Active NPI
Rego Park Sleep and Asthma PC
- Pulmonary Disease Physician
- Rego Park, NY
National Provider Identifier
1508079237
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- 241650
- Legal business name
- REGO PARK SLEEP AND ASTHMA PC
- Practice address
- 9876 Queens Blvd
Suite LL1
Rego Park, NY 11374-4356 - Phone
- (718) 830-3600
- Fax
- (718) 830-6341
- NPI assigned
- May 8, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Sandeep Mehrishi, M.D.
- Title
- Medical Director
- Phone
- (718) 830-3600
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | 241650 | NY | Primary |
Addresses
Primary practice location
9876 Queens Blvd
Suite LL1
Rego Park, NY 11374-4356
Mailing address
9876 Queens Blvd
Suite LL1
Rego Park, NY 11374-4356
Phone (718) 830-3600
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02228408 | Medicaid | NY |
National Provider Directory
National Provider DirectoryPractitioners & 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": "1178582400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1508079237",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9876 QUEENS BLVD",
"address_2": "SUITE LL1",
"city": "REGO PARK",
"state": "NY",
"postal_code": "113744356",
"telephone_number": "718-830-3600",
"fax_number": "718-830-6341"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9876 QUEENS BLVD",
"address_2": "SUITE LL1",
"city": "REGO PARK",
"state": "NY",
"postal_code": "113744356",
"telephone_number": "718-830-3600",
"fax_number": "718-830-6341"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "REGO PARK SLEEP AND ASTHMA PC",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-08",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "MEHRISHI",
"authorized_official_first_name": "SANDEEP",
"authorized_official_title_or_position": "MEDICAL DIRECTOR",
"authorized_official_telephone_number": "718-830-3600",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207RP1001X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "NY",
"license": "241650",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02228408",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Rego Park, 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.