Medical Office PC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

184579 Issued in NY

Legal business name

MEDICAL OFFICE PC

Practice address

120 Old Farmers LN
Staten Island, NY 10304-1404

Phone

(718) 306-5025

Fax

(718) 462-8000

NPI assigned

Feb 13, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Imaduddin Hashmi, M.D.NPI 1013198886

Title

Medical Director

Phone

(718) 306-5025

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Tax ID family

Medical Office PC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• Medical Office P.C.

  • Internal Medicine Physician
  • Brooklyn, NY
  • NPI 1215071329
  NPD tax ID
• Medical Office PC

  • Adolescent Medicine (Internal Medicine) Physician
  • Brooklyn, NY
  • NPI 1932113818
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Imaduddin Syed Hashmi, MD

  • Family Medicine Physician
  • Brooklyn, NY
  • NPI 1013198886
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1139788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644796800000",
    "number": "1225002785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "62 NEW ST",
            "city": "LYNBROOK",
            "state": "NY",
            "postal_code": "115633309",
            "telephone_number": "718-306-5025",
            "fax_number": "718-462-8000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 OLD FARMERS LN",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103041404",
            "telephone_number": "718-306-5025",
            "fax_number": "718-462-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL OFFICE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-13",
        "last_updated": "2022-02-14",
        "certification_date": "2022-02-14",
        "status": "A",
        "authorized_official_last_name": "HASHMI",
        "authorized_official_first_name": "IMADUDDIN",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "718-306-5025",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NY",
            "license": "184579",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01359457",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Med Star Surgical & Breathing Equipment Inc.
• Medforge Fusion LLC
• Medical and Wellness Practice PLLC
• Medical Care of Queens Borough PC
• Medical Doctor Milena Kolesnikova PC
• Medical Practice Associates PLLC
• Medical Services of Staten Island PLLC
• Medicine Check PC
• Joselito N Medida, PT
• Edwardo J Medina Jr., PHD THD

• Primary Care Clinic/Center in Staten Island, NY
• Providers in Staten Island, 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 14, 2022; 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.