Organization Active NPI

New York Comprehensive Medical PC

  • Anesthesiology Physician
  • Astoria, NY
National Provider Identifier
1346557964
Registry record updated Aug 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
NEW YORK COMPREHENSIVE MEDICAL PC
Practice address
23-25 31St Street
2ND Floor
Astoria, NY 11105
Phone
(347) 417-9094
Fax
(718) 732-2434
NPI assigned
Sep 2, 2010
Last updated
Aug 4, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2023

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

Authorized official

Name
Ms. Jessica Daley
Title
Practice Administrator
Phone
(347) 417-9094

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X NU Primary

Addresses

Primary practice location

23-25 31St Street
2ND Floor
Astoria, NY 11105

Mailing address

PO Box 740017
Flushing, NY 11374-0017
Phone (347) 417-9094

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110205000056 NY Part B Supplier - Clinic/Group Practice 7810177052 Receives reassigned benefits from 6 practitioners
Practice locations: Astoria, NY

National Provider Directory

National Provider Directory

Locations

2325 31st St
Astoria, NY 11105
Phone (516) 321-8315

Practitioners & affiliated clinicians

Practitioners 8

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": "1283385600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691107200000",
    "number": "1346557964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 740017",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113740017",
            "telephone_number": "347-417-9094",
            "fax_number": "718-732-2434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23-25 31ST STREET",
            "address_2": "2ND FLOOR",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "11105",
            "telephone_number": "347-417-9094",
            "fax_number": "718-732-2434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW YORK COMPREHENSIVE MEDICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-02",
        "last_updated": "2023-08-04",
        "certification_date": "2023-08-04",
        "status": "A",
        "authorized_official_last_name": "DALEY",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "347-417-9094",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Astoria, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2023; 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.