NPIMap

Organization Active NPI

Pierre J. Renelique MD PC

  • General Practice Physician
  • Forest Hills, NY
National Provider Identifier
1457580086
Registry record updated Aug 11, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
181349 Issued in NY
Legal business name
PIERRE J. RENELIQUE MD PC
Practice address
6860 Austin St
Suite 202
Forest Hills, NY 11375-4245
Phone
(718) 896-0999
Fax
(718) 896-8502
NPI assigned
Jul 2, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2009

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

Authorized official

Name
Pierre J Renelique, MD
Title
President
Phone
(212) 686-6700

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207V00000X 181349 NY
Clinical Pathology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207ZC0006X 181349 NY
General Practice PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 208D00000X 181349 NY Primary

Addresses

Primary practice location

6860 Austin St
Suite 202
Forest Hills, NY 11375-4245

Mailing address

6860 Austin St
Suite 202
Forest Hills, NY 11375-4245
Phone (718) 896-0999

Other identifiers 1

IdentifierTypeStateIssuer
181349OtherNYLICENSE

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1246492800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1249948800000",
    "number": "1457580086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6860 AUSTIN ST",
            "address_2": "SUITE 202",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113754245",
            "telephone_number": "718-896-0999",
            "fax_number": "718-896-8502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6860 AUSTIN ST",
            "address_2": "SUITE 202",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113754245",
            "telephone_number": "718-896-0999",
            "fax_number": "718-896-8502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIERRE J. RENELIQUE MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-02",
        "last_updated": "2009-08-11",
        "status": "A",
        "authorized_official_last_name": "RENELIQUE",
        "authorized_official_first_name": "PIERRE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "212-686-6700",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "NY",
            "license": "181349",
            "primary": false
        },
        {
            "code": "207ZC0006X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Pathology, Clinical Pathology",
            "state": "NY",
            "license": "181349",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "NY",
            "license": "181349",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "181349",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Forest Hills, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 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.