Onsite Medical Suite PC

Primary specialty

SpecialistTaxonomy code 174400000X

License

231069 Issued in NY

Legal business name

ONSITE MEDICAL SUITE PC

Practice address

9811 Queens Blvd
Suite LL3
Rego Park, NY 11374

Phone

(718) 606-2800

Fax

(718) 606-2895

NPI assigned

Aug 3, 2015

Last updated

Aug 3, 2015By 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. Mayya Munarova, DONPI 1770520579

Title

Chairman

Phone

(718) 606-2800

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 4

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.

• Mayya Munarova

  • Obstetrics & Gynecology Physician
  • Rego Park, NY
  • NPI 1770520579
  Medicare reassignment NPD Authorized official
• Hajoon Chun, M.D.

  • Maternal & Fetal Medicine Physician
  • Flushing, NY
  • NPI 1174612592
  Medicare reassignment NPD
• Donald Cedric Wallerson, MD

  • Cardiovascular Disease Physician
  • Bronx, NY
  • NPI 1407885387
  Medicare reassignment NPD
• Rajesh Roy Vaid, M.D.

  • Neuroradiology Physician
  • San Francisco, CA
  • NPI 1538252242

  NY

  Medicare reassignment NPD

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

{
    "created_epoch": "1438560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438560000000",
    "number": "1497131403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9811 QUEENS BLVD",
            "address_2": "SUITE LL3",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113743338",
            "telephone_number": "718-606-2800",
            "fax_number": "718-606-2895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9811 QUEENS BLVD",
            "address_2": "SUITE LL3",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "11374",
            "telephone_number": "718-606-2800",
            "fax_number": "718-606-2895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ONSITE MEDICAL SUITE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-03",
        "last_updated": "2015-08-03",
        "status": "A",
        "authorized_official_last_name": "MUNAROVA",
        "authorized_official_first_name": "MAYYA",
        "authorized_official_title_or_position": "CHAIRMAN",
        "authorized_official_telephone_number": "718-606-2800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "231069",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William Olson
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• Vladimir Onefater, M.D.
• Tudor Narcis Onisei, M.D.
• Opti Health, Corp.
• Kechler Orcel, RD
• Organic Woodhaven Pharmacy Inc.
• Anthony Orlando, DPM
• Orna Meirov OT PC

• Specialist in Rego Park, NY
• Providers in Rego Park, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2015; 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.