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
Last updated
Mar 4, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2011

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

Authorized official

Name
Dr. Artur Mushyakov, MDNPI 1700079621
Title
Internal Medicine
Phone
(718) 309-1628

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X Primary

Addresses

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

National Provider Directory

National Provider Directory

Locations

416 Woodland Dr
Sandusky, MI 48471
Phone (248) 238-3666

Practitioners & affiliated clinicians

Practitioners 17

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.

View all 17

NPI Registry JSON

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

{
    "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": "",
            "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.