Organization Active NPI

Interfaith Medical Center

  • Student in an Organized Health Care Education/Training Program
  • Ozone Park, NY
National Provider Identifier
1265855944
Registry record updated Jan 30, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
Legal business name
INTERFAITH MEDICAL CENTER
Practice address
10517 77TH St
FL 2
Ozone Park, NY 11417-1010
Phone
(214) 762-8794
NPI assigned
Jan 30, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2014

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

Authorized official

Name
Mark Adler
Title
Program Director
Phone
(718) 613-4000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training ProgramGroup: 193400000X SINGLE SPECIALTY GROUP 390200000X Primary

Addresses

Primary practice location

10517 77TH St
FL 2
Ozone Park, NY 11417-1010

Mailing address

10517 77TH St
FL 2
Ozone Park, NY 11417-1010
Phone (214) 762-8794

National Provider Directory

National Provider Directory
Tax ID family
Interfaith Hosp ER Opd10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

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": "1391040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1391040000000",
    "number": "1265855944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10517 77TH ST",
            "address_2": "FL 2",
            "city": "OZONE PARK",
            "state": "NY",
            "postal_code": "114171010",
            "telephone_number": "214-762-8794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10517 77TH ST",
            "address_2": "FL 2",
            "city": "OZONE PARK",
            "state": "NY",
            "postal_code": "114171010",
            "telephone_number": "214-762-8794"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERFAITH MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-30",
        "last_updated": "2014-01-30",
        "status": "A",
        "authorized_official_last_name": "ADLER",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "718-613-4000"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ozone Park, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2014; 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.