Alderton Medical. PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

195700 Issued in NY

Legal business name

ALDERTON MEDICAL. PC

Practice address

66-07 Alderton Street
Rego Park, NY 11374-1200

Phone

(718) 275-7790

NPI assigned

Mar 11, 2011

Last updated

Mar 11, 2011By 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

Dr. Sylvia A Gonzales, MD

Title

Owner

Phone

(718) 275-7790

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1299801600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1299801600000",
    "number": "1477851657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "66-07 ALDERTON STREET",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113741200",
            "telephone_number": "718-275-7790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "66-07 ALDERTON STREET",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113741200",
            "telephone_number": "718-275-7790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALDERTON MEDICAL. PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-11",
        "last_updated": "2011-03-11",
        "status": "A",
        "authorized_official_last_name": "GONZALES",
        "authorized_official_first_name": "SYLVIA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-275-7790",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "195700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2011; 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.