Sanford Family Medical Practice PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

199863 Issued in NY

Legal business name

SANFORD FAMILY MEDICAL PRACTICE PC

Practice address

15706 Sanford Ave
Flushing, NY 11355-1126

Phone

(718) 353-8933

Fax

(718) 353-8934

NPI assigned

Oct 8, 2010

Organization subpart

No

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

Authorized official

Name

Ambrose Pipia, MD

Title

Physician

Phone

(718) 353-8933

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1286496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1324598400000",
    "number": "1316257397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15706 SANFORD AVE",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113551126",
            "telephone_number": "718-353-8933",
            "fax_number": "718-353-8934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15706 SANFORD AVE",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113551126",
            "telephone_number": "718-353-8933",
            "fax_number": "718-353-8934"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANFORD FAMILY MEDICAL PRACTICE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-08",
        "last_updated": "2011-12-23",
        "status": "A",
        "authorized_official_last_name": "PIPIA",
        "authorized_official_first_name": "AMBROSE",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "718-353-8933",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "199863",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01621769",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Family Medicine Physician in Flushing, NY
• Providers in Flushing, NY by specialty
• Family Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2011; 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.