The Provider Group

Primary specialty

Nursing Care AgencyTaxonomy code 251J00000X

Legal business name

THE PROVIDER GROUP

Practice address

2717 Crescent St
Suite 5a
Astoria, NY 11102-2507

Phone

(718) 866-8008

NPI assigned

May 28, 2014

Last updated

May 28, 2014By 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

Mr. Anthony Gambuzza

Title

Coo

Phone

(718) 866-8008

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1401235200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1401235200000",
    "number": "1063824738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2717 CRESCENT ST",
            "address_2": "SUITE 5A",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111022507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2717 CRESCENT ST",
            "address_2": "SUITE 5A",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111022507",
            "telephone_number": "718-866-8008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE PROVIDER GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-28",
        "last_updated": "2014-05-28",
        "status": "A",
        "authorized_official_last_name": "GAMBUZZA",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "718-866-8008",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2014; 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.