NPIMap

Organization Active NPI

Far Rockaway VA Clinic

  • VA Clinic/Center
  • Far Rockaway, NY
National Provider Identifier
1164475133
Registry record updated Aug 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
VA Clinic/CenterTaxonomy code 261QV0200X
Legal business name
FAR ROCKAWAY VA CLINIC
Practice address
1288 Central Ave
1288 Central Ave.
Far Rockaway, NY 11691-3909
Phone
(718) 945-7150
Fax
(718) 634-2155
NPI assigned
May 18, 2006
Last updated
Aug 12, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2008

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

Authorized official

Name
Barbara Mayerick
Title
Director, Business Development
Phone
(202) 254-0339

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
VA Clinic/Center 261QV0200X Primary

Addresses

Primary practice location

1288 Central Ave
1288 Central Ave.
Far Rockaway, NY 11691-3909

Mailing address

1288 Central Ave
Far Rockaway, NY 11691-3909
Phone (718) 945-7150

National Provider Directory

National Provider Directory
Tax ID family
New York Vamc13 organizations share this tax ID, including this one

Other organizations with this tax ID 12

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

NPI Registry JSON

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218499200000",
    "number": "1164475133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1288 CENTRAL AVE",
            "city": "FAR ROCKAWAY",
            "state": "NY",
            "postal_code": "116913909",
            "telephone_number": "718-945-7150",
            "fax_number": "718-634-2155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1288 CENTRAL AVE",
            "address_2": "1288 CENTRAL AVE.",
            "city": "FAR ROCKAWAY",
            "state": "NY",
            "postal_code": "116913909",
            "telephone_number": "718-945-7150",
            "fax_number": "718-634-2155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAR ROCKAWAY VA CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-18",
        "last_updated": "2008-08-12",
        "status": "A",
        "authorized_official_last_name": "MAYERICK",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_title_or_position": "DIRECTOR, BUSINESS DEVELOPMENT",
        "authorized_official_telephone_number": "202-254-0339"
    },
    "taxonomies": [
        {
            "code": "261QV0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, VA",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Far Rockaway, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2008; 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.