Active NPI
First Med Immediate Medical Services of Queens PC
- Emergency Medicine Physician
- Bayside, NY
National Provider Identifier
1417017443
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- Legal business name
- FIRST MED IMMEDIATE MEDICAL SERVICES OF QUEENS PC
- Practice address
- 21021 Northern Blvd
Bayside, NY 11361 - Phone
- (718) 224-8855
- Fax
- (718) 631-2544
- NPI assigned
- Dec 11, 2006
- 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
- Marlena Simpson, CPMSM
- Title
- Director
- Phone
- (516) 783-4600
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | Primary | ||
| Family Medicine Physician | 207Q00000X | |||
| Internal Medicine Physician | 207R00000X |
Addresses
Primary practice location
21021 Northern Blvd
Bayside, NY 11361
Mailing address
1345 RXR PLZ FL 13
Uniondale, NY 11556-1301
Phone (516) 453-0435
Other names 1
- CityMD Urgent Care
National Provider Directory
National Provider DirectoryLocations
21021 Northern Blvd
Flushing, NY 11361
Phone (212) 224-8855
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165795200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1534809600000",
"number": "1417017443",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1345 RXR PLZ FL 13",
"city": "UNIONDALE",
"state": "NY",
"postal_code": "115561301",
"telephone_number": "516-453-0435",
"fax_number": "646-846-3283"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21021 NORTHERN BLVD",
"city": "BAYSIDE",
"state": "NY",
"postal_code": "11361",
"telephone_number": "718-224-8855",
"fax_number": "718-631-2544"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FIRST MED IMMEDIATE MEDICAL SERVICES OF QUEENS PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-11",
"last_updated": "2018-08-21",
"status": "A",
"authorized_official_last_name": "SIMPSON",
"authorized_official_first_name": "MARLENA",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "516-783-4600",
"authorized_official_credential": "CPMSM"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Emergency Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "CityMD Urgent Care",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Bayside, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.