Caramihai Medical PC
Organization Active NPI Clinic/Center · Hollis, NY
NPI 1588040091 · NPPES record last updated Aug 6, 2015
Key facts
- NPI
- 1588040091
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinic/Center 261Q00000X
- License
- 279545 (NY)
- Legal business name
- CARAMIHAI MEDICAL PC
- Practice address
- 20118 Hillside Ave
Hollis, NY 11423-2135 - Phone
- (718) 454-2442
- NPI assigned
- Aug 6, 2015
- Organization subpart
- No
Authorized official
- Name
- Michael Caramihai, DO
- Title
- Director
- Phone
- (718) 454-2442
Practitioners 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20260312002955 | NY | Part B Supplier - Clinic/Group Practice | 2264915768 |
Receives reassigned benefits from 1 practitioner Practice locations: Hollis, NY |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | 279545 | NY | Yes |
Addresses
Primary practice location
20118 Hillside Ave
Hollis, NY 11423-2135
Mailing address
20118 Hillside Ave
Hollis, NY 11423-2135
Phone (718) 454-2442
Other providers in Hollis, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 6, 2015. 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.