Union Tpke Medical PC

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

203378 Issued in NY

Legal business name

UNION TPKE MEDICAL PC

Practice address

15034 Union Tpke
Flushing, NY 11367-3928

Phone

(718) 380-0011

Fax

(718) 820-0841

NPI assigned

Apr 9, 2008

Last updated

Apr 9, 2008By 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

Roxana M

Title

Office Manager

Phone

(718) 380-0011

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Tax ID family

Union Tpke Medical PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Union Turnpike Medical PC

  • Adolescent Medicine (Internal Medicine) Physician
  • Flushing, NY
  • NPI 1659487460
  NPD tax ID

Practitioners 1

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.

• Larisa Khesina, M.D.

  • Internal Medicine Physician
  • Flushing, NY
  • NPI 1609825736
  Medicare reassignment NPD

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

{
    "created_epoch": "1207699200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207699200000",
    "number": "1093988222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15034 UNION TPKE",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113673928",
            "telephone_number": "718-380-0011",
            "fax_number": "718-820-0841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15034 UNION TPKE",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113673928",
            "telephone_number": "718-380-0011",
            "fax_number": "718-820-0841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNION TPKE MEDICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-09",
        "last_updated": "2008-04-09",
        "status": "A",
        "authorized_official_last_name": "M",
        "authorized_official_first_name": "ROXANA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "718-380-0011"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "NY",
            "license": "203378",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Union St. Optical Inc. (the eye shop)
• Union St. Pharmacy
• Union Street Physical Therapy,PC
• Union Supplier, LLC
• Union Tower Radiology P.C
• Union Turnpike Medical PC
• Union Women Care OBGYN PLLC
• Unirx (Total Care RX)
• Unirx (Regal Phcy)
• Unirx II, Inc

• Medical Specialty Clinic/Center in Flushing, NY
• Providers in Flushing, NY by specialty
• Medical Specialty Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 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.

Verify at the official NPI Registry.