Rest Medical Care PC
Organization Active NPI Family Medicine Physician · Jackson Heights, NY
NPI 1508932443 · NPPES record last updated May 24, 2022
Key facts
- NPI
- 1508932443
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- Legal business name
- REST MEDICAL CARE PC
- Practice address
- 3728 77TH St
Jackson Heights, NY 11372-6630 - Phone
- (718) 335-7378
- Fax
- (718) 335-1071
- NPI assigned
- Nov 24, 2006
- Organization subpart
- No
Authorized official
- Name
- Dr. Sultan Ahmed
- Title
- MD
- Phone
- (718) 335-7378
Practitioners 4
-
James H Flesher, NP
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20070611000496 | NY | Part B Supplier - Clinic/Group Practice | 1658479969 |
Receives reassigned benefits from 3 practitioners Practice locations: Jackson Heights, NY |
National Provider Directory
Locations
3849 Boston Rd
Bronx, NY 10466
Phone (718) 231-0440
3728 77th St
Jackson Heights, NY 11372
Phone (718) 335-7378
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | Yes | ||
| Internal Medicine Physician |
207R00000X |
Addresses
Primary practice location
3728 77TH St
Jackson Heights, NY 11372-6630
Mailing address
3728 77TH St
Jackson Heights, NY 11372-6630
Phone (718) 335-7378
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02910098 | Medicaid | NY |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | info@restmedicalcare.org |
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All providers in Jackson Heights, NY · Family Medicine Physician in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 24, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.