NPIMap

Organization Active NPI

Cornerstone of Medical Arts Center Hospital

  • Substance Abuse Rehabilitation Facility
  • Flushing, NY
National Provider Identifier
1316112097
Registry record updated May 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
License
F303637 Issued in NY
Legal business name
CORNERSTONE OF MEDICAL ARTS CENTER HOSPITAL
Practice address
15905 Union Tpke
Flushing, NY 11366
Phone
(718) 906-6700
NPI assigned
Apr 24, 2008
Last updated
May 8, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 8, 2008

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

Authorized official

Name
Dr. Sami Kaddouri, MD
Title
Medical Director
Phone
(718) 906-6700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X F303637 NY Primary

Addresses

Primary practice location

15905 Union Tpke
Flushing, NY 11366

Mailing address

15905 Union Tpke
Flushing, NY 11366
Phone (718) 906-6700

National Provider Directory

National Provider Directory

Locations

15905 Union Tpke
Fresh Meadows, NY 11366
Phone (718) 906-6700

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1208995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210204800000",
    "number": "1316112097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15905 UNION TPKE",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "11366",
            "telephone_number": "718-906-6700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15905 UNION TPKE",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "11366",
            "telephone_number": "718-906-6700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORNERSTONE OF MEDICAL ARTS CENTER HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-24",
        "last_updated": "2008-05-08",
        "status": "A",
        "authorized_official_last_name": "KADDOURI",
        "authorized_official_first_name": "SAMI",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "718-906-6700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "NY",
            "license": "F303637",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flushing, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 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.