Enterprise Medical PC

Primary specialty

SpecialistTaxonomy code 174400000X

License

212919 Issued in NY

Legal business name

ENTERPRISE MEDICAL PC

Practice address

1434 110TH St
College Point, NY 11356-1446

Phone

(718) 534-0689

NPI assigned

Apr 13, 2016

Last updated

Apr 13, 2016By 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. Joseph Golyan, MDNPI 1801822820

Title

Owner

Phone

(718) 534-0689

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Joseph Golyan, MD

  • Gastroenterology Physician
  • Forest Hills, NY
  • NPI 1801822820
  Medicare reassignment Authorized official
• Louis Kiwala, PA-C, AP,L.AC.,DNBAO

  • Physician Assistant
  • Brooklyn, NY
  • NPI 1407060106
  Medicare reassignment

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

{
    "created_epoch": "1460505600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1460505600000",
    "number": "1497119655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1434 110TH ST",
            "city": "COLLEGE POINT",
            "state": "NY",
            "postal_code": "113561446",
            "telephone_number": "718-534-0689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1434 110TH ST",
            "city": "COLLEGE POINT",
            "state": "NY",
            "postal_code": "113561446",
            "telephone_number": "718-534-0689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENTERPRISE MEDICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-13",
        "last_updated": "2016-04-13",
        "status": "A",
        "authorized_official_last_name": "GOLYAN",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-534-0689",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "NY",
            "license": "212919",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Austin Dronca, PHARMD
• Lidia Graciela Duarte, M.A.
• E5 Transportation Solutions Inc
• Jack Eisenstein, D.P.M.
• Basmala Elgendy
• Melissa Estevez
• Tisheeka Patricia Evans, PT
• Anna Fekete
• Sandro Salvatore Femia, DC
• Michael Fiscaletti, LMHC

• Specialist in College Point, NY
• Providers in College Point, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.