Organization Active NPI

Premier Physicians of New York PLLC

  • Radiation Oncology Physician
  • Forest Hills, NY
National Provider Identifier
1316384753
Registry record updated Jun 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
Legal business name
PREMIER PHYSICIANS OF NEW YORK PLLC
Practice address
10614 70TH Ave
Forest Hills, NY 11375-4253
Phone
(718) 520-6620
Fax
(718) 520-6630
NPI assigned
May 24, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2014

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

Authorized official

Name
Roberto Lipsztein, MD
Title
Director
Phone
(718) 520-6620

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2085R0001X NY Primary

Addresses

Primary practice location

10614 70TH Ave
Forest Hills, NY 11375-4253

Mailing address

2865 E Coast Hwy
Suite 20005
Corona del Mar, CA 92625-2236
Phone (949) 207-3111

National Provider Directory

National Provider Directory

Locations

2865 E Coast Hwy
Ste 20005
Corona del Mar, CA 92625

NPI Registry JSON

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

{
    "created_epoch": "1369353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1401667200000",
    "number": "1316384753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2865 E COAST HWY",
            "address_2": "SUITE 20005",
            "city": "CORONA DEL MAR",
            "state": "CA",
            "postal_code": "926252236",
            "telephone_number": "949-207-3111",
            "fax_number": "949-612-8255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10614 70TH AVE",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113754253",
            "telephone_number": "718-520-6620",
            "fax_number": "718-520-6630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER PHYSICIANS OF NEW YORK PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-24",
        "last_updated": "2014-06-02",
        "status": "A",
        "authorized_official_last_name": "LIPSZTEIN",
        "authorized_official_first_name": "ROBERTO",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "718-520-6620",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Radiation Oncology",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jun 2, 2014; 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.