Organization Active NPI

Olympus Healthcare Center

  • Legal Medicine
  • Jamaica, NY
National Provider Identifier
1295768935
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Legal MedicineTaxonomy code 173000000X
License
187169 Issued in NY
Legal business name
OLYMPUS HEALTHCARE CENTER
Practice address
16521 Chapin Pkwy
Jamaica, NY 11432-1807
Phone
(718) 523-8600
NPI assigned
Jul 8, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Shakir Mukhi
Title
Sole Proprieter
Phone
(718) 523-8600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Legal MedicineGroup: 193200000X MULTI-SPECIALTY GROUP 173000000X 187169 NY Primary

Addresses

Primary practice location

16521 Chapin Pkwy
Jamaica, NY 11432-1807

Mailing address

16521 Chapin Pkwy
Jamaica, NY 11432-1807

Other identifiers 1

IdentifierTypeStateIssuer
01355059MedicaidNY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1152316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1295768935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16521 CHAPIN PKWY",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114321807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16521 CHAPIN PKWY",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114321807",
            "telephone_number": "718-523-8600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLYMPUS HEALTHCARE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MUKHI",
        "authorized_official_first_name": "SHAKIR",
        "authorized_official_title_or_position": "SOLE PROPRIETER",
        "authorized_official_telephone_number": "718-523-8600"
    },
    "taxonomies": [
        {
            "code": "173000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Legal Medicine",
            "state": "NY",
            "license": "187169",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01355059",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jamaica, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.