Active NPI
Kew Gardens Family Physicians, LLP
- Family Medicine Physician
- Kew Gardens, NY
National Provider Identifier
1093759326
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 172844, 171010
- Legal business name
- KEW GARDENS FAMILY PHYSICIANS, LLP
- Practice address
- 11940 Metropolitan Ave
Suite E1
Kew Gardens, NY 11415-2600 - Phone
- (718) 849-0624
- Fax
- (718) 849-4935
- NPI assigned
- Jun 16, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Kim Parolisi
- Title
- Medical Biller
- Phone
- (718) 849-0624
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 172844, 171010 | NY | Primary |
Addresses
Primary practice location
11940 Metropolitan Ave
Suite E1
Kew Gardens, NY 11415-2600
Mailing address
11940 Metropolitan Ave
Suite E1
Kew Gardens, NY 11415-2600
Phone (718) 849-0624
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
11940 Metropolitan Ave
Apt E1
Kew Gardens, NY 11415
Practitioners & affiliated clinicians
Practitioners 4
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.
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- Richmond Hill, NY
- NPI 1801904313
-
- Family Medicine Physician
- Jamaica, NY
- NPI 1225482813
-
- Specialist
- Amityville, NY
- NPI 1629002050
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150416000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1200268800000",
"number": "1093759326",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11940 METROPOLITAN AVE",
"address_2": "SUITE E1",
"city": "KEW GARDENS",
"state": "NY",
"postal_code": "114152600",
"telephone_number": "718-849-0624",
"fax_number": "718-849-4935"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11940 METROPOLITAN AVE",
"address_2": "SUITE E1",
"city": "KEW GARDENS",
"state": "NY",
"postal_code": "114152600",
"telephone_number": "718-849-0624",
"fax_number": "718-849-4935"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KEW GARDENS FAMILY PHYSICIANS, LLP",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-16",
"last_updated": "2008-01-14",
"status": "A",
"authorized_official_last_name": "PAROLISI",
"authorized_official_first_name": "KIM",
"authorized_official_title_or_position": "MEDICAL BILLER",
"authorized_official_telephone_number": "718-849-0624",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "NY",
"license": "172844, 171010",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kew Gardens, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2008; 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.