Good Medical Care, PLLC

Primary specialty

Adult Medicine PhysicianTaxonomy code 207QA0505X

License

214540 Issued in NY

Legal business name

GOOD MEDICAL CARE, PLLC

Practice address

351 Onderdonk Ave
Ridgewood, NY 11385-1334

Phone

(718) 418-3335

Fax

(718) 418-6584

NPI assigned

Oct 6, 2016

Last updated

Oct 6, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Augusto A Zevallos, M.D.NPI 1962547331

Title

Medical Doctor

Phone

(718) 418-3335

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 1

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.

• Augusto A Zevallos, M.D.

  • Family Medicine Physician
  • Ridgewood, NY
  • NPI 1962547331
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1475712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475712000000",
    "number": "1114477817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "672 DOGWOOD AVE",
            "city": "FRANKLIN SQUARE",
            "state": "NY",
            "postal_code": "110103247",
            "telephone_number": "718-418-3335",
            "fax_number": "718-418-6584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "351 ONDERDONK AVE",
            "city": "RIDGEWOOD",
            "state": "NY",
            "postal_code": "113851334",
            "telephone_number": "718-418-3335",
            "fax_number": "718-418-6584"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOOD MEDICAL CARE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-06",
        "last_updated": "2016-10-06",
        "status": "A",
        "authorized_official_last_name": "ZEVALLOS",
        "authorized_official_first_name": "AUGUSTO",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MEDICAL DOCTOR",
        "authorized_official_telephone_number": "718-418-3335",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Adult Medicine",
            "state": "NY",
            "license": "214540",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ryan Edgar Gloetzner, MOTR/L
• Michael Goldman, D.D.S.
• Bai Yan Gong, PHARMD
• Xinyi Gong, RD
• Leanne Gonzalez, PA
• Steven L Goodman, MD
• Vanessa Goris-Sanchez, RPH
• Jack Grabon
• Unique Grier
• Lauren Grace Griffin, R.N.

• Adult Medicine Physician in Ridgewood, NY
• Providers in Ridgewood, NY by specialty
• Adult Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.