Gennadiy Kvetny Physician, PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

208977 Issued in NY

Legal business name

GENNADIY KVETNY PHYSICIAN, PC

Practice address

7554 Metropolitan Ave
Middle Village, NY 11379-2639

Phone

(718) 894-4200

Fax

(718) 894-3900

NPI assigned

Jun 13, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Gennadiy Kvetny, MD

Title

Physician

Phone

(718) 894-4200

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• none Doing business as

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

{
    "created_epoch": "1181692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1270512000000",
    "number": "1376747378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7554 METROPOLITAN AVE",
            "city": "MIDDLE VILLAGE",
            "state": "NY",
            "postal_code": "113792639",
            "telephone_number": "718-894-4200",
            "fax_number": "718-894-3900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7554 METROPOLITAN AVE",
            "city": "MIDDLE VILLAGE",
            "state": "NY",
            "postal_code": "113792639",
            "telephone_number": "718-894-4200",
            "fax_number": "718-894-3900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENNADIY KVETNY PHYSICIAN, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-13",
        "last_updated": "2010-04-06",
        "status": "A",
        "authorized_official_last_name": "KVETNY",
        "authorized_official_first_name": "GENNADIY",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "718-894-4200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "208977",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01897043",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "none",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mary Louise Lara Gabriel, LMHC, SCHOOL PSYCHOL
• Gabrielml Mental Health Counseling PC
• Michael Galoyan
• Vruyr Galstyan, PA
• Mitchell Geizhals, M.D.
• Genovese Drug Stores Inc
• Gentle Dentistry PC
• Eleni Georgiadis, ATC
• Maura Geraghty, LMT
• Renee Gerber, DPT

• Family Medicine Physician in Middle Village, NY
• Providers in Middle Village, NY by specialty
• Family Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2010; 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.