Active NPI
Peak Medical Care P.C.
- Internal Medicine Physician
- Queens Village, NY
National Provider Identifier
1194028597
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 190765
- Legal business name
- PEAK MEDICAL CARE P.C.
- Practice address
- 21522 91St Ave
Queens Village, NY 11428-1217 - Phone
- (718) 217-0969
- Fax
- (718) 217-8247
- NPI assigned
- Dec 7, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mario Lavelanet, M.D.
- Title
- President
- Phone
- (718) 217-0969
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 190765 | NY | Primary |
Addresses
Primary practice location
21522 91St Ave
Queens Village, NY 11428-1217
Mailing address
21522 91St Ave
Queens Village, NY 11428-1217
Phone (718) 217-0969
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01616568 | Medicaid | NY |
Other names 1
- Peak Medical Care P.C.
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Addiction (Substance Use Disorder) Counselor
- New York, NY
- NPI 1952990905
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1291680000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1291680000000",
"number": "1194028597",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21522 91ST AVE",
"city": "QUEENS VILLAGE",
"state": "NY",
"postal_code": "114281217",
"telephone_number": "718-217-0969",
"fax_number": "718-217-8247"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21522 91ST AVE",
"city": "QUEENS VILLAGE",
"state": "NY",
"postal_code": "114281217",
"telephone_number": "718-217-0969",
"fax_number": "718-217-8247"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PEAK MEDICAL CARE P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2010-12-07",
"last_updated": "2010-12-07",
"status": "A",
"authorized_official_last_name": "LAVELANET",
"authorized_official_first_name": "MARIO",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "718-217-0969",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "NY",
"license": "190765",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01616568",
"state": "NY"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Peak Medical Care P.C.",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in Queens Village, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 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.