Organization Active NPI

Ny Qualicare Medical, PC

  • Specialist
  • New York, NY
National Provider Identifier
1063606226
Registry record updated Aug 30, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
165331 Issued in NY
Legal business name
NY QUALICARE MEDICAL, PC
Practice address
237 E 20TH St
Suite 1H
New York, NY 10003-1805
Phone
(212) 995-0422
Fax
(212) 995-0439
NPI assigned
Aug 30, 2007
Last updated
Aug 30, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2007

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

Authorized official

Name
Veronica Zaharia, MDNPI 1215047485
Title
MD
Phone
(212) 995-0422

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
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 165331 NY Primary

Addresses

Primary practice location

237 E 20TH St
Suite 1H
New York, NY 10003-1805

Mailing address

237 E 20TH St
Suite 1H
New York, NY 10003-1805
Phone (212) 995-0422

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070910000445 NY Part B Supplier - Clinic/Group Practice 6800989625 Receives reassigned benefits from 1 practitioner
Practice locations: Astoria, NY; New York, NY

National Provider Directory

National Provider Directory

Locations

147 E 26th St
Fl 3
New York, NY 10010
Phone (212) 673-7500

Practitioners & affiliated clinicians

Practitioners 3

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": "1188432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188432000000",
    "number": "1063606226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "237 E 20TH ST",
            "address_2": "SUITE 1H",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100031805",
            "telephone_number": "212-995-0422",
            "fax_number": "212-995-0439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "237 E 20TH ST",
            "address_2": "SUITE 1H",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100031805",
            "telephone_number": "212-995-0422",
            "fax_number": "212-995-0439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NY QUALICARE MEDICAL, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-30",
        "last_updated": "2007-08-30",
        "status": "A",
        "authorized_official_last_name": "ZAHARIA",
        "authorized_official_first_name": "VERONICA",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "212-995-0422",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NY",
            "license": "165331",
            "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 Aug 30, 2007; 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.