Active NPI
Metro Medical Care PC
- Family Medicine Physician
- Queens Village, NY
National Provider Identifier
1528496171
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 188568
- Legal business name
- METRO MEDICAL CARE PC
- Practice address
- 21838 Hillside Ave
Queens Village, NY 11427-1916 - Phone
- (917) 742-8283
- Fax
- (718) 465-1199
- NPI assigned
- Oct 17, 2013
- 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. Nazneen Khalid, M.D
- Title
- President
- Phone
- (917) 742-8283
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 188568 | NY | Primary |
Addresses
Primary practice location
21838 Hillside Ave
Queens Village, NY 11427-1916
Mailing address
21838 Hillside Ave
Queens Village, NY 11427-1916
Phone (917) 742-8283
National Provider Directory
National Provider DirectoryLocations
21838 Hillside Ave
Queens Vlg, NY 11427
Phone (718) 233-8871
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1381968000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1418083200000",
"number": "1528496171",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21838 HILLSIDE AVE",
"city": "QUEENS VILLAGE",
"state": "NY",
"postal_code": "114271916",
"telephone_number": "917-742-8283",
"fax_number": "718-465-1199"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21838 HILLSIDE AVE",
"city": "QUEENS VILLAGE",
"state": "NY",
"postal_code": "114271916",
"telephone_number": "917-742-8283",
"fax_number": "718-465-1199"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "METRO MEDICAL CARE PC",
"organizational_subpart": "NO",
"enumeration_date": "2013-10-17",
"last_updated": "2014-12-09",
"status": "A",
"authorized_official_last_name": "KHALID",
"authorized_official_first_name": "NAZNEEN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "917-742-8283",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "NY",
"license": "188568",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Queens Village, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.