Organization Active NPI

Naqiy Medical Services, PC

  • Interventional Pain Medicine Physician
  • Bronx, NY
National Provider Identifier
1497077812
Registry record updated Apr 6, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
116662 Issued in NY
Legal business name
NAQIY MEDICAL SERVICES, PC
Practice address
3130 Grand Concourse
Bronx, NY 10458-1213
Phone
(516) 659-0967
NPI assigned
Feb 26, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2010

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

Authorized official

Name
Dr. Samuel Walters, M.D.
Title
Owner
Phone
(515) 659-0967

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Pain Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208VP0014X 116662 NY Primary

Addresses

Primary practice location

3130 Grand Concourse
Bronx, NY 10458-1213

Mailing address

3130 Grand Concourse
Bronx, NY 10458-1213
Phone (516) 659-0967

National Provider Directory

National Provider Directory

Locations

3130 Grand Concourse
Bronx, NY 10458
Phone (718) 365-7255

NPI Registry JSON

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

{
    "created_epoch": "1267142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1270512000000",
    "number": "1497077812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3130 GRAND CONCOURSE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104581213",
            "telephone_number": "516-659-0967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3130 GRAND CONCOURSE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104581213",
            "telephone_number": "516-659-0967"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NAQIY MEDICAL SERVICES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-26",
        "last_updated": "2010-04-06",
        "status": "A",
        "authorized_official_last_name": "WALTERS",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "515-659-0967",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "NY",
            "license": "116662",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2010; 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.