Organization Active NPI

Verrisa Medical Services

  • Medical Specialty Clinic/Center
  • Jackson Heights, NY
National Provider Identifier
1437339934
Registry record updated Nov 13, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
223443 Issued in NY
Legal business name
VERRISA MEDICAL SERVICES
Practice address
8910 35TH Ave
Jackson Heights, NY 11372-5758
Phone
(718) 424-0445
Fax
(718) 424-0344
NPI assigned
Nov 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2007

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

Authorized official

Name
Sandra Echeverri, M.D.NPI 1609896679
Title
Doctor/President of Corporation
Phone
(718) 424-0445

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
Medical Specialty Clinic/Center 261QM2500X 223443 NY Primary

Addresses

Primary practice location

8910 35TH Ave
Jackson Heights, NY 11372-5758

Mailing address

8910 35TH Ave
Jackson Heights, NY 11372-5758
Phone (718) 424-0445

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1194912000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194912000000",
    "number": "1437339934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8910 35TH AVE",
            "city": "JACKSON HEIGHTS",
            "state": "NY",
            "postal_code": "113725758",
            "telephone_number": "718-424-0445",
            "fax_number": "718-424-0344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8910 35TH AVE",
            "city": "JACKSON HEIGHTS",
            "state": "NY",
            "postal_code": "113725758",
            "telephone_number": "718-424-0445",
            "fax_number": "718-424-0344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VERRISA MEDICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-13",
        "last_updated": "2007-11-13",
        "status": "A",
        "authorized_official_last_name": "ECHEVERRI",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_title_or_position": "DOCTOR/PRESIDENT OF CORPORATION",
        "authorized_official_telephone_number": "718-424-0445",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "NY",
            "license": "223443",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Nov 13, 2007; 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.