Active NPI
Keith J Quinn, BS
- Specialist
- East Meadow, NY
National Provider Identifier
1568717841
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 50117
- Practice address
- 1881 Fairhaven Rd
East Meadow, NY 11554-2516 - Phone
- (516) 521-8502
- NPI assigned
- Jul 23, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 50117 | NY | Primary |
Addresses
Primary practice location
1881 Fairhaven Rd
East Meadow, NY 11554-2516
Mailing address
1881 Fairhaven Rd
East Meadow, NY 11554-2516
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Bachelor of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 50117 | NY | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1343001600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1343001600000",
"number": "1568717841",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1881 FAIRHAVEN RD",
"city": "EAST MEADOW",
"state": "NY",
"postal_code": "115542516"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1881 FAIRHAVEN RD",
"city": "EAST MEADOW",
"state": "NY",
"postal_code": "115542516",
"telephone_number": "516-521-8502"
}
],
"practiceLocations": [],
"basic": {
"last_name": "QUINN",
"first_name": "KEITH",
"middle_name": "J",
"name_prefix": "Mr.",
"credential": "BS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-07-23",
"last_updated": "2012-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NY",
"license": "50117",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in East Meadow, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.