NPIMap

Organization Active NPI

Comprehensive Healthcare Medical PC

  • Specialist
  • Forest Hills, NY
National Provider Identifier
1235456864
Registry record updated Apr 21, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
2380025 Issued in NY
Legal business name
COMPREHENSIVE HEALTHCARE MEDICAL PC
Practice address
6730 Clyde St Apt 7H
Forest Hills, NY 11375-4006
Phone
(917) 538-7217
NPI assigned
Apr 21, 2010
Last updated
Apr 21, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2010

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

Authorized official

Name
Dr. Timur Hanan, MDNPI 1932133477
Title
Principal
Phone
(917) 538-7217

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
SpecialistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 174400000X 2380025 NY Primary

Addresses

Primary practice location

6730 Clyde St Apt 7H
Forest Hills, NY 11375-4006

Mailing address

6730 Clyde St Apt 7H
Forest Hills, NY 11375-4006

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100612000143 NY Part B Supplier - Clinic/Group Practice 3274663554 Receives reassigned benefits from 1 practitioner
Practice locations: Brooklyn, NY

National Provider Directory

National Provider Directory

Locations

3226 Kings Hwy
Brooklyn, NY 11234
Phone (718) 252-9100

Practitioners & affiliated clinicians

Practitioners 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1271808000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1271808000000",
    "number": "1235456864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6730 CLYDE ST APT 7H",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113754006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6730 CLYDE ST APT 7H",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113754006",
            "telephone_number": "917-538-7217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPREHENSIVE HEALTHCARE MEDICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-21",
        "last_updated": "2010-04-21",
        "status": "A",
        "authorized_official_last_name": "HANAN",
        "authorized_official_first_name": "TIMUR",
        "authorized_official_title_or_position": "PRINCIPAL",
        "authorized_official_telephone_number": "917-538-7217",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "NY",
            "license": "2380025",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Forest Hills, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 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.