Active NPI
Frank Paul Proscia, M.D.
- Psychiatry Physician
- Floral Park, NY
National Provider Identifier
1194947127
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 195640-1
- Practice address
- 21 Vanderbilt Ave
Floral Park, NY 11001-1516 - Phone
- (516) 488-5174
- Fax
- (888) 980-6354
- NPI assigned
- May 2, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 195640-1 | NY | Primary |
| Psychiatry Physician | 2084P0800X | 25MA05984000 | NJ |
Addresses
Primary practice location
21 Vanderbilt Ave
Floral Park, NY 11001-1516
Mailing address
21 Vanderbilt Ave
Floral Park, NY 11001-1516
Phone (516) 488-5174
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA05984000 | NJ | MD | Psychiatry Physician |
| 195640-1 | NY | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178064000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1429747200000",
"number": "1194947127",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21 VANDERBILT AVE",
"city": "FLORAL PARK",
"state": "NY",
"postal_code": "110011516",
"telephone_number": "516-488-5174",
"fax_number": "888-980-6354"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21 VANDERBILT AVE",
"city": "FLORAL PARK",
"state": "NY",
"postal_code": "110011516",
"telephone_number": "516-488-5174",
"fax_number": "888-980-6354"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PROSCIA",
"first_name": "FRANK",
"middle_name": "PAUL",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-02",
"last_updated": "2015-04-23",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NY",
"license": "195640-1",
"primary": true
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NJ",
"license": "25MA05984000",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Floral Park, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.