Quality Medical Fitness, PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

238113 Issued in NY

Legal business name

QUALITY MEDICAL FITNESS, PC

Practice address

389 Fort Salonga Rd Ste 3
Northport, NY 11768-3044

Phone

(631) 424-1170

Fax

(631) 424-1171

NPI assigned

Nov 30, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Vijay B. Gopal, M.D.NPI 1336158187

Title

President

Phone

(631) 424-1170

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Practitioners 3

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

• Vijay B. Gopal, M.D.

  • Internal Medicine Physician
  • Huntington, NY
  • NPI 1336158187
  Medicare reassignment Care Compare group NPD Authorized official
• Harold Avella, M.D.

  • Physical Medicine & Rehabilitation Physician
  • Huntington, NY
  • NPI 1770502965
  Medicare reassignment Care Compare group NPD
• Behrouz Farahmandpour, D.O.

  • Family Medicine Physician
  • Deer Park, NY
  • NPI 1447246756
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1448841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1448841600000",
    "number": "1366816415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "389 FORT SALONGA RD STE 3",
            "city": "NORTHPORT",
            "state": "NY",
            "postal_code": "117683044",
            "telephone_number": "631-424-1170",
            "fax_number": "631-424-1171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "389 FORT SALONGA RD STE 3",
            "city": "NORTHPORT",
            "state": "NY",
            "postal_code": "117683044",
            "telephone_number": "631-424-1170",
            "fax_number": "631-424-1171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUALITY MEDICAL FITNESS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-30",
        "last_updated": "2015-11-30",
        "status": "A",
        "authorized_official_last_name": "GOPAL",
        "authorized_official_first_name": "VIJAY",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "631-424-1170",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "238113",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEW YORK STATE LICENSE",
            "identifier": "238113",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anthony Puliafico
• Leslie Andrea Pulvirenti, NP
• Lauren Puma
• Magdalena Del Pilar Pupiales, NP-C
• Barbara A Pushee, PT
• Colleen Elizabeth Quinn-Condon, MS, APRN-BC
• Lynne Colleen Rader, OD
• Michael Raganella, DPT
• Ayesha Rahman
• Christopher Ramnauth

• Internal Medicine Physician in Northport, NY
• Providers in Northport, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2015; 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.