Organization Active NPI

Cityhealth Medical PC

  • Urgent Care Clinic/Center
  • Kew Gardens, NY
National Provider Identifier
1164962965
Registry record updated Feb 28, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
CITYHEALTH MEDICAL PC
Practice address
8515 126TH St
Kew Gardens, NY 11415-3312
Phone
(718) 924-2240
Fax
(718) 709-4282
NPI assigned
Feb 28, 2017
Last updated
Feb 28, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2017

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

Authorized official

Name
Dr. Mushahid Farooqi, MDNPI 1336375229
Title
President
Phone
(718) 924-2240

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X Primary

Addresses

Primary practice location

8515 126TH St
Kew Gardens, NY 11415-3312

Mailing address

120 President St
Hempstead, NY 11550-4723
Phone (718) 924-2240

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170612002515 NY Part B Supplier - Clinic/Group Practice 8729356936 Receives reassigned benefits from 2 practitioners
Practice locations: Kew Gardens, NY

National Provider Directory

National Provider Directory

Locations

1349 Broadway
Brooklyn, NY 11221
Phone (425) 216-8810

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/16093/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 18

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.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1488240000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488240000000",
    "number": "1164962965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 PRESIDENT ST",
            "city": "HEMPSTEAD",
            "state": "NY",
            "postal_code": "115504723",
            "telephone_number": "718-924-2240",
            "fax_number": "718-709-4282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8515 126TH ST",
            "city": "KEW GARDENS",
            "state": "NY",
            "postal_code": "114153312",
            "telephone_number": "718-924-2240",
            "fax_number": "718-709-4282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITYHEALTH MEDICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-28",
        "last_updated": "2017-02-28",
        "status": "A",
        "authorized_official_last_name": "FAROOQI",
        "authorized_official_first_name": "MUSHAHID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-924-2240",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kew Gardens, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.