Active NPI
Olympus Healthcare Center
- Legal Medicine
- Jamaica, NY
National Provider Identifier
1295768935
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Legal Medicine
- License
- 187169
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Legal Medicine | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01355059 | Medicaid | NY |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Hicksville, NY
- NPI 1932410586
-
- Internal Medicine Physician
- Fountain Hills, AZ
- NPI 1528068269
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.