Dermatologic Procedures of Queens County, PC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

AAAASF #5859 Issued in NY

Legal business name

DERMATOLOGIC PROCEDURES OF QUEENS COUNTY, PC

Practice address

5847 188TH St
Fresh Meadows, NY 11365-2201

Phone

(631) 820-4360

NPI assigned

Mar 16, 2017

Organization subpart

No

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

Authorized official

Name

Joshua Fox, M.D.

Title

Medical Director

Phone

(631) 820-4360

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1489622400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489622400000",
    "number": "1306387808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 LOWELL AVE",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110402810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5847 188TH ST",
            "city": "FRESH MEADOWS",
            "state": "NY",
            "postal_code": "113652201",
            "telephone_number": "631-820-4360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DERMATOLOGIC PROCEDURES OF QUEENS COUNTY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-16",
        "last_updated": "2017-03-16",
        "status": "A",
        "authorized_official_last_name": "FOX",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "631-820-4360",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NY",
            "license": "AAAASF #5859",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AAAASF, INC.",
            "identifier": "5859",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Danielle Delsignore
• Kevin Deng, PT
• Mary Ellen Dennis, RN
• Dental Excellence of Ny
• Department of Education
• Joyce Derner, LPN
• Mergie Desir, M.D. , M. P. H.
• Carol Denise Di Marco
• Chrisnatalie Diaz
• Diana I Diaz

• Ambulatory Surgical Clinic/Center in Fresh Meadows, NY
• Providers in Fresh Meadows, NY by specialty
• Ambulatory Surgical Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2017; 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.