Organization Active NPI

Care 4 U Medical, PC

  • Ph.D. Medical Genetics
  • Rego Park, NY
National Provider Identifier
1104996883
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ph.D. Medical GeneticsTaxonomy code 170100000X
License
238703 Issued in NY
Legal business name
CARE 4 U MEDICAL, PC
Practice address
9876 Queens Blvd
Suitte 1K
Rego Park, NY 11374-4356
Phone
(718) 899-7030
Fax
(718) 897-3330
NPI assigned
Nov 9, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Andrzej Jozef Gacek, M.D.
Title
Medical Director
Phone
(718) 897-0300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ph.D. Medical GeneticsGroup: 193200000X MULTI-SPECIALTY GROUP 170100000X 238703 NY Primary

Addresses

Primary practice location

9876 Queens Blvd
Suitte 1K
Rego Park, NY 11374-4356

Mailing address

9876 Queens Blvd
Suitte 1K
Rego Park, NY 11374-4356
Phone (718) 899-7030

Other identifiers 3

IdentifierTypeStateIssuer
02445150MedicaidNY
00918410MedicaidNY
01945371MedicaidNY

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1163030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1104996883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9876 QUEENS BLVD",
            "address_2": "SUITTE 1K",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113744356",
            "telephone_number": "718-899-7030",
            "fax_number": "718-897-3330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9876 QUEENS BLVD",
            "address_2": "SUITTE 1K",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113744356",
            "telephone_number": "718-899-7030",
            "fax_number": "718-897-3330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARE 4 U MEDICAL, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GACEK",
        "authorized_official_first_name": "ANDRZEJ",
        "authorized_official_middle_name": "JOZEF",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "718-897-0300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "170100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Medical Genetics, Ph.D. Medical Genetics",
            "state": "NY",
            "license": "238703",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02445150",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00918410",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01945371",
            "state": "NY"
        }
    ],
    "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 Aug 22, 2020; 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.