NPIMap

Organization Active NPI

Junction Clinic of Pediatrics,Elmhurst Hospital

  • Primary Care Clinic/Center
  • Middle Village, NY
National Provider Identifier
1073733085
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
229545 Issued in NY
Legal business name
JUNCTION CLINIC OF PEDIATRICS,ELMHURST HOSPITAL
Practice address
6510 79TH St
Middle Village, NY 11379-2717
Phone
(646) 642-0196
NPI assigned
May 1, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Daniela K Atanassova-Lineva, M.D.
Title
Assistant - Attending
Phone
(718) 334-6170

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 229545 NY Primary

Addresses

Primary practice location

6510 79TH St
Middle Village, NY 11379-2717

Mailing address

6510 79TH St
Middle Village, NY 11379-2717
Phone (646) 642-0196

National Provider Directory

National Provider Directory
Tax ID family
Jahangir S Rahman124 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 22

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 22

NPI Registry JSON

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

{
    "created_epoch": "1177977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1073733085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6510 79TH ST",
            "city": "MIDDLE VILLAGE",
            "state": "NY",
            "postal_code": "113792717",
            "telephone_number": "646-642-0196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6510 79TH ST",
            "city": "MIDDLE VILLAGE",
            "state": "NY",
            "postal_code": "113792717",
            "telephone_number": "646-642-0196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUNCTION CLINIC OF PEDIATRICS,ELMHURST HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ATANASSOVA-LINEVA",
        "authorized_official_first_name": "DANIELA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "ASSISTANT - ATTENDING",
        "authorized_official_telephone_number": "718-334-6170",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NY",
            "license": "229545",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Middle Village, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.