NPIMap

Organization Active NPI

East Coast Medical Associate, P.C.

  • Anesthesiology Physician
  • Forest Hills, NY
National Provider Identifier
1114119757
Registry record updated Jan 6, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
153553 Issued in NY
Legal business name
EAST COAST MEDICAL ASSOCIATE, P.C.
Practice address
11420 Queens Blvd
Forest Hills, NY 11375-7056
Phone
(718) 459-8460
Fax
(718) 459-8464
NPI assigned
Aug 17, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2010

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

Authorized official

Name
Azeem Khan, M.D.NPI 1538183678
Title
President
Phone
(718) 425-8460

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207L00000X 153553 NY Primary

Addresses

Primary practice location

11420 Queens Blvd
Forest Hills, NY 11375-7056

Mailing address

11420 Queens Blvd
Forest Hills, NY 11375-7056
Phone (718) 459-8460

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1187308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1262736000000",
    "number": "1114119757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11420 QUEENS BLVD",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113757056",
            "telephone_number": "718-459-8460",
            "fax_number": "718-459-8464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11420 QUEENS BLVD",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113757056",
            "telephone_number": "718-459-8460",
            "fax_number": "718-459-8464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST COAST MEDICAL ASSOCIATE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-17",
        "last_updated": "2010-01-06",
        "status": "A",
        "authorized_official_last_name": "KHAN",
        "authorized_official_first_name": "AZEEM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-425-8460",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": "NY",
            "license": "153553",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Forest Hills, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2010; 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.