Organization Active NPI

Our Neighborhood Medical PC

  • Pediatrics Physician
  • Sunnyside, NY
National Provider Identifier
1568422210
Registry record updated Oct 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
OUR NEIGHBORHOOD MEDICAL PC
Practice address
4701 Queens Blvd
Suite 303
Sunnyside, NY 11104-1660
Phone
(718) 707-3434
Fax
(718) 707-3435
NPI assigned
Mar 26, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Gheorghe R Ganea, MDNPI 1659330082
Title
President
Phone
(718) 707-3434

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208000000X Primary
Pediatric Endocrinology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2080P0205X

Addresses

Primary practice location

4701 Queens Blvd
Suite 303
Sunnyside, NY 11104-1660

Mailing address

3777 Independence Ave
Suite 15F
Bronx, NY 10463-1409
Phone (718) 707-3434

National Provider Directory

National Provider Directory

Locations

4701 Queens Blvd
Ste 303
Sunnyside, NY 11104
Phone (718) 389-7500

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.61669

Practitioners & affiliated clinicians

Practitioners 7

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": "1143331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728000000000",
    "number": "1568422210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3777 INDEPENDENCE AVE",
            "address_2": "SUITE 15F",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104631409",
            "telephone_number": "718-707-3434",
            "fax_number": "718-707-3435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4701 QUEENS BLVD",
            "address_2": "SUITE 303",
            "city": "SUNNYSIDE",
            "state": "NY",
            "postal_code": "111041660",
            "telephone_number": "718-707-3434",
            "fax_number": "718-707-3435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OUR NEIGHBORHOOD MEDICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-26",
        "last_updated": "2024-10-04",
        "certification_date": "2024-10-04",
        "status": "A",
        "authorized_official_last_name": "GANEA",
        "authorized_official_first_name": "GHEORGHE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-707-3434",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2080P0205X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics, Pediatric Endocrinology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sunnyside, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.