Active NPI
Dr Mednik Medical Practice PC
- Pediatrics Physician
- Jackson Heights, NY
National Provider Identifier
1386035400
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 225521
- Legal business name
- DR MEDNIK MEDICAL PRACTICE PC
- Practice address
- 8710 37TH Ave
Jackson Heights, NY 11372-7704 - Phone
- (347) 254-8755
- NPI assigned
- Feb 11, 2015
- Last updated
- Feb 11, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Karine Mednik I, M.D.
- Title
- MD
- Phone
- (718) 907-0195
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 225521 | NY | Primary |
Addresses
Primary practice location
8710 37TH Ave
Jackson Heights, NY 11372-7704
Mailing address
8710 37TH Ave
Jackson Heights, NY 11372-7704
Phone (347) 254-8755
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02300392 | Medicaid | NY |
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- Pediatrics Physician
- Jackson Heights, NY
- NPI 1710922646
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1423612800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1423612800000",
"number": "1386035400",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8710 37TH AVE",
"city": "JACKSON HEIGHTS",
"state": "NY",
"postal_code": "113727704",
"telephone_number": "347-254-8755"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8710 37TH AVE",
"city": "JACKSON HEIGHTS",
"state": "NY",
"postal_code": "113727704",
"telephone_number": "347-254-8755"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DR MEDNIK MEDICAL PRACTICE PC",
"organizational_subpart": "NO",
"enumeration_date": "2015-02-11",
"last_updated": "2015-02-11",
"status": "A",
"authorized_official_last_name": "MEDNIK",
"authorized_official_first_name": "KARINE",
"authorized_official_title_or_position": "MD",
"authorized_official_telephone_number": "718-907-0195",
"authorized_official_name_prefix": "Dr.",
"authorized_official_name_suffix": "I",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NY",
"license": "225521",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02300392",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Jackson Heights, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 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.