Priority Medical Group P.C.

Primary specialty

Legal MedicineTaxonomy code 173000000X

License

1723671 Issued in NY

Legal business name

PRIORITY MEDICAL GROUP P.C.

Practice address

16204 Jamaica Ave
5
Jamaica, NY 11432-4907

Phone

(718) 206-4420

Fax

(718) 206-4423

NPI assigned

Jan 28, 2016

Last updated

Jan 28, 2016By 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

Yury Fayda, MD

Title

Director

Phone

(718) 206-4420

Specialties & licenses 1

Addresses

Tax ID family

Fayda Medical Care PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Fayda Medical Care PC

  • Primary Care Clinic/Center
  • Jamaica, NY
  • NPI 1962876300
  NPD tax ID

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

{
    "created_epoch": "1453939200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453939200000",
    "number": "1346607868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16204 JAMAICA AVE",
            "address_2": "5",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114324907",
            "telephone_number": "718-206-4420",
            "fax_number": "718-206-4423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16204 JAMAICA AVE",
            "address_2": "5",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114324907",
            "telephone_number": "718-206-4420",
            "fax_number": "718-206-4423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIORITY MEDICAL GROUP P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-28",
        "last_updated": "2016-01-28",
        "status": "A",
        "authorized_official_last_name": "FAYDA",
        "authorized_official_first_name": "YURY",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "718-206-4420",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "173000000X",
            "taxonomy_group": "",
            "desc": "Legal Medicine",
            "state": "NY",
            "license": "1723671",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Prime Care Medical Group PC
• Prime Move PT PC
• Primeaxis Holdings LLC
• Dennis Anthony Prince, LCSW
• Priority Care Rehab & PT PC
• Priority Medical Group, P.C.
• Micaela Rianna Prisco
• Richard Pritchard
• Brijesh Prittipaul
• Pro-Care Medical Rehabilitation P.C.

• Legal Medicine in Jamaica, NY
• Providers in Jamaica, NY by specialty
• Legal Medicine in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2016; 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.