Organization Active NPI

Forest Hills Hematology & Oncology PC

  • Specialist
  • Forest Hills, NY
National Provider Identifier
1346448784
Registry record updated Nov 28, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
218369 Issued in NY
Legal business name
FOREST HILLS HEMATOLOGY & ONCOLOGY PC
Practice address
10025 Queens Blvd Ste 1N
Forest Hills, NY 11375-2450
Phone
(718) 459-5900
Fax
(718) 459-5902
NPI assigned
Jul 6, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2017

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

Authorized official

Name
Vladimir Gotlieb, KARINA NATANZONNPI 1073516142
Title
Provider Relations Specialist
Phone
(718) 333-1394

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 218369 NY Primary

Addresses

Primary practice location

10025 Queens Blvd Ste 1N
Forest Hills, NY 11375-2450

Mailing address

80 Slocum Cres
Forest Hills, NY 11375-5237
Phone (718) 459-5900

Other identifiers 2

IdentifierTypeStateIssuer
02669267MedicaidNY
7299223OtherNYGHI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20171103002556 NY Part B Supplier - Clinic/Group Practice 3779849906 Receives reassigned benefits from 2 practitioners
Practice locations: Forest Hills, NY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1183680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1511827200000",
    "number": "1346448784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 SLOCUM CRES",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113755237",
            "telephone_number": "718-459-5900",
            "fax_number": "718-459-5902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10025 QUEENS BLVD STE 1N",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113752450",
            "telephone_number": "718-459-5900",
            "fax_number": "718-459-5902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOREST HILLS HEMATOLOGY & ONCOLOGY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-06",
        "last_updated": "2017-11-28",
        "status": "A",
        "authorized_official_last_name": "GOTLIEB",
        "authorized_official_first_name": "VLADIMIR",
        "authorized_official_title_or_position": "PROVIDER RELATIONS SPECIALIST",
        "authorized_official_telephone_number": "718-333-1394",
        "authorized_official_credential": "KARINA NATANZON"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NY",
            "license": "218369",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02669267",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "7299223",
            "state": "NY"
        }
    ],
    "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 Nov 28, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.