NPIMap

Organization Active NPI

Medical Care of Ny, P.C.

  • General Practice Physician
  • Howard Beach, NY
National Provider Identifier
1265179238
Registry record updated Nov 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
MEDICAL CARE OF NY, P.C.
Practice address
78-15 Linden Boulevard
Unit B
Howard Beach, NY 11414
Phone
(718) 674-7896
NPI assigned
May 19, 2022
Organization subpart
Yes
Parent organization
MEDICAL CARE OF NY, P.C.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 14, 2022

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

Authorized official

Name
Niberto Angel Moreno
Title
Owner
Phone
(786) 360-4768

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

78-15 Linden Boulevard
Unit B
Howard Beach, NY 11414

Mailing address

78-15 Linden Boulevard
Unit B
Howard Beach, NY 11414
Phone (718) 674-7896

National Provider Directory

National Provider Directory
Part of
Medical Care of Ny PC

Practitioners & affiliated clinicians

Practitioners 1

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": "1652918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668384000000",
    "number": "1265179238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "78-15 LINDEN BOULEVARD",
            "address_2": "UNIT B",
            "city": "HOWARD BEACH",
            "state": "NY",
            "postal_code": "11414",
            "telephone_number": "718-674-7896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "78-15 LINDEN BOULEVARD",
            "address_2": "UNIT B",
            "city": "HOWARD BEACH",
            "state": "NY",
            "postal_code": "11414",
            "telephone_number": "718-674-7896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL CARE OF NY, P.C.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MEDICAL CARE OF NY, P.C.",
        "enumeration_date": "2022-05-19",
        "last_updated": "2022-11-14",
        "certification_date": "2022-11-10",
        "status": "A",
        "authorized_official_last_name": "MORENO",
        "authorized_official_first_name": "NIBERTO",
        "authorized_official_middle_name": "ANGEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "786-360-4768"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Howard Beach, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2022; 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.