Pro Care Medical P.C.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

246431 Issued in NY

Legal business name

PRO CARE MEDICAL P.C.

Practice address

14022 Beech Ave Ste 2C
Flushing, NY 11355-2821

Phone

(516) 637-1831

NPI assigned

Aug 19, 2010

Last updated

Sep 6, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Viren Gordhanbhai Amin, M.D.NPI 1861661043

Title

President

Phone

(516) 637-1831

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Viren Gordhanbhai Amin, M.D.

  • Internal Medicine Physician
  • Roslyn, NY
  • NPI 1861661043
  Medicare reassignment Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1282176000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1283731200000",
    "number": "1215243845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34 CARRIAGE RD",
            "city": "ROSLYN",
            "state": "NY",
            "postal_code": "115763118",
            "telephone_number": "516-637-1831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14022 BEECH AVE STE 2C",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113552821",
            "telephone_number": "516-637-1831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRO CARE MEDICAL P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-19",
        "last_updated": "2010-09-06",
        "status": "A",
        "authorized_official_last_name": "AMIN",
        "authorized_official_first_name": "VIREN",
        "authorized_official_middle_name": "GORDHANBHAI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "516-637-1831",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "249189",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "246431",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Flushing, NY
• Providers in Flushing, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2010; 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.