Organization Active NPI

Asqual Getaneh M.D., P.C.

  • Primary Care Clinic/Center
  • New York, NY
National Provider Identifier
1487769782
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
209810 Issued in NY
Legal business name
ASQUAL GETANEH M.D., P.C.
Practice address
3682 Broadway
New York, NY 10031-1526
Phone
(212) 926-6273
NPI assigned
Aug 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Asqual Getaneh, M.D.
Title
Owner
Phone
(917) 647-8989

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 209810 NY Primary

Addresses

Primary practice location

3682 Broadway
New York, NY 10031-1526

Mailing address

213 W 136TH St
#3
New York, NY 10030-2605
Phone (917) 647-8989

Other identifiers 1

IdentifierTypeStateIssuer
01989202MedicaidNY

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1156032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1487769782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "213 W 136TH ST",
            "address_2": "#3",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100302605",
            "telephone_number": "917-647-8989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3682 BROADWAY",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100311526",
            "telephone_number": "212-926-6273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASQUAL GETANEH M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GETANEH",
        "authorized_official_first_name": "ASQUAL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "917-647-8989",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NY",
            "license": "209810",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01989202",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.