",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "718-659-7166",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paul Elghazaly, P.T.
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• Anthony Palumbo
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• Shelly Ann Singh, LPN
• Peggy Yeh, DDS

• Family Medicine Physician in S Ozone Park, NY
• Providers in S Ozone Park, NY by specialty
• Family Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.