Organization Active NPI

Good Health Medical Office,P.C.

  • Sleep Medicine (Internal Medicine) Physician
  • Kew Gardens, NY
National Provider Identifier
1295061273
Registry record updated Mar 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Medicine (Internal Medicine) PhysicianTaxonomy code 207RS0012X
Legal business name
GOOD HEALTH MEDICAL OFFICE,P.C.
Practice address
8403 Cuthbert Rd
1A
Kew Gardens, NY 11415-2140
Phone
(718) 441-0519
Fax
(718) 441-0554
NPI assigned
Oct 26, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2010

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

Authorized official

Name
Mr. Stephen D Roberts, M.D.
Title
President
Phone
(718) 441-0519

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sleep Medicine (Internal Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RS0012X Primary

Addresses

Primary practice location

8403 Cuthbert Rd
1A
Kew Gardens, NY 11415-2140

Mailing address

8403 Cuthbert Rd
1A
Kew Gardens, NY 11415-2140
Phone (718) 441-0519

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1256515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268092800000",
    "number": "1295061273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8403 CUTHBERT RD",
            "address_2": "1A",
            "city": "KEW GARDENS",
            "state": "NY",
            "postal_code": "114152140",
            "telephone_number": "718-441-0519",
            "fax_number": "718-441-0554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8403 CUTHBERT RD",
            "address_2": "1A",
            "city": "KEW GARDENS",
            "state": "NY",
            "postal_code": "114152140",
            "telephone_number": "718-441-0519",
            "fax_number": "718-441-0554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOOD HEALTH MEDICAL OFFICE,P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-26",
        "last_updated": "2010-03-09",
        "status": "A",
        "authorized_official_last_name": "ROBERTS",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-441-0519",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RS0012X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kew Gardens, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2010; 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.