Organization Active NPI

Ms Family Medicine Health Care, PC

  • Family Medicine Physician
  • Rosedale, NY
National Provider Identifier
1235353376
Registry record updated Oct 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
MS FAMILY MEDICINE HEALTH CARE, PC
Practice address
241-08 140TH Ave
Rosedale, NY 11422-2022
Phone
(718) 949-0146
Fax
(718) 949-1576
NPI assigned
Apr 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2012

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

Authorized official

Name
Dr. Michele Claudette Reed, DONPI 1023187051
Title
Partner
Phone
(718) 949-0146

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

241-08 140TH Ave
Rosedale, NY 11422-2022

Mailing address

241-08 140TH Ave
Rosedale, NY 11422-2022
Phone (718) 949-0146

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060125000374 NY Part B Supplier - Clinic/Group Practice 0749204063 Receives reassigned benefits from 4 practitioners
Practice locations: Mineola, NY; Rosedale, NY

National Provider Directory

National Provider Directory

Locations

1103 Stewart Ave
Ste 210
Garden City, NY 11530
Phone (516) 745-0303

14407 243rd St
#A
Rosedale, NY 11422
Phone (718) 949-0146

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EBDFAA

Practitioners & affiliated clinicians

Practitioners 10

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

NPI Registry JSON

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

{
    "created_epoch": "1176336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349395200000",
    "number": "1235353376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "241-08 140TH AVE",
            "city": "ROSEDALE",
            "state": "NY",
            "postal_code": "114222022",
            "telephone_number": "718-949-0146",
            "fax_number": "718-949-1576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "241-08 140TH AVE",
            "city": "ROSEDALE",
            "state": "NY",
            "postal_code": "114222022",
            "telephone_number": "718-949-0146",
            "fax_number": "718-949-1576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MS FAMILY MEDICINE HEALTH CARE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-12",
        "last_updated": "2012-10-05",
        "status": "A",
        "authorized_official_last_name": "REED",
        "authorized_official_first_name": "MICHELE",
        "authorized_official_middle_name": "CLAUDETTE",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "718-949-0146",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rosedale, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2012; 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.