Organization Active NPI

Preferred Platinum Medical,P.C.

  • General Practice Physician
  • Astoria, NY
National Provider Identifier
1396041174
Registry record updated Jul 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
PREFERRED PLATINUM MEDICAL,P.C.
Practice address
3051 36TH St
Astoria, NY 11103-4704
Phone
(718) 545-3120
Fax
(718) 545-3122
NPI assigned
Jan 27, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2012

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

Authorized official

Name
Dr. Richard H McShane, M.D
Title
President
Phone
(718) 545-3120

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

3051 36TH St
Astoria, NY 11103-4704

Mailing address

3051 36TH St
Astoria, NY 11103-4704
Phone (718) 545-3120

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1296086400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1342742400000",
    "number": "1396041174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3051 36TH ST",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111034704",
            "telephone_number": "718-545-3120",
            "fax_number": "718-545-3122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3051 36TH ST",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111034704",
            "telephone_number": "718-545-3120",
            "fax_number": "718-545-3122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREFERRED PLATINUM MEDICAL,P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-27",
        "last_updated": "2012-07-20",
        "status": "A",
        "authorized_official_last_name": "MCSHANE",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-545-3120",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Astoria, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2012; 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.