NPIMap

Organization Active NPI

Advanced Clinical Physicians, P.L.L.C

  • Specialist
  • Forest Hills, NY
National Provider Identifier
1114244415
Registry record updated Apr 26, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
AAAASF # 3728 Issued in NY
Legal business name
ADVANCED CLINICAL PHYSICIANS, P.L.L.C
Practice address
11203 Queens Blvd Ste 200
Forest Hills, NY 11375-5550
Phone
(718) 268-8383
Fax
(718) 268-6033
NPI assigned
Apr 26, 2010
Last updated
Apr 26, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2010

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

Authorized official

Name
Dr. Varuzhan Dovlatyan
Title
Ceo
Phone
(718) 268-8383

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X AAAASF # 3728 NY Primary

Addresses

Primary practice location

11203 Queens Blvd Ste 200
Forest Hills, NY 11375-5550

Mailing address

11203 Queens Blvd Ste 200
Forest Hills, NY 11375-5550
Phone (718) 268-8383

Other identifiers 1

IdentifierTypeStateIssuer
CERT# 3728OtherNYAAAASF, INC.

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1272240000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1272240000000",
    "number": "1114244415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11203 QUEENS BLVD STE 200",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113755550",
            "telephone_number": "718-268-8383",
            "fax_number": "718-268-6033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11203 QUEENS BLVD STE 200",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113755550",
            "telephone_number": "718-268-8383",
            "fax_number": "718-268-6033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED CLINICAL PHYSICIANS, P.L.L.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-26",
        "last_updated": "2010-04-26",
        "status": "A",
        "authorized_official_last_name": "DOVLATYAN",
        "authorized_official_first_name": "VARUZHAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "718-268-8383",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "AAAASF # 3728",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AAAASF, INC.",
            "identifier": "CERT# 3728",
            "state": "NY"
        }
    ],
    "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 Apr 26, 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.