Total Medical Ny P.C.

Primary specialty

Legal MedicineTaxonomy code 173000000X

License

244295 Issued in NY

Legal business name

TOTAL MEDICAL NY P.C.

Practice address

9324 Queens Blvd
1G
Rego Park, NY 11374-1147

Phone

(718) 730-9040

NPI assigned

Apr 13, 2011

Organization subpart

No

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

Authorized official

Name

Eric GoldbergNPI 1093913642

Title

MD

Phone

(347) 729-8793

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 2

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

• Eric Goldberg, M.D.

  • Internal Medicine Physician
  • Briarwood, NY
  • NPI 1093913642
  Medicare reassignment NPD Authorized official
• Quennie M Ladao-Soto, PT, DPT

  • Pediatric Physical Therapist
  • Brooklyn, NY
  • NPI 1316389935
  NPD (past)

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

{
    "created_epoch": "1302652800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302652800000",
    "number": "1437449212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1372 E 7TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112305104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9324 QUEENS BLVD",
            "address_2": "1G",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113741147",
            "telephone_number": "718-730-9040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOTAL MEDICAL NY P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-13",
        "last_updated": "2011-04-13",
        "status": "A",
        "authorized_official_last_name": "GOLDBERG",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "347-729-8793"
    },
    "taxonomies": [
        {
            "code": "173000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Legal Medicine",
            "state": "NY",
            "license": "244295",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Legal Medicine in Rego Park, NY
• Providers in Rego Park, NY by specialty
• Legal Medicine in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2011; 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.