NPIMap

Organization Active NPI

Advanced Physicians P C

  • Multi-Specialty Clinic/Center
  • Forest Hills, NY
National Provider Identifier
1346563582
Registry record updated May 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
ADVANCED PHYSICIANS P C
Practice address
6915 Yellowstone Blvd Ste 4
Forest Hills, NY 11375-3787
Phone
(718) 360-9550
NPI assigned
Mar 2, 2010
Last updated
May 23, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 23, 2022

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

Authorized official

Name
David ShustermanNPI 1215138342
Title
Treasurer
Phone
(718) 360-9550

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
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

Primary practice location

6915 Yellowstone Blvd Ste 4
Forest Hills, NY 11375-3787

Mailing address

6915 Yellowstone Blvd Ste 4
Forest Hills, NY 11375-3787

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101019000463 NY Part B Supplier - Clinic/Group Practice 0042403404 Receives reassigned benefits from 25 practitioners
Practice locations: Forest Hills, NY; New York, NY

National Provider Directory

National Provider Directory

Locations

10818 72nd Ave
Ste 1
Forest Hills, NY 11375
Phone (646) 321-4788

Practitioners & affiliated clinicians

Practitioners 27

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.

View all 27

NPI Registry JSON

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

{
    "created_epoch": "1267488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653264000000",
    "number": "1346563582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6915 YELLOWSTONE BLVD STE 4",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113753787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6915 YELLOWSTONE BLVD STE 4",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113753787",
            "telephone_number": "718-360-9550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED PHYSICIANS P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-02",
        "last_updated": "2022-05-23",
        "certification_date": "2022-05-23",
        "status": "A",
        "authorized_official_last_name": "SHUSTERMAN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "718-360-9550"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "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 May 23, 2022; 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.