Fayda Medical Care PC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

172367-1 Issued in NY

Legal business name

FAYDA MEDICAL CARE PC

Practice address

16204 Jamaica Ave
5TH Floor
Jamaica, NY 11432-4907

Phone

(347) 322-9721

NPI assigned

Feb 24, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Yury Fayda, MD

Title

Director

Phone

(347) 322-9721

Specialties & licenses 1

Addresses

Other names 1

• FAYDA MEDICAL CARE PC Other name

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

{
    "created_epoch": "1456272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456272000000",
    "number": "1215397906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16204 JAMAICA AVE",
            "address_2": "5TH FLOOR",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114324907",
            "telephone_number": "347-322-9721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16204 JAMAICA AVE",
            "address_2": "5TH FLOOR",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114324907",
            "telephone_number": "347-322-9721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAYDA MEDICAL CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-24",
        "last_updated": "2016-02-24",
        "status": "A",
        "authorized_official_last_name": "FAYDA",
        "authorized_official_first_name": "YURY",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "347-322-9721",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NY",
            "license": "172367-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FAYDA MEDICAL CARE PC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Nuzhat Fatima, M.D.
• Zumaira Fatima, M.D.,
• Akeem B Fatola, PT
• Hannah Olufadeke Fatola, RN
• Shani A Faure
• Fayda Medical Care PC
• Michail Fazylov, DO
• Feathered Serenity Care, LCSW, PLLC
• Melvin Featherstone
• Joan Ann Feeney, LCSW

• Primary Care Clinic/Center in Jamaica, NY
• Providers in Jamaica, NY by specialty
• Primary Care Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2016; 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.