Active NPI
Joseph Viera, PA-C
- Medical Physician Assistant
- Briarwood, NY
National Provider Identifier
1063731024
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 000613
- Practice address
- 138-02 Queens Blvd
Samaritan Village, Inc
Briarwood, NY 11435 - Phone
- (718) 206-2000
- NPI assigned
- May 28, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 000613 | NY | Primary |
Addresses
Primary practice location
138-02 Queens Blvd
Samaritan Village, Inc
Briarwood, NY 11435
Mailing address
138-02 Queens Blvd
Samaritan Village, Inc
Briarwood, NY 11435
Phone (718) 206-2000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000613 | NY | MD | Medical Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1275004800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1348704000000",
"number": "1063731024",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "138-02 QUEENS BLVD",
"address_2": "SAMARITAN VILLAGE, INC",
"city": "BRIARWOOD",
"state": "NY",
"postal_code": "11435",
"telephone_number": "718-206-2000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "138-02 QUEENS BLVD",
"address_2": "SAMARITAN VILLAGE, INC",
"city": "BRIARWOOD",
"state": "NY",
"postal_code": "11435",
"telephone_number": "718-206-2000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VIERA",
"first_name": "JOSEPH",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-05-28",
"last_updated": "2012-09-27",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "NY",
"license": "000613",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Briarwood, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.