Organization Active NPI

Cedarcrest Medical PC

  • Urgent Care Clinic/Center
  • Forest Hills, NY
National Provider Identifier
1598567695
Registry record updated Mar 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
CEDARCREST MEDICAL PC
Practice address
10818 72ND Ave
Forest Hills, NY 11375-1035
Phone
(929) 244-5039
NPI assigned
Mar 27, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2025

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

Authorized official

Name
Christabella Cochran
Title
Ceo
Phone
(929) 244-5039

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X Primary

Addresses

Primary practice location

10818 72ND Ave
Forest Hills, NY 11375-1035

Mailing address

10818 72ND Ave
Forest Hills, NY 11375-1035

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1743033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743033600000",
    "number": "1598567695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10818 72ND AVE",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113751035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10818 72ND AVE",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113751035",
            "telephone_number": "929-244-5039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CEDARCREST MEDICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-27",
        "last_updated": "2025-03-27",
        "certification_date": "2025-03-27",
        "status": "A",
        "authorized_official_last_name": "COCHRAN",
        "authorized_official_first_name": "CHRISTABELLA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "929-244-5039"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Forest Hills, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2025; 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.