Prompt Medical Spine Care

Primary specialty

SpecialistTaxonomy code 174400000X

License

2616041 Issued in NY

Legal business name

PROMPT MEDICAL SPINE CARE

Practice address

2001 Marcus Ave Ste W170
New Hyde Park, NY 11042-2042

Phone

(516) 355-9819

Fax

(516) 355-9420

NPI assigned

Dec 9, 2014

Last updated

Dec 9, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Nancy Fuentes

Title

VP of Operations

Phone

(516) 355-9819

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1418083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1418083200000",
    "number": "1326446204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 MARCUS AVE STE W170",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110422042",
            "telephone_number": "516-355-9819",
            "fax_number": "516-355-9420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 MARCUS AVE STE W170",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110422042",
            "telephone_number": "516-355-9819",
            "fax_number": "516-355-9420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROMPT MEDICAL SPINE CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-09",
        "last_updated": "2014-12-09",
        "status": "A",
        "authorized_official_last_name": "FUENTES",
        "authorized_official_first_name": "NANCY",
        "authorized_official_title_or_position": "VP OF OPERATIONS",
        "authorized_official_telephone_number": "516-355-9819"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NY",
            "license": "2616041",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Prohealth Accountable Care Medical Group PLLC
• Prohealth Ambulatory Surgery Center, LLC
• Prohealth Dental PLLC
• Prohealth Dental PLLC
• Promedica Imaging, P.C.
• Prosthodontic Assoc. of Long Island
• Prothotic Laboratory, Inc.
• Rachel Pruitt, MD
• Elizabeth Prussman
• Andre Pryce, OTR

• Specialist in New Hyde Park, NY
• Providers in New Hyde Park, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 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.