Organization Active NPI

Comperhensive Promary Family Medical Care of Ny PLLC

  • Chronic Disease Hospital
  • Far Rockaway, NY
National Provider Identifier
1386000644
Registry record updated Jan 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Chronic Disease HospitalTaxonomy code 281P00000X
Legal business name
COMPERHENSIVE PROMARY FAMILY MEDICAL CARE OF NY PLLC
Practice address
1319 Cornaga Ave FL 1
Far Rockaway, NY 11691-5004
Phone
(347) 526-6968
NPI assigned
Jan 1, 2016
Last updated
Jan 1, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 1, 2016

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

Authorized official

Name
Miss Farnaz Fahimirad, CDNNPI 1437973385
Title
Nutrtionist
Phone
(917) 794-9175

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
Chronic Disease Hospital 281P00000X NU Primary

Addresses

Primary practice location

1319 Cornaga Ave FL 1
Far Rockaway, NY 11691-5004

Mailing address

1319 Cornaga Ave FL 1
Far Rockaway, NY 11691-5004

National Provider Directory

National Provider Directory
Tax ID family
Comperhensive Promary Family Medical Care of Ny PLLC2 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.

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": "1451606400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1451606400000",
    "number": "1386000644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1319 CORNAGA AVE FL 1",
            "city": "FAR ROCKAWAY",
            "state": "NY",
            "postal_code": "116915004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1319 CORNAGA AVE FL 1",
            "city": "FAR ROCKAWAY",
            "state": "NY",
            "postal_code": "116915004",
            "telephone_number": "347-526-6968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPERHENSIVE PROMARY FAMILY MEDICAL CARE OF NY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-01",
        "last_updated": "2016-01-01",
        "status": "A",
        "authorized_official_last_name": "FAHIMIRAD",
        "authorized_official_first_name": "FARNAZ",
        "authorized_official_title_or_position": "NUTRTIONIST",
        "authorized_official_telephone_number": "917-794-9175",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "CDN"
    },
    "taxonomies": [
        {
            "code": "281P00000X",
            "taxonomy_group": "",
            "desc": "Chronic Disease Hospital",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Far Rockaway, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 1, 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.