Plaza Medical Healthcare PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

201190 Issued in NY

Legal business name

PLAZA MEDICAL HEALTHCARE PC

Practice address

14225 37TH Ave.
C-2
Flushing, NY 11354-6531

Phone

(718) 359-3777

Fax

(718) 359-3770

NPI assigned

Nov 25, 2009

Organization subpart

No

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

Authorized official

Name

Kunil Bae

Title

MD

Phone

(718) 359-3777

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1259107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1259107200000",
    "number": "1487982732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14225 37TH AVE.",
            "address_2": "C-2",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113546531",
            "telephone_number": "718-359-3777",
            "fax_number": "718-359-3770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14225 37TH AVE.",
            "address_2": "C-2",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113546531",
            "telephone_number": "718-359-3777",
            "fax_number": "718-359-3770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLAZA MEDICAL HEALTHCARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-25",
        "last_updated": "2009-11-25",
        "status": "A",
        "authorized_official_last_name": "BAE",
        "authorized_official_first_name": "KUNIL",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "718-359-3777"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "201190",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Flushing, NY
• Providers in Flushing, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 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.