Medical Practice of Dr Abayev P. C.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

2517051 Issued in NY

Legal business name

MEDICAL PRACTICE OF DR ABAYEV P. C.

Practice address

17901 80TH Dr
Jamaica, NY 11432-1458

Phone

(917) 363-5223

NPI assigned

Dec 29, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Vyachislav Abayev, MD

Title

Owner

Phone

(917) 363-5223

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1419811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1419811200000",
    "number": "1134517196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17901 80TH DR",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114321458",
            "telephone_number": "917-363-5223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17901 80TH DR",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114321458",
            "telephone_number": "917-363-5223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL PRACTICE OF DR ABAYEV P. C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-29",
        "last_updated": "2014-12-29",
        "status": "A",
        "authorized_official_last_name": "ABAYEV",
        "authorized_official_first_name": "VYACHISLAV",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "917-363-5223",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology",
            "state": "NY",
            "license": "2517051",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "2517051",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Jamaica, NY
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2014; 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.