Organization Active NPI

Dev R. Master, MD, PLLC

  • Pediatrics Physician
  • Elmhurst, NY
National Provider Identifier
1174065338
Registry record updated Nov 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
285350 Issued in NY
Legal business name
DEV R. MASTER, MD, PLLC
Practice address
8823 Justice Ave
Elmhurst, NY 11373-4558
Phone
(718) 271-0110
Fax
(718) 592-6340
NPI assigned
Nov 4, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2016

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

Authorized official

Name
Dr. Dev Rashmin Master, M.D.NPI 1093108607
Title
Member
Phone
(718) 271-0110

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
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X 285350 NY Primary

Addresses

Primary practice location

8823 Justice Ave
Elmhurst, NY 11373-4558

Mailing address

8823 Justice Ave
Elmhurst, NY 11373-4558
Phone (718) 271-0110

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20161213000896 NY Part B Supplier - Clinic/Group Practice 1759661580 Receives reassigned benefits from 1 practitioner
Practice locations: Elmhurst, NY

National Provider Directory

National Provider Directory

Locations

8823 Justice Ave
Flushing, NY 11373
Phone (718) 271-0110

Practitioners & affiliated clinicians

Practitioners 2

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": "1478217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1478217600000",
    "number": "1174065338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8823 JUSTICE AVE",
            "city": "ELMHURST",
            "state": "NY",
            "postal_code": "113734558",
            "telephone_number": "718-271-0110",
            "fax_number": "718-592-6340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8823 JUSTICE AVE",
            "city": "ELMHURST",
            "state": "NY",
            "postal_code": "113734558",
            "telephone_number": "718-271-0110",
            "fax_number": "718-592-6340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEV R. MASTER, MD, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-04",
        "last_updated": "2016-11-04",
        "status": "A",
        "authorized_official_last_name": "MASTER",
        "authorized_official_first_name": "DEV",
        "authorized_official_middle_name": "RASHMIN",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "718-271-0110",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "285350",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elmhurst, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2016; 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.