Organization Active NPI

Physicians Family Health Serv Inc

  • Family Medicine Physician
  • New York, NY
National Provider Identifier
1053656215
Registry record updated Dec 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
PHYSICIANS FAMILY HEALTH SERV INC
Practice address
600 W 111TH St
Suiten 1E
New York, NY 10025-1813
Phone
(212) 222-1142
Fax
(212) 222-1142
NPI assigned
Nov 29, 2012
Last updated
Dec 5, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2014

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

Authorized official

Name
Dr. Gabriel R Guardarramas, MDNPI 1699754804
Title
President
Phone
(212) 222-1142

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
Family Medicine Physician 207Q00000X Primary

Addresses

Primary practice location

600 W 111TH St
Suiten 1E
New York, NY 10025-1813

Mailing address

600 W 111TH St
Suiten 1E
New York, NY 10025-1813
Phone (212) 222-1142

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130326000597 NY Part B Supplier - Clinic/Group Practice 2365687126 Receives reassigned benefits from 1 practitioner
Practice locations: New York, NY

National Provider Directory

National Provider Directory

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": "1354147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1417737600000",
    "number": "1053656215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 W 111TH ST",
            "address_2": "SUITEN 1E",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100251813",
            "telephone_number": "212-222-1142",
            "fax_number": "212-222-1142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 W 111TH ST",
            "address_2": "SUITEN 1E",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100251813",
            "telephone_number": "212-222-1142",
            "fax_number": "212-222-1142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICIANS FAMILY HEALTH SERV INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-29",
        "last_updated": "2014-12-05",
        "status": "A",
        "authorized_official_last_name": "GUARDARRAMAS",
        "authorized_official_first_name": "GABRIEL",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "212-222-1142",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2014; 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.