NPIMap

Organization Active NPI

Fegs Far Rockaway MNTL HLTH

  • Clinic/Center
  • Far Rockaway, NY
National Provider Identifier
1215976113
Registry record updated Apr 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
6287100A Issued in NY
Legal business name
FEGS FAR ROCKAWAY MNTL HLTH
Practice address
1600 Central Ave
Far Rockaway, NY 11691-4008
Phone
(718) 327-1600
Fax
(718) 868-4792
NPI assigned
Jun 6, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2008

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

Authorized official

Name
Dr. Jonas Waizer, PH.D.
Title
Chief Operating Officer
Phone
(212) 366-8024

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 6287100A NY Primary

Addresses

Primary practice location

1600 Central Ave
Far Rockaway, NY 11691-4008

Mailing address

315 Hudson St
9TH FL.
New York, NY 10013-1009
Phone (212) 366-8007

Other identifiers 1

IdentifierTypeStateIssuer
00257805MedicaidNY

National Provider Directory

National Provider Directory
Tax ID family
Fegs11 organizations share this tax ID, including this one

Other organizations with this tax ID 10

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1149552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207267200000",
    "number": "1215976113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 HUDSON ST",
            "address_2": "9TH FL.",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100131009",
            "telephone_number": "212-366-8007",
            "fax_number": "212-366-8069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 CENTRAL AVE",
            "city": "FAR ROCKAWAY",
            "state": "NY",
            "postal_code": "116914008",
            "telephone_number": "718-327-1600",
            "fax_number": "718-868-4792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FEGS FAR ROCKAWAY MNTL HLTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-06",
        "last_updated": "2008-04-04",
        "status": "A",
        "authorized_official_last_name": "WAIZER",
        "authorized_official_first_name": "JONAS",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "212-366-8024",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NY",
            "license": "6287100A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00257805",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Far Rockaway, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2008; 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.