Organization Active NPI

Complete Medical Ny

  • Family Medicine Physician
  • Briarwood, NY
National Provider Identifier
1326350265
Registry record updated Jul 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
244295 Issued in NY
Legal business name
COMPLETE MEDICAL NY
Practice address
13876 Queens Blvd
1St Floor
Briarwood, NY 11435-2930
Phone
(718) 850-6345
Fax
(718) 559-4895
NPI assigned
Jul 8, 2010
Last updated
Jul 8, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2010

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

Authorized official

Name
Lana Izrailov
Title
Office Manager
Phone
(718) 850-6345

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 244295 NY Primary

Addresses

Primary practice location

13876 Queens Blvd
1St Floor
Briarwood, NY 11435-2930

Mailing address

13876 Queens Blvd
1St Floor
Briarwood, NY 11435-2930
Phone (718) 850-6345

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1278547200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1278547200000",
    "number": "1326350265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13876 QUEENS BLVD",
            "address_2": "1ST FLOOR",
            "city": "BRIARWOOD",
            "state": "NY",
            "postal_code": "114352930",
            "telephone_number": "718-850-6345",
            "fax_number": "718-559-4895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13876 QUEENS BLVD",
            "address_2": "1ST FLOOR",
            "city": "BRIARWOOD",
            "state": "NY",
            "postal_code": "114352930",
            "telephone_number": "718-850-6345",
            "fax_number": "718-559-4895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPLETE MEDICAL NY",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-08",
        "last_updated": "2010-07-08",
        "status": "A",
        "authorized_official_last_name": "IZRAILOV",
        "authorized_official_first_name": "LANA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "718-850-6345"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "244295",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Briarwood, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2010; 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.