Organization Active NPI

Resident Care Medicine of New York, PLLC

  • Nurse Practitioner
  • Astoria, NY
National Provider Identifier
1124295944
Registry record updated Feb 24, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
Legal business name
RESIDENT CARE MEDICINE OF NEW YORK, PLLC
Practice address
34-12 36TH St Suite 220
Resident Care Medicine of New York LLC
Astoria, NY 11106
Phone
(800) 530-5863
Fax
(866) 303-0041
NPI assigned
May 12, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2009

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

Authorized official

Name
David M Chess, M.D.
Title
President/Ceo
Phone
(203) 925-9600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363L00000X Primary

Addresses

Primary practice location

34-12 36TH St Suite 220
Resident Care Medicine of New York LLC
Astoria, NY 11106

Mailing address

10 Progress Dr
Suite 200
Shelton, CT 06484-6216
Phone (203) 538-8028

National Provider Directory

National Provider Directory

Locations

3412 36th St
Ste 220
Astoria, NY 11106
Phone (718) 391-0611

Practitioners & affiliated clinicians

Practitioners 2

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": "1210550400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1235433600000",
    "number": "1124295944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 PROGRESS DR",
            "address_2": "SUITE 200",
            "city": "SHELTON",
            "state": "CT",
            "postal_code": "064846216",
            "telephone_number": "203-538-8028",
            "fax_number": "866-303-0041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34-12 36TH ST SUITE 220",
            "address_2": "RESIDENT CARE MEDICINE OF NEW YORK LLC",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "11106",
            "telephone_number": "800-530-5863",
            "fax_number": "866-303-0041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESIDENT CARE MEDICINE OF NEW YORK, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-12",
        "last_updated": "2009-02-24",
        "status": "A",
        "authorized_official_last_name": "CHESS",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "203-925-9600",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Astoria, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2009; 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.