NPIMap

Organization Active NPI

Queens Hematology Oncology PC

  • Specialist
  • Forest Hills, NY
National Provider Identifier
1306021290
Registry record updated Jan 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
167703 Issued in NY
Legal business name
QUEENS HEMATOLOGY ONCOLOGY PC
Practice address
10850 62ND Dr
Suite la
Forest Hills, NY 11375-1261
Phone
(718) 830-6333
Fax
(718) 830-6355
NPI assigned
Jan 9, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2008

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

Authorized official

Name
Araxi Gevorgyan
Title
Manager
Phone
(718) 830-6333

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 167703 NY Primary

Addresses

Primary practice location

10850 62ND Dr
Suite la
Forest Hills, NY 11375-1261

Mailing address

10850 62ND Dr
Suite la
Forest Hills, NY 11375-1261

Other identifiers 1

IdentifierTypeStateIssuer
01844944MedicaidNY

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1199836800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199836800000",
    "number": "1306021290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10850 62ND DR",
            "address_2": "SUITE LA",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113751261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10850 62ND DR",
            "address_2": "SUITE LA",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113751261",
            "telephone_number": "718-830-6333",
            "fax_number": "718-830-6355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUEENS HEMATOLOGY ONCOLOGY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-09",
        "last_updated": "2008-01-09",
        "status": "A",
        "authorized_official_last_name": "GEVORGYAN",
        "authorized_official_first_name": "ARAXI",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "718-830-6333"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NY",
            "license": "167703",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01844944",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Forest Hills, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2008; 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.