Organization Active NPI

Advanced Medical Health Services PC

  • Specialist
  • Great Neck, NY
National Provider Identifier
1164559811
Registry record updated Apr 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
220413 Issued in NY
Legal business name
ADVANCED MEDICAL HEALTH SERVICES PC
Practice address
1 Linden Blvd
Great Neck, NY 11021-2640
Phone
(516) 322-3095
Fax
(516) 487-5977
NPI assigned
Feb 28, 2007
Last updated
Apr 14, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2010

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

Authorized official

Name
Roya Jafarihassad, M.D.NPI 1477570802
Title
M.D.
Phone
(516) 322-3095

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 220413 NY Primary

Addresses

Primary practice location

1 Linden Blvd
Great Neck, NY 11021-2640

Mailing address

85 Lords Way
New Hyde Park, NY 11040-1237
Phone (516) 322-3095

National Provider Directory

National Provider Directory

Locations

4102 75th St
Ste 1
Elmhurst, NY 11373
Phone (646) 660-0690

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1271203200000",
    "number": "1164559811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "85 LORDS WAY",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110401237",
            "telephone_number": "516-322-3095",
            "fax_number": "516-487-5977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 LINDEN BLVD",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110212640",
            "telephone_number": "516-322-3095",
            "fax_number": "516-487-5977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED MEDICAL HEALTH SERVICES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-28",
        "last_updated": "2010-04-14",
        "status": "A",
        "authorized_official_last_name": "JAFARIHASSAD",
        "authorized_official_first_name": "ROYA",
        "authorized_official_title_or_position": "M.D.",
        "authorized_official_telephone_number": "516-322-3095",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NY",
            "license": "220413",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Great Neck, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 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.