Organization Active NPI

Dr. Mihai Iordache, Physician, PC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Bayside, NY
National Provider Identifier
1356714497
Registry record updated Nov 11, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
License
222889 Issued in NY
Legal business name
DR. MIHAI IORDACHE, PHYSICIAN, PC
Practice address
22041 Union Tpke
Bayside, NY 11364-3542
Phone
(917) 863-2728
NPI assigned
Nov 11, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2015

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

Authorized official

Name
Dr. Mihai Marcel Iordache, M.D.NPI 1831275031
Title
Director
Phone
(917) 863-2728

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X 222889 NY Primary

Addresses

Primary practice location

22041 Union Tpke
Bayside, NY 11364-3542

Mailing address

4122 42ND St Apt 4F
Sunnyside, NY 11104-2707
Phone (917) 863-2728

Other identifiers 1

IdentifierTypeStateIssuer
00246075MedicaidNY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1447200000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447200000000",
    "number": "1356714497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4122 42ND ST APT 4F",
            "city": "SUNNYSIDE",
            "state": "NY",
            "postal_code": "111042707",
            "telephone_number": "917-863-2728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22041 UNION TPKE",
            "city": "BAYSIDE",
            "state": "NY",
            "postal_code": "113643542",
            "telephone_number": "917-863-2728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. MIHAI IORDACHE, PHYSICIAN, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-11",
        "last_updated": "2015-11-11",
        "status": "A",
        "authorized_official_last_name": "IORDACHE",
        "authorized_official_first_name": "MIHAI",
        "authorized_official_middle_name": "MARCEL",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "917-863-2728",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NY",
            "license": "222889",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00246075",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayside, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2015; 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.