NPIMap

Organization Active NPI

Pro-Health Medical, P.C.

  • Internal Medicine Physician
  • Rego Park, NY
National Provider Identifier
1104124841
Registry record updated Mar 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
PRO-HEALTH MEDICAL, P.C.
Practice address
6511 Booth St
Suite 1 a
Rego Park, NY 11374-4181
Phone
(718) 309-1628
NPI assigned
Mar 4, 2011
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Dr. Artur Mushyakov, MD
Title
Internal Medicine
Phone
(718) 309-1628

Practitioners 16

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

View all 16

National Provider Directory

National Provider Directory

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary

Addresses

NPPES NPI Registry

Primary practice location

6511 Booth St
Suite 1 a
Rego Park, NY 11374-4181

Mailing address

6511 Booth St
Suite 1 a
Rego Park, NY 11374-4181
Phone (718) 309-1628

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 4, 2011.

{
    "created_epoch": "1299196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1299196800000",
    "number": "1104124841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6511 BOOTH ST",
            "address_2": "SUITE 1 A",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113744181",
            "telephone_number": "718-309-1628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6511 BOOTH ST",
            "address_2": "SUITE 1 A",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113744181",
            "telephone_number": "718-309-1628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRO-HEALTH MEDICAL, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-04",
        "last_updated": "2011-03-04",
        "status": "A",
        "authorized_official_last_name": "MUSHYAKOV",
        "authorized_official_first_name": "ARTUR",
        "authorized_official_title_or_position": "INTERNAL MEDICINE",
        "authorized_official_telephone_number": "718-309-1628",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rego Park, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2011; 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.