Organization Active NPI

Ny Doctor Altai Medical PC

  • Surgery Physician
  • Astoria, NY
National Provider Identifier
1093052490
Registry record updated Jan 7, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
1737871 Issued in NY
Legal business name
NY DOCTOR ALTAI MEDICAL PC
Practice address
3272 Steinway St
Suite 502
Astoria, NY 11103-4006
Phone
(212) 444-2209
Fax
(347) 923-3275
NPI assigned
Jan 7, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2013

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

Authorized official

Name
Dr. Bakir M Altai, MD
Title
Ceo
Phone
(212) 444-2209

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X 1737871 NY Primary

Addresses

Primary practice location

3272 Steinway St
Suite 502
Astoria, NY 11103-4006

Mailing address

3272 Steinway St
Suite 502
Astoria, NY 11103-4006
Phone (212) 444-2209

National Provider Directory

National Provider Directory

Locations

3272 Steinway St
Ste 502
Astoria, NY 11103
Phone (212) 444-2209

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1357516800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1357516800000",
    "number": "1093052490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3272 STEINWAY ST",
            "address_2": "SUITE 502",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111034006",
            "telephone_number": "212-444-2209",
            "fax_number": "347-923-3275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3272 STEINWAY ST",
            "address_2": "SUITE 502",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111034006",
            "telephone_number": "212-444-2209",
            "fax_number": "347-923-3275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NY DOCTOR ALTAI MEDICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-07",
        "last_updated": "2013-01-07",
        "status": "A",
        "authorized_official_last_name": "ALTAI",
        "authorized_official_first_name": "BAKIR",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "212-444-2209",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "NY",
            "license": "1737871",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Astoria, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2013; 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.