Organization Active NPI

Recuperative Psychiatric Services of Queens PLLC

  • Psychiatry Physician
  • Fresh Meadows, NY
National Provider Identifier
1104221084
Registry record updated Nov 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
2038461 Issued in NY
Legal business name
RECUPERATIVE PSYCHIATRIC SERVICES OF QUEENS PLLC
Practice address
163-03 Horace Harding Exprewssway
Suite 301
Fresh Meadows, NY 11365
Phone
(347) 732-9646
NPI assigned
Nov 4, 2014
Last updated
Nov 4, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2014

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

Authorized official

Name
Dr. Gary Weinstein, M.D.
Title
Owner
Phone
(347) 732-9646

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X 2038461 NY Primary

Addresses

Primary practice location

163-03 Horace Harding Exprewssway
Suite 301
Fresh Meadows, NY 11365

Mailing address

163-03 Horace Harding Exprewssway
Suite 301
Fresh Meadows, NY 11365
Phone (347) 732-9646

Other identifiers 1

IdentifierTypeStateIssuer
01733802MedicaidNY

National Provider Directory

National Provider Directory

Locations

16303 Horace Harding Expy
Ste 301
Fresh Meadows, NY 11365
Phone (347) 732-9646

NPI Registry JSON

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

{
    "created_epoch": "1415059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415059200000",
    "number": "1104221084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "163-03 HORACE HARDING EXPREWSSWAY",
            "address_2": "SUITE 301",
            "city": "FRESH MEADOWS",
            "state": "NY",
            "postal_code": "11365",
            "telephone_number": "347-732-9646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "163-03 HORACE HARDING EXPREWSSWAY",
            "address_2": "SUITE 301",
            "city": "FRESH MEADOWS",
            "state": "NY",
            "postal_code": "11365",
            "telephone_number": "347-732-9646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RECUPERATIVE PSYCHIATRIC SERVICES OF QUEENS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-04",
        "last_updated": "2014-11-04",
        "status": "A",
        "authorized_official_last_name": "WEINSTEIN",
        "authorized_official_first_name": "GARY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "347-732-9646",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "2038461",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01733802",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresh Meadows, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2014; 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.