Organization Active NPI

A&M Advanced Medical Care PC

  • Internal Medicine Physician
  • Forest Hills, NY
National Provider Identifier
1154548329
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
231544 Issued in NY
Legal business name
A&M ADVANCED MEDICAL CARE PC
Practice address
6260 108TH St
Suite 1J
Forest Hills, NY 11375-1356
Phone
(718) 275-2224
Fax
(718) 275-5100
NPI assigned
Apr 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Marina Adelman
Title
Billing Department
Phone
(718) 743-7090

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 231544 NY Primary

Addresses

Primary practice location

6260 108TH St
Suite 1J
Forest Hills, NY 11375-1356

Mailing address

75 Oceana Dr E
Penthouse 2B
Brooklyn, NY 11235-6668
Phone (718) 743-6124

Other identifiers 1

IdentifierTypeStateIssuer
02554805MedicaidNY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1176940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1154548329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 OCEANA DR E",
            "address_2": "PENTHOUSE 2B",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112356668",
            "telephone_number": "718-743-6124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6260 108TH ST",
            "address_2": "SUITE 1J",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113751356",
            "telephone_number": "718-275-2224",
            "fax_number": "718-275-5100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A&M ADVANCED MEDICAL CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ADELMAN",
        "authorized_official_first_name": "MARINA",
        "authorized_official_title_or_position": "BILLING DEPARTMENT",
        "authorized_official_telephone_number": "718-743-7090"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "231544",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02554805",
            "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 Aug 22, 2020; 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.