Frank Evanov MD PC

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

124049 Issued in NY

Legal business name

FRANK EVANOV MD PC

Practice address

19303 Union Tpke
Fresh Meadows, NY 11366-1874

Phone

(718) 217-8400

NPI assigned

Sep 15, 2010

Last updated

Sep 15, 2010By 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

Frank Evanov, MDNPI 1750362984

Title

Owner

Phone

(516) 352-1500

Specialties & licenses 1

Addresses

Tax ID family

Frank a Evanov MD PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Frank a Evanov MD PC

  • Internal Medicine Physician
  • New Hyde Park, NY
  • NPI 1679897631
  NPD tax ID

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.

• Frank Evanov, MD

  • Internal Medicine Physician
  • New Hyde Park, NY
  • NPI 1750362984
  Authorized official Same address or phone

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

{
    "created_epoch": "1284508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1284508800000",
    "number": "1144538877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 UNION TPKE",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110401759",
            "telephone_number": "516-352-1500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19303 UNION TPKE",
            "city": "FRESH MEADOWS",
            "state": "NY",
            "postal_code": "113661874",
            "telephone_number": "718-217-8400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRANK EVANOV MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-15",
        "last_updated": "2010-09-15",
        "status": "A",
        "authorized_official_last_name": "EVANOV",
        "authorized_official_first_name": "FRANK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "516-352-1500",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NY",
            "license": "124049",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jason Fong, MD
• Foreste Registry Inc.
• Joshua L Fox, MD
• Aminta E Franco
• Jonely Franco
• Unique Freeman
• Fresh Eyes Inc
• Fresh Meadow Pharmacy Inc
• Fresh Meadows Adult Day Care LLC
• Fresh Meadows Best Medical Care PC

• Gastroenterology Physician in Fresh Meadows, NY
• Providers in Fresh Meadows, NY by specialty
• Gastroenterology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 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.