Active NPI
Christopher Charles Paredes, M.D.
- Geriatric Medicine (Family Medicine) Physician
- New Hyde Park, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Medicine (Family Medicine) Physician
- License
- 270465
- Practice address
- 1983 Marcus Ave
Suite C102
New Hyde Park, NY 11042-2000 - Phone
- (516) 876-4100
- NPI assigned
- Jul 13, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Geriatric Medicine (Family Medicine) Physician | 207QG0300X | 270465 | NY | Primary |
Addresses
Primary practice location
1983 Marcus Ave
Suite C102
New Hyde Park, NY 11042-2000
Mailing address
1983 Marcus Ave
Suite C102
New Hyde Park, NY 11042-2000
Phone (516) 876-4100
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1983 Marcus Ave
Suite C102
New Hyde Park, NY 11042-2006
Phone (516) 876-4100
Hospital & facility affiliations
- North Shore Home Care Chha
- Hospice Care of Long Island, Queens, South Shore
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 270465 | NY | MD | Licensed Practical Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Shore-Lij Medical PC | Current | Accepting new patients | |
| Montefiore Medical Center | Current | Accepting new patients | |
| North Shore - Lij Medical PC | Current | Accepting new patients | |
| Montefiore Medical Center | Current | Accepting new patients | |
| North Shore-Lij Medical Group P.C. | Current | Accepting new patients |
Locations
111 E 210th St
Bronx, NY 10467
10201 66th Rd
Forest Hills, NY 11375
Phone (718) 830-4091
1983 Marcus Ave
Ste C102
New Hyde Park, NY 11042
Phone (516) 872-4100
1983 Marcus Ave
New Hyde Park, NY 11042
Phone (516) 326-5600
27005 76th Ave
North New Hyde Pk, NY 11040
27111 76th Ave
North New Hyde Pk, NY 11040
Phone (718) 289-2100
300 Community Dr
Plandome, NY 11030
972 Brush Hollow Rd
Westbury, NY 11590
Networks
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H9678
Interoperability endpoints
- cparedes24506@northwell.direct-ci.com
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Internal Medicine Physician
- Manhasset, NY
- NPI 1942666557
-
- Anesthesiology Physician
- Bronx, NY
- NPI 1063525152
-
- Urology Physician
- Great Neck, NY
- NPI 1053688572
-
- Community/Retail Pharmacy
- Bronx, NY
- NPI 1194183715
-
- Internal Medicine Physician
- New Hyde Park, NY
- NPI 1790043479
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Community Based Hospice Care Agency
- Woodbury, NY
- NPI 1013972751
-
- Home Health Agency
- Manhasset, NY
- NPI 1417965278
-
- Home Health Agency
- Westbury, NY
- NPI 1861464471
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1342137600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1467072000000",
"number": "1467707646",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1983 MARCUS AVE",
"address_2": "SUITE C102",
"city": "NEW HYDE PARK",
"state": "NY",
"postal_code": "110422000",
"telephone_number": "516-876-4100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1983 MARCUS AVE",
"address_2": "SUITE C102",
"city": "NEW HYDE PARK",
"state": "NY",
"postal_code": "110422000",
"telephone_number": "516-876-4100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAREDES",
"first_name": "CHRISTOPHER",
"middle_name": "CHARLES",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-07-13",
"last_updated": "2016-06-28",
"status": "A"
},
"taxonomies": [
{
"code": "207QG0300X",
"taxonomy_group": "",
"desc": "Family Medicine, Geriatric Medicine",
"state": "NY",
"license": "270465",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New Hyde Park, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.