Organization Active NPI

Metar Medical PC

  • Family Medicine Physician
  • Fresh Meadows, NY
National Provider Identifier
1053648899
Registry record updated Nov 16, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
199910 Issued in NY
Legal business name
METAR MEDICAL PC
Practice address
7716 164TH St
Fresh Meadows, NY 11366-1227
Phone
(718) 969-6100
Fax
(718) 969-6103
NPI assigned
Nov 16, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2009

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

Authorized official

Name
Dr. Sergey Gabinsky, MD
Title
Owner
Phone
(718) 969-6100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X 199910 NY Primary

Addresses

Primary practice location

7716 164TH St
Fresh Meadows, NY 11366-1227

Mailing address

7716 164TH St
Fresh Meadows, NY 11366-1227
Phone (718) 969-6100

Other identifiers 1

IdentifierTypeStateIssuer
01592790MedicaidNY

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1258329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1258329600000",
    "number": "1053648899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7716 164TH ST",
            "city": "FRESH MEADOWS",
            "state": "NY",
            "postal_code": "113661227",
            "telephone_number": "718-969-6100",
            "fax_number": "718-969-6103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7716 164TH ST",
            "city": "FRESH MEADOWS",
            "state": "NY",
            "postal_code": "113661227",
            "telephone_number": "718-969-6100",
            "fax_number": "718-969-6103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METAR MEDICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-16",
        "last_updated": "2009-11-16",
        "status": "A",
        "authorized_official_last_name": "GABINSKY",
        "authorized_official_first_name": "SERGEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-969-6100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "199910",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01592790",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresh Meadows, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2009; 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.