Organization Active NPI

Advanced Healthcare Medical & Comprehensive Care, P.C.

  • Ph.D. Medical Genetics
  • New City, NY
National Provider Identifier
1487878948
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ph.D. Medical GeneticsTaxonomy code 170100000X
License
216328-1 Issued in NY
Legal business name
ADVANCED HEALTHCARE MEDICAL & COMPREHENSIVE CARE, P.C.
Practice address
230 Congers Rd
New City, NY 10956-6256
Phone
(845) 638-4455
Fax
(845) 634-3889
NPI assigned
Apr 13, 2007
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. Octavio F. Delasobera, M.D.
Title
Owner
Phone
(845) 638-4455

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ph.D. Medical GeneticsGroup: 193400000X SINGLE SPECIALTY GROUP 170100000X 216328-1 NY Primary

Addresses

Primary practice location

230 Congers Rd
New City, NY 10956-6256

Mailing address

PO Box 487
New City, NY 10956-0487
Phone (845) 638-4455

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1176422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1487878948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 487",
            "city": "NEW CITY",
            "state": "NY",
            "postal_code": "109560487",
            "telephone_number": "845-638-4455",
            "fax_number": "845-634-3889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 CONGERS RD",
            "city": "NEW CITY",
            "state": "NY",
            "postal_code": "109566256",
            "telephone_number": "845-638-4455",
            "fax_number": "845-634-3889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED HEALTHCARE MEDICAL & COMPREHENSIVE CARE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DELASOBERA",
        "authorized_official_first_name": "OCTAVIO",
        "authorized_official_middle_name": "F.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "845-638-4455",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "170100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Medical Genetics, Ph.D. Medical Genetics",
            "state": "NY",
            "license": "216328-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New City, 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.