Organization Active NPI

Firsthand Health of Nevada Parks PC

  • General Practice Physician
  • New York, NY
National Provider Identifier
1194547067
Registry record updated Oct 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
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

Updated by the provider on Oct 30, 2024

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)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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 Directory

NPI 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

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.

Verify at the official NPI Registry.