Organization Active NPI

Amazing Medical Services P.C.

  • Internal Medicine Physician
  • Jamaica, NY
National Provider Identifier
1417287905
Registry record updated Jan 5, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
001671 Issued in NY
Legal business name
AMAZING MEDICAL SERVICES P.C.
Practice address
11016 Sutphin Blvd
First Floor
Jamaica, NY 11435-5716
Phone
(718) 526-7600
Fax
(718) 526-7611
NPI assigned
Jan 5, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2010

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

Authorized official

Name
Oluwatoyosi Dairo, M.D.NPI 1871686642
Title
Medical Director
Phone
(347) 528-2192

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 001671 NY Primary

Addresses

Primary practice location

11016 Sutphin Blvd
First Floor
Jamaica, NY 11435-5716

Mailing address

11016 Sutphin Blvd
First Floor
Jamaica, NY 11435-5716
Phone (718) 526-7600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100209000701 NY Part B Supplier - Clinic/Group Practice 4082757398 Receives reassigned benefits from 1 practitioner
Practice locations: Jamaica, NY

National Provider Directory

National Provider Directory

Locations

11016 Sutphin Blvd
#1
Jamaica, NY 11435
Phone (718) 526-7600

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IIAIAA

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1262649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1262649600000",
    "number": "1417287905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11016 SUTPHIN BLVD",
            "address_2": "FIRST FLOOR",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114355716",
            "telephone_number": "718-526-7600",
            "fax_number": "718-526-7611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11016 SUTPHIN BLVD",
            "address_2": "FIRST FLOOR",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114355716",
            "telephone_number": "718-526-7600",
            "fax_number": "718-526-7611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMAZING MEDICAL SERVICES P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-05",
        "last_updated": "2010-01-05",
        "status": "A",
        "authorized_official_last_name": "DAIRO",
        "authorized_official_first_name": "OLUWATOYOSI",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "347-528-2192",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "001671",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jamaica, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.