Cambria Heights Medical Care PC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

CAMBRIA HEIGHTS MEDICAL CARE PC

Practice address

21916 Linden Blvd
Cambria HTS, NY 11411-1619

Phone

(631) 898-3137

NPI assigned

Dec 3, 2009

Last updated

Dec 3, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Ivan D Barague

Title

Owner

Phone

(631) 898-3137

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1259798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1259798400000",
    "number": "1437487386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21916 LINDEN BLVD",
            "city": "CAMBRIA HTS",
            "state": "NY",
            "postal_code": "11411",
            "telephone_number": "631-898-3137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21916 LINDEN BLVD",
            "city": "CAMBRIA HTS",
            "state": "NY",
            "postal_code": "114111619",
            "telephone_number": "631-898-3137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAMBRIA HEIGHTS MEDICAL CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-03",
        "last_updated": "2009-12-03",
        "status": "A",
        "authorized_official_last_name": "BARAGUE",
        "authorized_official_first_name": "IVAN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "631-898-3137",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Physician in Cambria HTS, NY
• Providers in Cambria HTS, NY by specialty
• General Practice Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2009; 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.