Organization Active NPI

Skender Murtezani, MD PLLC

  • Internal Medicine Physician
  • Flushing, NY
National Provider Identifier
1578865341
Registry record updated Nov 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
236980 Issued in NY
Legal business name
SKENDER MURTEZANI, MD PLLC
Practice address
13816 57TH Rd
Flushing, NY 11355-5225
Phone
(718) 461-3065
NPI assigned
Nov 29, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2010

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

Authorized official

Name
Dr. Skender Murtezani, M.D.NPI 1962550699
Title
President
Phone
(718) 461-3065

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)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 236980 NY Primary

Addresses

Primary practice location

13816 57TH Rd
Flushing, NY 11355-5225

Mailing address

13816 57TH Rd
Flushing, NY 11355-5225
Phone (718) 461-3065

Other identifiers 1

IdentifierTypeStateIssuer
1962550699OtherNYNPI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110330000624 NY Part B Supplier - Clinic/Group Practice 6103009063 Receives reassigned benefits from 1 practitioner
Practice locations: Little Neck, NY

National Provider Directory

National Provider Directory

Locations

7200 Douglaston Pkwy
Little Neck, NY 11362
Phone (516) 801-6650

Practitioners & affiliated clinicians

Practitioners 3

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": "1290988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1290988800000",
    "number": "1578865341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13816 57TH RD",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113555225",
            "telephone_number": "718-461-3065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13816 57TH RD",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113555225",
            "telephone_number": "718-461-3065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKENDER MURTEZANI, MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-29",
        "last_updated": "2010-11-29",
        "status": "A",
        "authorized_official_last_name": "MURTEZANI",
        "authorized_official_first_name": "SKENDER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-461-3065",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "236980",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1962550699",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Flushing, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.