Active NPI
Northern Medical Care PC
- Clinic/Center
- Corona, NY
National Provider Identifier
1275916652
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- Legal business name
- NORTHERN MEDICAL CARE PC
- Practice address
- 10520 Northern Blvd
Corona, NY 11368-1133 - Phone
- (347) 808-0346
- NPI assigned
- Jul 3, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Omar Ahmed
- Title
- President
- Phone
- (347) 808-0346
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | Primary |
Addresses
Primary practice location
10520 Northern Blvd
Corona, NY 11368-1133
Mailing address
10520 Northern Blvd
Corona, NY 11368-1133
Phone (347) 808-0346
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1150 Webster Ave
Ste 4
Bronx, NY 10456
Phone (347) 271-5338
10520 Northern Blvd
Corona, NY 11368
Phone (347) 808-0346
Practitioners & affiliated clinicians
Practitioners 6
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Neurology Physician
- New York, NY
- NPI 1831517002
-
- Family Nurse Practitioner
- Forest Hills, NY
- NPI 1306296751
-
- Neurology Physician
- Forest Hills, NY
- NPI 1518286897
-
- Physician Assistant
- Brooklyn, NY
- NPI 1700031770
-
- Family Nurse Practitioner
- Forest Hills, NY
- NPI 1508532581
-
- Neurology Physician
- Tarzana, CA
- NPI 1740415686
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1435881600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1619654400000",
"number": "1275916652",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10520 NORTHERN BLVD",
"city": "CORONA",
"state": "NY",
"postal_code": "113681133",
"telephone_number": "347-808-0346"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10520 NORTHERN BLVD",
"city": "CORONA",
"state": "NY",
"postal_code": "113681133",
"telephone_number": "347-808-0346"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NORTHERN MEDICAL CARE PC",
"organizational_subpart": "NO",
"enumeration_date": "2015-07-03",
"last_updated": "2021-04-29",
"certification_date": "2021-04-29",
"status": "A",
"authorized_official_last_name": "AHMED",
"authorized_official_first_name": "OMAR",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "347-808-0346"
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Corona, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2021; 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.