Organization Active NPI

Rstnrl Medical Associates

  • Radiation Oncology Physician
  • Forest Hills, NY
National Provider Identifier
1386051704
Registry record updated Jul 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
274962 Issued in NY
Legal business name
RSTNRL MEDICAL ASSOCIATES
Practice address
10614 70TH Ave
Forest Hills, NY 11375-4253
Phone
(718) 520-6620
Fax
(718) 520-6630
NPI assigned
Jul 17, 2014
Last updated
Jul 17, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2014

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

Authorized official

Name
Ms. Shameek Smith
Title
Practice Manager
Phone
(212) 925-8882

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X 274962 NY Primary

Addresses

Primary practice location

10614 70TH Ave
Forest Hills, NY 11375-4253

Mailing address

10614 70TH Ave
Forest Hills, NY 11375-4253
Phone (718) 520-6620

Other identifiers 1

IdentifierTypeStateIssuer
1720217193OtherNPI

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1405555200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1405555200000",
    "number": "1386051704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10614 70TH AVE",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113754253",
            "telephone_number": "718-520-6620",
            "fax_number": "718-520-6630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10614 70TH AVE",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113754253",
            "telephone_number": "718-520-6620",
            "fax_number": "718-520-6630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RSTNRL MEDICAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-17",
        "last_updated": "2014-07-17",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "SHAMEEK",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "212-925-8882",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "NY",
            "license": "274962",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1720217193",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Forest Hills, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2014; 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.