Active NPI
Firsthand Health of Nevada Parks PC
- General Practice Physician
- New York, NY
National Provider Identifier
1194547067
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- Legal business name
- FIRSTHAND HEALTH OF NEVADA PARKS PC
- Practice address
- 524 Broadway FL 11
New York, NY 10012-4471 - Phone
- (855) 384-1969
- NPI assigned
- Oct 30, 2024
- 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
- Joseph Parks, MD
- Title
- Chief Medical Director
- Phone
- (201) 474-5844
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | Primary | ||
| Community/Behavioral Health Agency | 251S00000X |
Addresses
Primary practice location
524 Broadway FL 11
New York, NY 10012-4471
Mailing address
1032 E Brandon Blvd Ste 4567
Brandon, FL 33511-5509
Phone (201) 474-5844
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1730246400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1730246400000",
"number": "1194547067",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1032 E BRANDON BLVD STE 4567",
"city": "BRANDON",
"state": "FL",
"postal_code": "335115509",
"telephone_number": "201-474-5844",
"fax_number": "855-737-3901"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "524 BROADWAY FL 11",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100124471",
"telephone_number": "855-384-1969"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FIRSTHAND HEALTH OF NEVADA PARKS PC",
"organizational_subpart": "NO",
"enumeration_date": "2024-10-30",
"last_updated": "2024-10-30",
"certification_date": "2024-10-30",
"status": "A",
"authorized_official_last_name": "PARKS",
"authorized_official_first_name": "JOSEPH",
"authorized_official_title_or_position": "CHIEF MEDICAL DIRECTOR",
"authorized_official_telephone_number": "201-474-5844",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "General Practice",
"state": null,
"license": null,
"primary": true
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
- Firstgrin LLC
- Firsthand Health of Arizona, P.C.
- Firsthand Health of Kentucky PSC
- Firsthand Health of Louisiana PC
- Firsthand Health of Minnesota, PC
- Firsthand Health of North Carolina PC
- Firsthand Health of Tennessee
- Firsthand Health of Texas
- Firsthand Medical of Kentucky PSC
- Firsthand Medical of New York PC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.